Latest / The BEYOND Podcast / Joshua Fletcher: Why Fighting Panic Makes Anxiety Worse
Transcript
- 0:00Unknown: Heart pounding, chest tight, sweaty palms mind racing, Can't
- 0:14breathe but you can't explain why.
- 0:19Here's a great skill. Let me show you a super fast
- 0:21There's a secret point. Anxiety.
- 0:31Josh knows that feeling. He's lived it, studied it, and
- 0:35now helps millions like you and I to understand what's really
- 0:41going on inside our minds when we feel anxious and how to
- 0:46really manage it. Oh, this worked for a bit, but
- 0:50now it's back. And then this worked for a bit
- 0:52and now it's back. So yeah, because we still fear
- 0:55that response. We still fear the thoughts.
- 0:57You have to teach the brain and the body that anxiety, albeit
- 1:00uncomfortable, is actually OK to.
- 1:05Get my head around bed. I will represent all of the
- 1:15anxious people of today, OK? I'm going to let all the
- 1:19audience's anxiety come to me, and I will be the vessel to find
- 1:25out how we deal with this ginormous thing, anxiety before
- 1:29I do so. Your long name is very nice,
- 1:33Joshua, right? But you also called anxiety Josh
- 1:37or just Josh. What do you prefer?
- 1:40My name's Josh. My on my birth certificate is
- 1:43Joshua. Joshua.
- 1:44Or if it's on the book I've written, it's Joshua.
- 1:46Sounds better. Or if you're my mum.
- 1:50Yeah, I was going to say we get told off Joshua.
- 1:52Yeah, that's. About it, yeah, yeah.
- 1:55And then? Yeah.
- 1:56Yeah, and I go off by anxiety Josh on on socials and stuff.
- 2:00It's such a good name, Anxiety Josh.
- 2:02I love that. Yeah, we kind of kind of, you
- 2:07know, infers that I'm anxious all the time and it's not, it's
- 2:12not true. It's.
- 2:13Implies so you've got such a calm, wonderful energy about
- 2:17you. But yes, your anxiety healing,
- 2:19Josh. That's how we'll we'll refer to
- 2:22you in this podcast. You're also a psychotherapist,
- 2:26so you come qualified to speak on anxiety.
- 2:30Let's let's just put this declaration into the pod so
- 2:34people get it. Yeah, it's my field that I, my
- 2:38niche of psychotherapy that I specialized in, particularly the
- 2:42world full of misinformation and nonsense online and, you know,
- 2:47self optimization, quick hacks, all these kind of things.
- 2:51Yeah. I like to bring, you know,
- 2:52science empirically backed. Yeah, advice for people who
- 2:57struggle with anxiety. Yes.
- 2:58And for this podcast I will not bring anyone to speak on a
- 3:01subject unless they are fully qualified, trained and expert in
- 3:06that subject because I can't stand the noise and people
- 3:10pretending. And it's so dangerous as well
- 3:12when you have all these people and they sound so commanding
- 3:15when they advising you, but actually they have no background
- 3:19in that, no training 0. Just speak.
- 3:22Well, yeah. And there's always something to
- 3:23sell at the end of it as well, you know, commodifying people's
- 3:26vulnerabilities. It's.
- 3:27Really scary. Yeah, yeah, it's it's very
- 3:30frustrating. You just got to be very careful
- 3:32with what you get. You're also a recognized
- 3:34authority, so you're a Ted X speaker.
- 3:37You're a best selling author. You do your own pods and things
- 3:42you'd guessed in other people's pods.
- 3:43So you're pretty, you know, you put yourself out there and you
- 3:46speak on the subject a lot, so it's fabulous.
- 3:50Yeah, yeah, I'd like to pontificate about it from time
- 3:53to time. Yeah, no, it's really lovely.
- 3:56Lovely to hear you and you are as you are the trusted voice in
- 4:02mental health. You know, you are someone with
- 4:04your qualifications that we can now listen to and ask.
- 4:07I'm going to come to you from the point of view of the public
- 4:09and we'll get some genuinely good answers from you.
- 4:13OK, on the topic of. That's high hopes getting
- 4:16genuinely good answers from me. We're going to get genuinely
- 4:19good answers from you. We're going to get genuinely.
- 4:21So let's OK, so I did watch your TE DX talk as well.
- 4:27So I know a little bit more about you, let's say, but but
- 4:30for those who don't know, can you tell us like your anxiety
- 4:34journey, because you've got a personal anxiety journey.
- 4:37So can just for people to understand, we'll put it into
- 4:40context how it came about that you suffered with anxiety and
- 4:43then you've gone into working to help people and you do help
- 4:47people with anxiety. Yeah.
- 4:49So when in my young 20s, I found the difference out between what
- 4:53is conventional anxiety and an anxiety disorder.
- 4:57I think we all get anxiety. It's a normal, healthy human
- 5:01emotion and function within us. But yeah, in my young 20s, I
- 5:07experienced something called dissociation and panic.
- 5:11And it was after prolonged stress and that that kind of
- 5:17made me become agoraphobic. So I couldn't leave the house.
- 5:19I was obsessed with how I felt something intrusive thoughts.
- 5:23I was having panic attack after panic attack after panic attack,
- 5:26and I was scared of how I felt. And that's what initially, you
- 5:32know, the first step on the path to being a therapist was that,
- 5:36wow, this is actually really scary.
- 5:38A lot of people say, you know, oh, I don't get anxiety or I
- 5:41know what anxiety is like or whatever.
- 5:43But you know you've got an anxiety disorder when almost
- 5:49every day is consumed by worry, weird symptoms and an obsession
- 5:54with how you feel, and it's really debilitating.
- 5:59Yeah. So I was going to ask you how
- 6:00well, how did you know you were having like a panic attack
- 6:03moment? How did you know that that is a
- 6:05panic attack? I didn't at the time.
- 6:06That's what made it scary. You know, you think a panic
- 6:09attack is something that you see on Netflix or something.
- 6:12Yeah. Like someone, like,
- 6:14hyperventilating. And then you'd think it'd be
- 6:16obvious, but it's not. The the whole point of a panic
- 6:19attack is to make you doubt that you know your safety and
- 6:23something bad's going to happen. So most people who have panic
- 6:26attacks will fall for the what ifs of what if I'm dying, What
- 6:31if I have a heart attack? What if I lose control?
- 6:34What if I humiliate myself? What if I collapse stuff,
- 6:37something like that. Because your brain's firing off
- 6:40the threat response 10 out of 10.
- 6:42But it's usually in a situation that doesn't merit that level of
- 6:45anxiety. And So what happens is the
- 6:49cognitive brain just starts to give suggestions as to where the
- 6:52danger might be. But if you're in the supermarket
- 6:55or out for dinner and you're having that, we know that's not
- 6:59dangerous. So it goes inwards.
- 7:00And panic attacks are very much like, well, maybe something
- 7:03really bad's going to happen to you.
- 7:05And then that can go with so many symptoms.
- 7:08So is it like, so is it like you're having, you feel like
- 7:11you're having a heart attack or something or like what, what's
- 7:14physically happening to your body?
- 7:17It's different for everyone. The main symptoms of a panic
- 7:20attack are yes, your heart can race, but not all the time.
- 7:25An intense feeling to escape or something awful is going to
- 7:28happen. Dissociation so you suddenly
- 7:31don't feel like in the room and objects look weird and you're
- 7:34you don't feel like you're in your body.
- 7:37Difficulty catching your breath, air, hunger, sweating, stomachs
- 7:41going, nausea, Lightheadedness. That's a lot of them.
- 7:46And then racing thoughts like intense racing.
- 7:49Can I ask you a question? When I was a kid and I had to do
- 7:53AI, had to write in maths, this was like for in in South Africa
- 7:56matric finals, I had to write a maths exam and I hated maths.
- 8:01I still hate maths, really hate maths.
- 8:04And I was sitting there and I was dreading it so much and then
- 8:07when I looked on the page I could no longer see the shapes
- 8:10in that geometry exam. Was that a panic attack?
- 8:15That's high anxiety. Yeah, it just became.
- 8:18Yeah, that's high anxiety, Yeah, because our fight or flight
- 8:21response is designed to focus for predators.
- 8:25And so it's very common for our focus to be out.
- 8:29So your threat responses confused usually with your
- 8:32imagination or whatnot, and then you look down at the paper and
- 8:35you know it's out of focus take. A moment.
- 8:38Yeah, before I was able to. It could be panic, it could be
- 8:41or just high anxiety. High anxiety, I mean, that's the
- 8:44thing like how do you know which is my next question.
- 8:46What is the actual difference between everyday anxiety and an
- 8:51anxiety disorder like and what like what's the definition of a
- 8:56disorder? Does it mean that you can't
- 8:59function properly in the in the daily life or with that
- 9:03distinction? You know it's an anxiety
- 9:05disorder when it does start to consume your life and you can't
- 9:08do what non anxious you would like to do or you feel.
- 9:12Like you can't what non anxious you would like to do?
- 9:14Yeah, so you would avoid. You don't feel like your usual
- 9:18self. You are ruminating on worries.
- 9:21You think that something's really wrong with you.
- 9:23You've been bombarded with intrusive thoughts.
- 9:26You're not getting joy out of things and that consumes you.
- 9:29Whereas it's also cyclical and feels interminable, whereas
- 9:35everyone gets anxiety. And because usually as an end
- 9:38result, I'm worried about my exam, I'm worried about the
- 9:41dentist, I'm worried about date. But when that's done, the
- 9:45anxiety switches off. An anxiety disorder is like an
- 9:48endless loop because it doesn't have a resolution.
- 9:52But but, Josh, what if you're born anxious?
- 9:55Everyone's born anxious. Everyone has everyone.
- 9:57Everyone. Yeah, of course it is.
- 9:59You know, born anxious even though this dude in South
- 10:01Africa, my dad grew up in South Africa.
- 10:03Everyone has, everyone has anxiety.
- 10:05Yeah, it's. True, right?
- 10:07Literally everyone. Everyone's got anxiety.
- 10:09Let's be perfectly clear about this.
- 10:11Because it's your threat response.
- 10:12Everyone has a threat response. Yeah, yeah, yeah.
- 10:15Some people react in fight response.
- 10:17Some people react in flight, some people freeze, and some
- 10:20people people please inform. But we all have a threat
- 10:23response, so we all have anxiety.
- 10:24Oh my gosh, I love that. That's so liberating, that is.
- 10:28And when someone says. The best thing I've ever heard.
- 10:31When someone says I don't get anxiety, the lying is
- 10:34physiologically impossible. That is freeing.
- 10:38Yeah. Never imagined that before.
- 10:41They might not struggle with it all the time, but there'll be
- 10:44times in their life where they're anxious, yeah, you know,
- 10:47but over something, you know, public speaking, the birth of
- 10:51the child, you know, an upcoming job interview, surgery,
- 10:56whatever. They'll be anxious in some way.
- 10:58Just for some people it's not as prominent and it's more socially
- 11:02acceptable. Not as prominent And some people
- 11:04admit to it and some people won't or some people don't mind
- 11:07saying, look, anxiety is a part of my identity and some people
- 11:10will be like, well, I don't get anxious.
- 11:11But but all of us, is what you're saying.
- 11:14All of us get anxious. To varying levels, yeah.
- 11:18That I love that so much. OK and on that, is it one in
- 11:26five that developed the actual disorder version?
- 11:29So the version where it's now really throwing things off.
- 11:33Yeah, one in five of us. I mean, that's as a result of,
- 11:37like a big meta study in America where, yeah, one in five adults
- 11:44will at some point in their life experience chronic debilitating
- 11:48anxiety that falls under an anxiety disorder bracket.
- 11:50So that could be panic disorder. The most commonly diagnosed 1 is
- 11:54generalized anxiety. Then you've got things.
- 11:57What is generalized anxiety is just it's.
- 12:00Just when you find yourself anxious a lot of the day, often
- 12:02for no identifiable reason, then you've got OCD, which I
- 12:08specialize in, and and social anxiety.
- 12:11There's things like that. There's loads and since COVID a
- 12:14lot of people have health anxiety as well, which yeah,
- 12:18I've. Been I've been guilty of health
- 12:20anxiety. OK stress jug.
- 12:23Can you explain what is this whole stress jug thing?
- 12:27The stress jug is is an analogy that I pinched.
- 12:31It's not original, but I use it to explain how excessive stress
- 12:36then can create disorder and anxiety.
- 12:38OK, so everything goes in our stress jug.
- 12:42So, you know, it could be daily things, work, parenting, you
- 12:47know, just maintaining a house, relationships, whatever that
- 12:51goes in the jug. Then there's things that have
- 12:53probably been in there for a while.
- 12:55You know, maybe you're grieving, maybe you've gone through
- 12:57something horrible, maybe you've got unprocessed trauma, and then
- 13:01you've got other things like things happening in the world,
- 13:04day to news, day-to-day stress. And when that fills it up, the
- 13:09threat response, which is one of the oldest parts of our brain,
- 13:12involves the amygdala in our brain.
- 13:16I believe that it's misinterprets all of the stress
- 13:21because it doesn't get it. It's older than our thinking
- 13:23brain. It can just see that we're
- 13:26stressed. So it steps in to try and help,
- 13:29but all it can do is release adrenaline and cortisol and most
- 13:33things because it thinks there's a threat.
- 13:35So it's. Pumping.
- 13:35It's literally pumping you with. With yeah, and and it's the
- 13:39last. Thing called hormones.
- 13:40It's the last thing you need as well.
- 13:42Yeah, it's making you wired and like hyper and freaking out and
- 13:47all that sort of thing. Yeah, and and if you're someone
- 13:49who's like, you know, proud or ashamed or doesn't want to have
- 13:52any, you know, I keep a distance from mental health narratives
- 13:55that is particularly troublesome people like that.
- 13:58And I, I just tried to keep things simple, like, and this is
- 14:02like, OK, let's see what this means maybe.
- 14:06And I'll say to clients what's been happening in in your life
- 14:09recently, Let's see the stress jug.
- 14:10And then almost every time that's like really full, it's
- 14:13overflowing. Yeah.
- 14:14Yeah. Because often people say, oh,
- 14:15panic attacks come from nowhere and.
- 14:18Do they? I they, they feel like they do,
- 14:22but when you look back and look at the stress jugular, actually
- 14:24this was coming. OK.
- 14:25Can I just ask you about a particular panic attack or like
- 14:28a feeling of really like on the Tube?
- 14:31For example, if the Tube train Underground, London Underground,
- 14:34for anyone who's been on it, it's really scary when that
- 14:37underground stops between stations and then you've got all
- 14:39these people and it's really hot and it's like, you know, and
- 14:43then you're in there for some time and then no one say
- 14:45anything and then you feel a sense of panic.
- 14:47I mean, I don't know how many people have experienced this,
- 14:49but not many people are going to say they don't mind being stuck
- 14:53underground for an unlimited amount of time in a packed.
- 14:57No. It's.
- 14:58It's very common, yeah, very common.
- 15:00I, I don't like that feeling either, particularly if you're
- 15:03sensitive to being quite to claustrophobia and things like
- 15:08that. Feeling trapped.
- 15:08I hate feeling trapped. It's horrible.
- 15:10Yeah. And some people will deal with
- 15:12it fine because they've probably been trapped in the tube several
- 15:15times, you know, and delayed in the tube rather than trapped.
- 15:18But yeah, that's a feeling that that often feels like, you know,
- 15:22the beginning of a panic sometimes, you know?
- 15:23I'm just wondering if that's normal.
- 15:26It's really normal, Yeah, yeah, absolutely.
- 15:28Like loads of people in that that's.
- 15:33The thing they do, don't they? But we mask and things, don't
- 15:36we? Because I don't want to see
- 15:37that. So people bury themselves in
- 15:38their phone or whatever and. Oh, I hope you sort of.
- 15:40I'll bring up the phone to look at cute pictures of cats, dogs.
- 15:44Yeah, but loads of other people are doing that too.
- 15:47Because it's horrible, because you just don't know.
- 15:49It's the, it's the unknown. That's the, the thing you
- 15:53mention the amygdala, amygdala. Can you just explain the
- 15:59amygdala properly? Because it, it's just like, I
- 16:02want to go into the science. So we, we know that there's the
- 16:05hormones and they're released and we're still talking about
- 16:07this. But like, I feel it's, it's nice
- 16:10to know the the mechanics of what your body is doing because
- 16:14then it doesn't feel like such a it demystifies this whole stress
- 16:17thing. It's a real thing and it's.
- 16:20Well, I keep it simple. Obviously if you really, you
- 16:22know, if if you sat down with a neuroscientist and they were
- 16:25like, well, actually there's 10 parts involved, but I keep it in
- 16:28a simple way. Are they really?
- 16:30Yeah, the thalamus and things like that.
- 16:32But like, do you know, I just, I just keep it simple.
- 16:34So the amygdala is part of the fear center of our of our
- 16:39brains. It's from the oldest parts of
- 16:42our brains that's responsible for threat.
- 16:44Is it like your primitive brain? People talk about a primitive
- 16:47brain the most, Yeah. It's one of the oldest parts,
- 16:49and it's part of how we evolved to be top of the food chain
- 16:54because anxiety is actually what makes us good predators.
- 17:00You'd think what? How does that make sense?
- 17:02But but well, when we have doubt, think of our ancestors.
- 17:06Their amygdala was firing off when you know, walking across
- 17:10the Serengeti or through the jungle or whatever and or across
- 17:15the desert, whatever, if there are amygdala fires or if it
- 17:18creates doubt. And then what do you do when you
- 17:20doubt? You start to look for danger.
- 17:23So our ancestors really helpful to look for danger and
- 17:26anticipate danger before it happens because we're human.
- 17:30We're not going to fight lions are not going to fight a bear
- 17:32hand to hand. I mean, I might feel an odd, but
- 17:35in general, no. But the evolutionary advantage
- 17:39to be able to spot a threat before it spots youth and sneak
- 17:43around it and then use your brain and then you could hunt
- 17:45it, you know, even though you're not stronger than that, you're
- 17:47smarter than it. The amygdala is part of that and
- 17:50you can make sense. So anxiety is part of the reason
- 17:53why we're here. It's not just a bad thing.
- 17:57And the amygdala still, it hasn't ever evolved.
- 17:59So it just feels weird when you sat at your desk or chilling
- 18:03with your family or whatnot and it's firing off.
- 18:06It's the very same mechanism, but because of social pressures
- 18:09and things like that, it just feels a bit odd having that.
- 18:13Yeah, yeah, that. It's doing.
- 18:15Things that we know aren't directly dangerous, but then
- 18:19they are if we read the news articles, because it could be, I
- 18:22mean, this could it's like that, that perceived danger because it
- 18:25might be dangerous. You know, there's all these
- 18:26head. I mean, I was reading the news
- 18:29this morning and it's like, honestly, yeah, I want to
- 18:33quickly run and protect it. Don't do that.
- 18:34Don't do that. Don't shoot down that thing.
- 18:36Don't put spy ships out. Don't, you know, don't, don't
- 18:39kill people. Don't.
- 18:40Well, it takes in information that you take and then and to
- 18:43help it wire for threat. You know, whether it's the news
- 18:47or wherever, you know that's what it is and that's what
- 18:50conditions are threat response. OK, so our ancestors wouldn't
- 18:53have to then go home and deal with the articles and then this
- 18:57and that and then go on social media and then they get
- 18:59overwhelmed. They would have that thing and
- 19:01it would the the jug that you're talking about would be, you
- 19:04know, filled only that much versus starting to.
- 19:07Well, yeah, kind of. I mean, it wasn't easy to live
- 19:10back then, like a hunter gathering and, you know, finding
- 19:15shelter for the winter and things like that and, you know,
- 19:18no medicine or things like that. But in general, yeah.
- 19:22Like it's we have so much information overload now.
- 19:27The brain's processing a lot of information is stressful, you
- 19:31know, don't be surprised if that makes you anxious or you can't
- 19:33sleep at night because you've just been bombarded, sensitive.
- 19:36Yeah. Your brain is filing away all
- 19:38these, you know, all this information.
- 19:41And that takes a lot of energy and, and creates stress.
- 19:44Yeah. Yeah, so you, so you're going
- 19:46through the day and then maybe for weeks and months and then
- 19:49you get into bed and then and then you sleep and then like
- 19:55whatever, 2 AM, 3:00 AM, you wake up because your mind is
- 19:59like. Think, Think.
- 20:01Thinking. Thinking, Thinking, thinking,
- 20:02Thinking about the day. What's that?
- 20:06If you are focusing on what the mind is thinking, thinking,
- 20:09thinking, that's called ruminating.
- 20:12Ruminating. Yeah, when you sit there and
- 20:14your thoughts are just on loop and you just.
- 20:16If it's waking you up, you should be sleeping.
- 20:20Yeah, but attention is always part.
- 20:22This is what I do as a therapist as well.
- 20:24Attention is always part of our, you know, we have agency in that
- 20:27tension. You know, we all have what if
- 20:30thoughts, but we also have the ability to channel our
- 20:33attention. But a lot of people just believe
- 20:37their thoughts at face value. What if that happens?
- 20:40Oh yeah, that's true. I'm going to just focus on that
- 20:42thought now and try and work it out.
- 20:44That's called ruminating because you're engaging with the
- 20:47thought. We have like 5000 different
- 20:49thoughts a day. Why are you giving yourself all
- 20:52the attention to that one? You know, and then you're
- 20:54teaching the brain and the threat response to that thought
- 20:56is one, probable and two, potentially dangerous.
- 21:02And that's what I often do with my clients.
- 21:03Why? Why not focus on something else?
- 21:07You know, it's difficult when you're anxious because it's
- 21:09convincing and, and you feel doubtful.
- 21:11But actually, you know, with all the different thoughts that we
- 21:14have, we still have agency in the ability to control our
- 21:19attention. Yeah, because there's other
- 21:21things that you can focus on, which is which is definitely
- 21:24possible. You can shift focus that that's
- 21:26especially if you've been dragged in a direction.
- 21:28But the mere the concept of waking up because of thoughts
- 21:34and then being awake with the thoughts and then having, it's
- 21:39almost like, like it it's, you know, wakes you up quite
- 21:43intensely and then you have to sort of wait for the thoughts to
- 21:46sort of calm down and then you sleep.
- 21:47Yeah. So is that an anxiety?
- 21:50Could be, yeah. When we all have bad dreams, we
- 21:52all have nightmares. It wakes you up.
- 21:54Depends on your relationship with that.
- 21:55Sometimes you just, you just do. You can't stop thoughts.
- 21:59But you can also also show the brain that the thoughts are not
- 22:02important and then wind back down again.
- 22:05Yeah. Yeah, I've had actually some
- 22:06some good things where if the thoughts do wake me up, it's
- 22:10things that I've forgotten during the day and then I'll get
- 22:13work and I'll be like, oh, I didn't send the e-mail to that
- 22:15person. And it's it came to me 2:00 AM,
- 22:19It's like, yeah. It's classic, isn't it?
- 22:21It's. Annoying though because you're
- 22:22trying to sleep and it's dangerous if you don't sleep.
- 22:24Yeah, but also, if you're a hard worker and a perfectionist,
- 22:27you'll be in 5th gear all day and you don't teach the brain
- 22:30and body, it's OK to shift down the gears.
- 22:33So if you're in 5th gear from 7:00 AM to 7:00 PM, don't
- 22:37suddenly expect your body to go into first gear when it's it's
- 22:40been rusty all day. If you're someone who's
- 22:42constantly go, go, go, go, go, go, go, graft, graft, graft,
- 22:45graft, graft, you'll be in 5th gear, you're more likely to burn
- 22:49out. You'll be in constant threat
- 22:51mode because the stress drug's full and ironically, you won't
- 22:54be as productive. You're chasing the illusion of
- 22:57productivity. Whereas if you work smart, look
- 22:59after yourself, take breaks, do properly ease the nervous
- 23:02system, the irony is you actually get more done.
- 23:07Yeah, it's the it's the hardcore truth.
- 23:11It's the hardcore truth. I I definitely have more respect
- 23:16for the whole concept, the mental health stress.
- 23:22I used to be very, very dismissive actually of it.
- 23:26Oh, come on, you know, I used to be.
- 23:29I'm not anymore because I've learned the hard.
- 23:32Way it's something I tried to challenge, you know, like I, you
- 23:34know, I'm not I wouldn't say I was a soft lad.
- 23:37You know, I grew up playing rugby and boxing and football
- 23:40and things like that quite a lot, and I just think it's a
- 23:43it's just an A it's just a an aged cliche to just dismiss
- 23:47those things now. I think it's like the statistics
- 23:50don't lie, like, you know, and and the evidence doesn't lie.
- 23:54These things exist. And if your loved 1 was
- 23:59struggling and here's you saying oh that's a load of nonsense all
- 24:02day, how's that going to make your love one feel?
- 24:06Yeah. And also if you in denial about
- 24:09it, then your body will let you know, like your body will not
- 24:12lie to you. It will make you aware that the
- 24:17stress is a thing because like you were saying, the amygdala
- 24:20and it's it this touches on all these areas in your body and
- 24:23it's a whole network and these things start firing off and
- 24:27there is a mega effect. It's like a storm and it's like
- 24:30it's like a hurricane forming in the Atlantic.
- 24:32It sort of starts as just of seemingly innocent, doesn't it?
- 24:35A little bit of wind. It doesn't look too bad.
- 24:37And then it's picks picks up momentum and then it starts
- 24:39picking up all the clouds with it.
- 24:41And by the time you know it, you sucked into this horrible thing
- 24:44and, and your body will send you a message in the form of
- 24:48whatever could be some other thing, but it will send you the
- 24:52message to go. Yeah.
- 24:54Often, Yeah, I mean, even my own anxiety disorder was a message
- 24:57to say this. This isn't sustainable.
- 25:01Yeah, it's not sustainable. You can't keep doing this.
- 25:04Enough. Enough.
- 25:05Yeah. So it shows up and it can show
- 25:07up in different ways. I'm reading here like headaches
- 25:10or something. People get manifest itself as
- 25:13tension headaches. And so many physical symptoms of
- 25:17anxiety, headaches, migraines, jaw tension, muscle twitches,
- 25:23face twitches. You ever had an eyelid twitch?
- 25:25Yeah. Yeah, those scalp band tightness
- 25:28on the scalp, neck ache, shoulders really hurt, chest
- 25:32pain, chest tightness, chest stretching, heart palpitations,
- 25:37skipped heart beats, your digestions off, diarrhea,
- 25:42Constipation, feeling nauseous, hair loss.
- 25:45I'm not sure. I'm not sure about the evidence
- 25:46of hair loss. Maybe if you've got a
- 25:49pre-existing condition. Yeah.
- 25:52Pains, aches, pains, attention. Honestly, it's just the list is
- 25:56endless. Eye floaters, Tinnitus.
- 25:59I had those. There's so many stress from
- 26:02anxiety and anxiety. Yeah.
- 26:04The loop. Yeah.
- 26:05OK, fixing compulsions. What are fixing compulsions?
- 26:12So people who are chronically anxious, you know, and they're
- 26:16people that are like fixing things.
- 26:20It's a good trait to have. When you see a problem, you want
- 26:22to fix it. And we're humans, we do want to
- 26:24fix it. But when you see having anxiety
- 26:27as something to fix, you just end up irritating something that
- 26:31needs to be left alone. And that's why we're constantly
- 26:36obsessed, particularly in the Wellness sphere.
- 26:37You know, 5 things you can do to get rid of a feeling.
- 26:42And these can be fixing compulsion.
- 26:43So I'll do this, I'll do deep breathing in the morning.
- 26:46I will do this. I will ice bath, I will do all
- 26:51these things. And it's fair.
- 26:52If you like the benefits of that, that's OK.
- 26:55But if you're doing that to get rid of anxiety, it's
- 26:58counterproductive because you're teaching the brain, the
- 27:00amygdala, that anxiety is still a threat.
- 27:02You are literally fighting an emotion.
- 27:05As a therapist, I often propagate the use of allowing
- 27:10the emotion to teach the amygdala that anxiety is not
- 27:12dangerous. Yes, uncomfortable.
- 27:14You know, I've ended up in hospital with panic attacks.
- 27:17I know how uncomfortable it feels, but you've got to
- 27:23understand what you're actually doing with the brain and what
- 27:25you're teaching the brain there. And social media and the
- 27:28wellnessphere and podcasts and all this stuff are just
- 27:30bombarded with here's 50 things you can do to get rid of a
- 27:35feeling. And I, I play the long game.
- 27:38And that's a like, yeah. And, and of all those 50 which
- 27:43worked, you know? Oh, interesting.
- 27:46Yeah. And then, you know, you're still
- 27:47here. Oh, this worked for a bit, but
- 27:50now it's back. And then this worked for a bit,
- 27:52and now it's back. It's like, yeah, because we
- 27:54still fear that response. We still fear the thoughts.
- 27:57You have to teach the brain and the body that anxiety, albeit
- 28:00uncomfortable, is actually OK to.
- 28:05Get my head around that. I literally I'm a fixer.
- 28:08OK, so you're speaking to a fixer.
- 28:10Anxiety is actually OK and it's normal and it's common.
- 28:16And what you're saying is you've got to teach yourself to be, you
- 28:21can't be batting it away, trying to breathe your way through it
- 28:25and all that kind of thing. Just actually get used to it
- 28:28and, and and is it? Don't pay too much attention to
- 28:31it because you're making a grow by giving it.
- 28:33Yeah, you're giving it more important now, don't get me
- 28:35wrong. Those things for stress, like if
- 28:37I feel stressed, I will definitely breathe, breathe
- 28:41mindfulness, things like that. OK, OK, good.
- 28:43Definitely for stress. Oh absolutely.
- 28:46I had a hot bath last night. It was really nice.
- 28:47I'm stressed. OK.
- 28:50But when you're anxious and you want to get rid of anxiety,
- 28:53anxiety and you're scared, and particularly if you've got an
- 28:56anxiety disorder, which a lot of people do, it's what are you
- 29:00teaching the brain and teaching yourself that when you're
- 29:04anxious, you need to fix it? What's that actually saying?
- 29:06What's what's that saying to the brain?
- 29:08Yeah, you're confirming. That you're broken.
- 29:11Wow. It's like you're not.
- 29:13It's like you're sending this feedback loop that I'm anxious I
- 29:17must fix it. So that implies that you're
- 29:19broken and and then people wonder why they end up in the
- 29:22loop. Gosh, that is a different way of
- 29:25thinking about it. It's almost like the correct way
- 29:28of thinking about it. Yeah, it's like the correct way,
- 29:31but it's like. It's something I had to get my
- 29:33head around. That's why I became a therapist,
- 29:34because I did all the wrong things.
- 29:36And then I was like, oh, I get it now.
- 29:38I get it. You got to wow that.
- 29:41That makes sense why it's always been around for so long.
- 29:44I mean, I've just feel it's massively empowering.
- 29:46The very first thing you said about how basically everyone has
- 29:49this anxiety within them is already that that helps to say,
- 29:55OK, well then that's normal. That means you're not broken
- 29:58because everyone has it so. Yeah, does.
- 30:01It's not like an afflict, don't get me wrong, you can get you
- 30:03down. It's not an affliction.
- 30:05But like relating to what you said about fixing compulsions,
- 30:09it's like I often get clients who sit opposite me in my
- 30:13practice and I'm having a panic. What do I do?
- 30:15And I'll be like nothing, it's not hurting you.
- 30:19It will pass. True.
- 30:20Yeah. When, when you don't do anything
- 30:23during a panic attack, what gets the credit?
- 30:27Now, a lot of people when there's high anxiety, they'll do
- 30:29something or do a technique or they'll grab something magic
- 30:34and, and soothe or whatever. And that's fine.
- 30:37You know, there's no perfect way of doing things.
- 30:39But real progress with anxiety and anxiety disorders occur when
- 30:44you get the credit for anxiety passing because you then realise
- 30:48you're the coping technique. Oh.
- 30:49I love that. That's that's the cornerstone
- 30:52of. You are the coping technique,
- 30:54like you are the one. Yes, I love that.
- 30:57Yeah. OK, OK, so we spoke of a few
- 31:00things. Now the breathing thing.
- 31:02I do like the breathing after. Yeah, breathing's great.
- 31:04It's like just depends why you're doing it.
- 31:06If you're breathing because you're stressed, great.
- 31:08If you're breathing because like, oh, I'm panicking and I
- 31:10don't like it, then you're teaching the brain something bad
- 31:14that that feeling panicky is is wrong.
- 31:18I think you know, for, for like we were talking earlier about
- 31:21public speaking, something like that.
- 31:23If I don't want, you know, before you go on a stage or
- 31:26something like that, if you just do the few long deep breaths, it
- 31:29just settles you in. So that just calm the heart, you
- 31:32know, yes, we're excited, but let's not get too excited
- 31:35because otherwise your voice gets, you know, that that kind
- 31:40of thing. So sometimes I'll use it like
- 31:43that as a little tool sometimes. Yeah.
- 31:47Like an athlete takes, you know, concentrates on their breathing
- 31:50before performance, things like that.
- 31:52That's cool, Yeah. OK.
- 31:54And you mentioned mindfulness, like what?
- 31:56Again, this is another one I have to get my head around.
- 31:58What? What is mindfulness like?
- 32:00What on earth is this whole thing and is it relevant?
- 32:04Mindfulness often gets misinterpreted.
- 32:07People think mindfulness is something that you do to clear
- 32:11your head and be calm. That's not mindfulness.
- 32:14That can be the result of mindfulness sometimes, but
- 32:18mindfulness is observing the present, both things around you
- 32:23and your mind in the present. But the keywords are without
- 32:27judgement. So why I like mindfulness when
- 32:31done properly, is that you know, if you have intrusive thoughts
- 32:35or you have an internal critic or whatnot, you're observing
- 32:40your thoughts but without judgement.
- 32:42And then the more you do that, the more you realize thoughts
- 32:46are just thoughts. I just place more important on
- 32:49some over over others, usually because thoughts are evocative.
- 32:55But the more you practice mindfulness 1 is kind of
- 32:58grounding. It brings you into the present.
- 33:00So you're not just constantly in the future or ruminating about
- 33:03the past. But it's a good practice to look
- 33:06at things without judgement and see things what they are.
- 33:09I often say it enhances metacognitive ability to observe
- 33:15feelings, thoughts and emotions as transient things.
- 33:19But because if the moment you get a thought and an emotion,
- 33:22you just believe that at face value, you know, that's not
- 33:25representative of reality. How many times have you
- 33:28misinterpreted, I don't know, a friend or a loved one and
- 33:31they've said something and you've gone, Oh my God.
- 33:33But that actually got the wrong end of the stick.
- 33:35That's you believing that thought and feeling straight
- 33:37away. Mindfulness is, you know, is a
- 33:41practice that, yeah, it helps you to stop, but also it's the
- 33:44without judgement, observing things in the present for what
- 33:47they are. And it helps you to stop anxiety
- 33:51sometimes from snowballing because you're like, oh, I've
- 33:54observed that. I don't like that thought.
- 33:56OK. You see it as a thing.
- 33:58You know, you're starting to remind me of a little bit.
- 34:01If you don't mind me saying, there's this Buddhist that I
- 34:05follow because he gives. I mean, I'm so not a meditation
- 34:08kind of person because I find it difficult to meditate, like
- 34:13really difficult. It's but he's quite nice the way
- 34:16that he speaks and everything is quite relaxing.
- 34:18So when I'm in the bath, for example, and I have to stay
- 34:21there, then I will put his YouTube videos on and he will
- 34:26take you through this process of like, Oh yes, constant, you
- 34:29know, be comfortable. And then and then think about
- 34:32like listen to the noises around you, you know, close listen to
- 34:34those there an aeroplane and then suddenly stop paying
- 34:36attention to those. And, and I think it's things
- 34:40within your body as well. And he goes further out and
- 34:42further out and further out and then brings you back in.
- 34:45But when, when he's talking about not if those thoughts are
- 34:47coming, the thought comes to you and then the thoughts like hello
- 34:50thoughts. And then you like let it be.
- 34:52And then it comes again and it's like, let it be.
- 34:55And that's cool and everything. It's sort of worked about 3
- 34:57minutes from me in the bath. And then the thoughts just kept
- 35:00coming and I was like, OK, so that's like, let it be, let it
- 35:03be. Let it be.
- 35:04But that's still a good meditation.
- 35:07You think? Yeah, you think.
- 35:08And this is this is what? People misinterpret mindfulness
- 35:12and meditation as a fixing compulsion.
- 35:14Yes. Because they think that the goal
- 35:16of it is to be. The best meditation I ever did
- 35:19was to practice being with symptoms and feelings I didn't
- 35:23like. And it was 30 minutes and I left
- 35:26at the end of the meditation. I was sweaty and panicky and all
- 35:30that because I'd done 30 minutes of doing what I always avoid.
- 35:35And that's my feelings. Had my thoughts so you.
- 35:38Sat in that space and you. That's a good meditation, Yeah.
- 35:42Whereas people have the biggest misnomer about meditation as you
- 35:45think that you should be sitting there.
- 35:46Very calm. No, it's not.
- 35:48That's not mindfulness. That's not meditation.
- 35:50Meditation is you try to observe without judgement.
- 35:54So I did 30 minutes of trying to observe without judgement.
- 35:56Yeah, it does help. Well, it helps.
- 35:59It was exposure for me, exposure to feelings I didn't like.
- 36:02Now I can meditate and most of them might end up calm and
- 36:05tranquil, but I'm willing to be with every emotion without
- 36:10judgement. So you were judging it.
- 36:13So you were judging the thoughts coming in and then, oh, this is
- 36:15nice. Oh, no, they keep coming.
- 36:17Oh, I'm not doing it right then. And then you've turned it into a
- 36:22technique as opposed to what it actually is.
- 36:24But what I still liked about it was that it made you see them as
- 36:27thoughts. It all sounds like waves.
- 36:28You say, oh, it's a thoughts, thoughts, thoughts, thoughts
- 36:30coming. OK, let it be.
- 36:31Let it be here. Now.
- 36:32Whoop, another one. Here it comes.
- 36:34It looks a bit different, but it's still.
- 36:35But you kind of see them as things versus you.
- 36:39Yeah. And they're not.
- 36:40They're just, they're just a conveyor belt of stuff.
- 36:42I love that. Just think about anything, you
- 36:45know, you can't stop your thoughts either.
- 36:46Like, you know, I don't think of Ronald McDonald and just be
- 36:49dancing around in your head like you can't stop.
- 36:52You can't stop your thoughts. No, you can't stop your
- 36:54thoughts. Journaling.
- 36:55What do you think about that? I like journaling.
- 36:58I like self gratitude journaling.
- 37:00A lot of people are harsh on themselves.
- 37:02They cringe at giving themselves praise.
- 37:06But we're very happy and it's very acceptable to criticize
- 37:09yourself. Because that's the thing.
- 37:10But. Why?
- 37:10Why one and not the other? Like, and then you ask them, is
- 37:14it OK to just constantly criticize someone else?
- 37:16And they're like, no, I was like, well, why do you do it to
- 37:18yourself? Are you more comfortable
- 37:20criticizing or praising someone else?
- 37:23And depending on who you are, you know, there's some harsh
- 37:26people out there. But you know, it's yeah,
- 37:30journaling's OK. It depends.
- 37:32Yeah. It's a good way to get your
- 37:33thoughts out, to put in order your, your day, reflect.
- 37:42I think journaling's OK. Again, it depends what you're
- 37:44doing. If you're journaling to get rid
- 37:45of a feeling, No. If you're journaling to enhance
- 37:50your own curiosity, I think that's great.
- 37:52Yeah, I've had, I've spoken to many people who say they journal
- 37:56and it's really good and I can see the benefits of that.
- 37:58And I sort of thought I'm definitely going to do that.
- 38:01Haven't done it, want to do it. But that night where I woke up
- 38:06with the things and oh, I didn't do that, I didn't do that,
- 38:09didn't do that. I thought the only way I'm able
- 38:11to actually fall asleep again is if I get this down.
- 38:14So I open Notepad, wrote down the things that I had to do that
- 38:18my, my, I was not allowing myself to sleep until I had them
- 38:22down, wrote them down, switched off the phone, and then I was
- 38:26able to sleep because I thought at least I'll have an e-mail to
- 38:30myself. I'll know about this.
- 38:31It's going to be a it's. A good way to do it, isn't it?
- 38:34Yes. You don't worry.
- 38:34And trying to keep it here, it's exhausting.
- 38:36Keeping things there. Yeah, that's exhausting.
- 38:39Yeah. Nothing.
- 38:41It's a good idea. That's not bad, is it?
- 38:43But I was sort of being an anxious person.
- 38:45But then the blue light, I'm not waking myself up.
- 38:48The light's going to be in my. I mean, yeah, the blue light's
- 38:51not great, but like, just who cares?
- 38:53I've fallen asleep mid scroll before.
- 38:55I just think that's a lot of scaremongering.
- 38:57Like scaremongering. Are you going to sleep better
- 39:00not staring into a screen for an hour for bed?
- 39:02Probably, but you can still sleep.
- 39:05Like who cares? Like just whatever, just do it.
- 39:09I'm very I don't like how prescribed the Wellness sphere
- 39:13can be. If if you're having a really
- 39:15rubbish week and it's been traumatic and it's horrible and
- 39:20naturally you're getting comfort from just looking at dog reels.
- 39:23Yeah, man, I'd rather the reels are great.
- 39:25Exactly. I'd rather relax to that and
- 39:28fall asleep to be then then forcing this prescribed routine
- 39:32of Oh no, no, blue light and blah, blah, blah.
- 39:35No, because that's just more doing just being just be like
- 39:39I've done that before. I've had a rubbish day.
- 39:41I don't care I fall asleep watching TVI don't care like
- 39:44it's it's fine and I slept all who sleep fine.
- 39:47Yes, there's an ideal of things, but when it becomes a doing then
- 39:51you just add more pressure on yourself.
- 39:53Yeah, I went to bed last night with a dog reel thing.
- 39:55I there was a guy who, there's a guy who goes around and he
- 39:57records encounters of owners with their dogs.
- 40:00And there was one of this lovely old lady and she was with her
- 40:04beautiful greyhound dog. Maybe it was a whippet?
- 40:06Maybe a whippet actually smaller than Greyhound.
- 40:09And the whippet was a bit shy and the lady was like, oh, no,
- 40:11she's 14 years old and celebrity.
- 40:14What an elegant whippet, you know, white with his long paws
- 40:16and the lady also with her Gray white hair.
- 40:19And the two of them are such a bit.
- 40:19She was saying how they go there every day and have their little
- 40:22moment and that her dog's going to die, you know, because it's a
- 40:2414 year old dog and that she's going to miss her dog.
- 40:27But but the man was, oh, can I take a photo?
- 40:28And she was like, oh, you're such a lovely, kind man.
- 40:30You know, you take a photo and you took these beautiful photos
- 40:34of this lady and then her dog and then gave it to her.
- 40:36It was just such a lovely moments.
- 40:38That's what I went to bed looking at, you know?
- 40:39Exactly. And that's so there, and that's
- 40:41filling your brain with lots of happy things and relaxing things
- 40:45as well. You can't go wrong with animals,
- 40:48pets, and cute things, right? So exposure therapy.
- 40:52So you've basically touched on that a little bit.
- 40:56So you want to expose yourself to your emotion, to demystifying
- 41:01it? To allowing, I do a lot of
- 41:03exposure therapy with my clients.
- 41:06If you want to rewire the back to the amygdala again, if you
- 41:09want to rewire that threat response and anxiety, you can
- 41:12only do that when it's activated, when you're when you
- 41:17are anxious, yeah, you have to be anxious in order to rewire
- 41:22that threat response. So exposure therapy is like, you
- 41:25know, purposely inducing anxiety, but doing it in a way
- 41:30where you get the credit at the end of it.
- 41:32So I did exposure therapy on the London Underground many years
- 41:36ago. I was far too terrified, having
- 41:39panic attacks, stuff like that. So exposure therapy is no, this
- 41:43is the homework. Go and practice being anxious on
- 41:45the Tube. Oh, but what if I get anxious?
- 41:48Yeah, that's that's the whole point.
- 41:51And then when I don't leave and when I stay there, the body
- 41:56releases, it's caught, It's adrenaline, it's cortisol.
- 41:59And then the brain rewires, the amygdala rewires when it when it
- 42:02sees that nothing bad happens. And that's exposure.
- 42:06Wow. Yeah, Yeah.
- 42:07And you can apply that to many things, whether it's panic
- 42:11attacks, you know, I do it with intrusive thoughts sometimes,
- 42:14you know, just let the thought be there and don't react to it.
- 42:16What? Just be with the feeling.
- 42:18And it's really, really intense. But it's very effective.
- 42:23Exposure therapy, I, I mean, I, I kind of see that little bit
- 42:29like taking yourself out of your comfort zone, which I strongly
- 42:33believe in, feel like you've got to take risks in life and you've
- 42:36got to go out. So I love the whole concept of.
- 42:39That's the form of exposure there.
- 42:40Yeah, I, I, although I'm, I'm, I'm here with you.
- 42:43We're talking about stress. We're talking about anxiety.
- 42:45I love stress and anxiety in a very sick way.
- 42:48I will always like actually, not always.
- 42:51I'm I'm not telling you the truth now because I will avoid
- 42:54this. I won't because of the tube, the
- 42:55whole claustrophobic vibe in the tube.
- 42:57If I can walk, I'm going to walk.
- 42:59I am just not going to go in that tube because I just think
- 43:02why put myself through that? But be careful.
- 43:04I know, I know, but there's other things like in business
- 43:08and in things and when I'm uncomfortable and I'm scared to
- 43:10do it or going on the Blooming Apprentice, it's like go and do
- 43:14it because it's like professional things that but
- 43:17with a tube. There's something about that
- 43:19underground. I don't like it.
- 43:20I I do do it, but I really don't.
- 43:22I can avoid if I can. You can't.
- 43:25Yeah, but just be careful because when you do a void, you
- 43:27teach the brain that the tube is dangerous.
- 43:29And it's not. It's just uncomfortable, you
- 43:32know? Also, there's an element in your
- 43:34professional life you have the illusion in the agency of
- 43:37control, whereas if you're sat on the tube you have no control.
- 43:41You're precisely right. So so go.
- 43:43So go and practice. With no.
- 43:45Control. But then you still have control
- 43:46in the in the tube. Like it's fine.
- 43:49You just have to, you just got to wait.
- 43:51But you can still stand, you can stretch your legs, you can play
- 43:53on your phone and do whatnot. It's that it's symbolic, isn't
- 43:57it? You don't have control in the
- 43:58tube, but you have a control. It's also because you're
- 44:01underground. I mean, when you're in a plane
- 44:02you don't have, there's something bad about the plane.
- 44:04You can see down, you can see through the window.
- 44:06It's. AI people would say the opposite
- 44:08to you. I'm I'm much more afraid of
- 44:10planes than they are on the tube.
- 44:11Really. Yeah, because they would just
- 44:14the threat response will argue for you to avoid.
- 44:18So my threat response would say you're 30,000 feet in the air.
- 44:22You know you can't fall from a tube.
- 44:26Yeah, but what? I'm not going to scare you with
- 44:28thoughts. Yeah, exactly.
- 44:29What can happen with the tube? Exactly.
- 44:31But that's the way the brain does it, because it uses that
- 44:33irrationality, you know, like if you're trapped, you're trapped,
- 44:36you get out, you know, if, if the plane stops working.
- 44:40Yeah, but you're not. Yeah, but it's.
- 44:43Like freedom because you're in the sky.
- 44:45I don't. Know yeah, but it's symbolic,
- 44:46isn't it Yeah. Freedom.
- 44:48Yeah. Is it free?
- 44:49You know, like. It's more free than underground.
- 44:52Stuck, is it? I don't know.
- 44:54Yeah, man. Because the worst thing I tell
- 44:55you this comes from this is what did it.
- 44:57There was something in, in Russia, in Moscow, the
- 45:01underground, there was a portion of the underground that
- 45:03collapsed on both like sides, ends of the tunnel.
- 45:06So if you're trapped in there with your in your train and the
- 45:09ground collapses, you are trapped.
- 45:13Did they get them out? I don't know.
- 45:14Of course they did. I don't know.
- 45:17Well, did they? I mean of.
- 45:18Course they're trapped to the other side.
- 45:20You just, you get them out, don't you?
- 45:22Have to move boulders? Yeah, you have to.
- 45:24Whereas if your plane stops working, you're finished.
- 45:29But I'm just doing that to challenge.
- 45:30No, I know, but does there's just it's.
- 45:32Do you see how anxiety rationalises?
- 45:34OK, but it's much like if you're going to die.
- 45:36So it's saying. If you are going to, wouldn't
- 45:38you rather die in the sky? No, I'd just rather not die to
- 45:43be honest. No, I also rather not, but if
- 45:45you had to. If I had to, yeah.
- 45:48Seconds of hurtling. Towards the earth at 800 miles
- 45:51an hour. I know it would be chaotic.
- 45:56But the. Reason why, and if you look at
- 45:58it, the reason why is that look at how anxiety has invaded your
- 46:05reason. Yeah, its its whole.
- 46:08Purpose is to get you to avoid. Threat.
- 46:11That lion's a threat might eat you.
- 46:13OK, let's not go near the lion. That tube is a threat.
- 46:17Don't go on the tube and and. And it uses.
- 46:19Your thoughts against you? Like, yeah, but it's
- 46:21underground. Oh, but it's all that.
- 46:23It's all this and that. It's like, doesn't matter.
- 46:25It's insane. I'll go on it if I have to do it
- 46:27because obviously I'm not going. To I'm not going to if I have to
- 46:29go, I'm going to go because I'm late and there's no choice.
- 46:32But given the choice, my then my rational brain will go.
- 46:34Yeah, but you'll get the exercise.
- 46:36You're outside, don't you don't have to Maybe also think of the
- 46:39jug, the stress. You've got enough stress.
- 46:41Maybe don't give yourself that extra stress.
- 46:43Maybe just avoid that situation and just, you know, just there's
- 46:48stuff to do, there's stuff to that and.
- 46:49That's that's for you if you've got a lot on your plate, but if
- 46:51you do find like you've got some stuff in your free in your jog,
- 46:55get on the tube and then you'll feel really proud of yourself.
- 46:57You've got Oh, I did exposure today and I've rewired my brain
- 47:00exposure. OK, I like that because it's.
- 47:02A it's, I like it because it's a fighter mentality.
- 47:05It's yeah, I like that. It's empowering, you know, it
- 47:09is. It is.
- 47:10I like it. I like it it.
- 47:11Feels great you're. Convincing me.
- 47:13Yeah, it. Feels great when you.
- 47:14Do that when you do it and. You get through it and you're
- 47:17willing to be anxious. It's a very empowering feeling
- 47:20because you're starting to overcome a phobia.
- 47:21Yeah, 'cause I'm also saying that to my daughter.
- 47:23So I've got to practice. What?
- 47:24I preach, 'cause she's terrified of spiders.
- 47:27And then those dandy long legs ones, you know, the thin and
- 47:30they're so soft. I mean, they're like fluff.
- 47:31They're so harmless. I'm like, come on, man.
- 47:33Could take a feather duster and take him out freaking out and
- 47:37and I'm like, no, just do it. If you do it once, it's not
- 47:40going to be so scary. What's what's the worst that can
- 47:42happen? They can pull.
- 47:42You can just scoop them up with a little feather dust.
- 47:44So they're so fluffy little things.
- 47:46They can't even bite you. Their jaws are too small.
- 47:48Yeah, yeah, yeah. What's the point like?
- 47:50Yeah, but absolutely. Terrified.
- 47:53Yeah, these things. But that's what fear does.
- 47:55And yeah, and yeah, she might, she might be absolutely fine on
- 47:58the tube and she's fine on the tube.
- 48:01Takes your look at you and goes like, what's this?
- 48:02Ridiculous. Totally odd.
- 48:04Yeah, exactly. It's the same.
- 48:05That's the thing with fear. It's a.
- 48:06Rational. Yeah, it's a rational I.
- 48:09Don't like spiders? I won't.
- 48:13I can. I can live.
- 48:15No, unless it kind of invaded my life to the point where I had
- 48:19to, then yeah. But like, I see a spider, what,
- 48:21twice a year? I don't really care, you know?
- 48:24Yeah, I feel, I feel bad for spiders and one's so.
- 48:26Horrible to them and they kill them and they've also got a
- 48:28right to live. So but yes, exposure therapy.
- 48:32I love that. I love that empowering.
- 48:34You know, I'm going to go on the tube.
- 48:37And what's one small step besides exposure therapy that
- 48:42people listening can take for their anxiety, their stress
- 48:45levels, you know, managing that. It's really common.
- 48:48It's it's human. You're not.
- 48:49You're not odd, like I'm not just saying that to make you
- 48:52feel better. Like it genuinely is really
- 48:55common. Anxiety will make you feel like
- 48:58you're alone or you failed in some way and it's just nonsense.
- 49:01Like no matter how your anxiety presents one, there's hope and
- 49:06you can rewire the brain. Your brain is very neuroplastic.
- 49:09It's OK if you just learn about it and stuff and be kind to
- 49:13yourself. A lot of people as soon as they
- 49:15get anxious, they assume that they've done something wrong or
- 49:18that they're doing something or it's a flaw in their personality
- 49:21or being. No, it's not.
- 49:22And actually, it's probably a good part of your personality
- 49:25because anxiety isn't always bad, makes you considerate.
- 49:28It makes you not go gung ho into situations.
- 49:31You know, it's part of your rationalization process.
- 49:35It's not always the enemy, just sometimes it does start kicking
- 49:39off more than it than it wants. More than it wants.
- 49:41Yeah, but it's not a flaw in you.
- 49:43It's just often look at what that's trying to tell you.
- 49:46And for me, it was often, you know, my life as it is, is not
- 49:49sustainable at the moment. OK, so you know, like the
- 49:51blushing. And the people that blush have a
- 49:54morbid fear of blushing. You were talking about rewiring
- 49:58your brain. Could you potentially rewire it
- 50:01to stop the blushing? Or is that again the problem of
- 50:04you're saying to anxiety you're, you know, you're giving anxiety
- 50:08too much credit and then making it worse?
- 50:10Well, I'm a therapist. I'd be like, why do you care
- 50:12that you? Blush and often, you know,
- 50:15things like that can go into like feelings of shame and often
- 50:21deeper things, you know, like if I blush, I don't really care
- 50:25because I wasn't really made to feel self-conscious.
- 50:29But for a lot of people, like depending on how they grew up,
- 50:34having attention on that. Oh, absolutely.
- 50:36Having attention on you might not be good.
- 50:39You know, whether it's blushing, sweating, whatever the notion of
- 50:43those self perpetuating anxiety symptoms is, I hope I don't
- 50:47blush. Whether you are going to blush,
- 50:48you're going to blush. If you think that, why is that
- 50:50the problem? Like So what if?
- 50:52You blush. You know, a lot of what I do
- 50:54with clients is just tell everyone.
- 50:57Step one, I'm doing public speaking.
- 50:59I do get anxious. So if I blush, all, all of you
- 51:02feel, all of you feel flattered, feel flattered.
- 51:05It's all about you. It's all about you.
- 51:08So we've spoken about the self optimization culture.
- 51:10Well, not really that much, but self optimization culture is the
- 51:14whole Wellness thing of like trying to be as perfect as you
- 51:17can. And I mean that that's the sort
- 51:19of, it's almost like a movement in that direction.
- 51:21You're trying to optimize yourself to be the best version
- 51:24of you. And I think that creates a level
- 51:27of anxiety. Yeah, self optimization.
- 51:30Don't get me wrong, I'm glad lots of people talk about mental
- 51:34health and Wellness and things like that.
- 51:36But with that comes a commodification.
- 51:40And people want to sell you quick fixes and cures and
- 51:43optimize. And it's often through fear.
- 51:45And they'll take some studies and some bits of information and
- 51:50inflate it or conflate it to sell you something.
- 51:53So whether it's this supplement for this or this for you got
- 51:57Biome or this and that to make to optimize yourself, you know,
- 52:01you see it all the time. You got things on your these,
- 52:03these watches and rings and things like that because.
- 52:07We're constantly. Optimizing and optimizing and
- 52:08optimizing. But as a therapist, I often
- 52:11think, you know, what are you signalling back to your brain
- 52:14hundreds of times a day? Well, you're not optimized so
- 52:18well, that's 100 messages back to you that you're not enough,
- 52:21You're not fully functioning. And then you start to
- 52:24internalize those messages. Yeah, I see that all the time.
- 52:27Yeah, you see all the time. So people pour thousands of
- 52:29pounds into just nonsense sometimes.
- 52:33Don't get me wrong, I think we're adults as well.
- 52:35A lot of what the self optimization culture does is it
- 52:37infantilizes adults are like, we know basically what the food
- 52:42groups are. We know that exercise is good.
- 52:44We know we should sleep. This is not new stuff, but how
- 52:48can we do it super better mega and pay me money.
- 52:51And I'll tell you, and I just think I work with anxious people
- 52:54and sometimes it's like, let's focus on what you're actually
- 52:58doing right. And I think you'll find that
- 53:00there is an abundance of things that you neglect to acknowledge
- 53:03for that you're that you're doing right.
- 53:07Yeah, in a self. Optimizing culture.
- 53:08You're not going to think about what you're doing right, only
- 53:10where the gaps are. Next thing, next thing, next
- 53:12thing. Yeah.
- 53:13And then, and then we. Die, and then we die.
- 53:17I saw something else the other day which is exactly the 8. 8
- 53:19billion people which were going to be dead in so many, so many
- 53:21years. So why are we so like, obsessed
- 53:24with silly buying kimchi for our gut buying kimchi?
- 53:28Yeah, I like kimchi. Actually, because it's your
- 53:30second brain. That's what it.
- 53:32Yeah, yeah. I mean, yeah.
- 53:35Is it? Yeah.
- 53:37It's so easy. Yeah, yeah.
- 53:41OK, it's stress addictive. I think a reaction to stress
- 53:48can. Be habitual.
- 53:49Yeah, I think stress. Is often good.
- 53:56As a distraction for some people to their internal feelings,
- 53:59particularly workaholics, perfectionists.
- 54:01If I'm always busy, I don't have to sit with feelings of being
- 54:03still. See that as a therapist, I said,
- 54:06what happens when you stop and sit and be still?
- 54:08Oh, feelings I don't like, and they're the feelings I like to
- 54:11work with. And what are those feelings?
- 54:14Shame, guilt, grief. Wow.
- 54:20Inadequacy. Things like that, people are
- 54:23terrified of it. That's why I can never be on The
- 54:27Apprentice. Oh, so I don't even.
- 54:30Get me started. I just feel like I.
- 54:33I'm not, I'm not, I'm not as driven as these guys.
- 54:35I just, I, I like to chill out. No, you know the worst thing
- 54:41about the whole? Apprentice thing for me, for my
- 54:43personality, the worst thing is the lack of control.
- 54:47In that situation. You do not know anything about
- 54:50what your day is going to be or your week.
- 54:53You can't call anyone. Maybe once a week, like a
- 54:56limited time with someone listening, you might get that,
- 55:00but you don't know when you're going to eat.
- 55:01You don't know when they're going to come and get you for
- 55:02the next task. You're not allowed to speak to
- 55:04people. They put you in a dark corner
- 55:07somewhere that you have to wait. You just never know what's
- 55:10coming. You have 0 control, and you
- 55:13don't have control over how it's edited either.
- 55:15Of course not. And you know that there's Booby.
- 55:17Traps you just like the the lack of control for me in that thing.
- 55:21Same thing I don't like lately. Just play.
- 55:24Like silly music over someone who said something that doesn't
- 55:27sound that silly. But when you play silly music
- 55:29over silly music, they look silly.
- 55:31And I'm like. I don't really.
- 55:32That's a bit. Don't really like that.
- 55:34Doesn't sit well with me. Yeah, but you know the fact that
- 55:37you have this. Like, this lack of control, it's
- 55:39a deliberate thing because that is a genuine stressor.
- 55:43So of course, we all know that if, you know, tired candidates
- 55:46are going to fight more, right? So of course that this, they can
- 55:50see TV. Yeah, they're going to make sure
- 55:52that you don't. Get.
- 55:53Much sleep at all Let's let's be clear, especially with me.
- 55:55I'm awake, I can hear the snoring.
- 55:57You know, I would like sleep two hours.
- 55:58I would hear the camera people coming.
- 55:59I I just knew I was like, Oh my God, they're probably going to
- 56:02be here. I don't know.
- 56:02So I was trying to control when are they coming?
- 56:04When are they coming? Oh, I couldn't.
- 56:06Oh my. Word.
- 56:07And then I would be. Sort of waking up every now and
- 56:09again to hear and then finally I'd hear them and by the time
- 56:11they come into the house, because I've got to get the
- 56:12equipment, it's another two hours.
- 56:13So I basically only had maybe 2 hours of sleep, if that.
- 56:16How can you function Yeah, setting you up for that stuff
- 56:20as. Well, and some people could
- 56:22sleep better, but the lack of. Control.
- 56:25That is horrible. It's just horrible when someone
- 56:28dictates your life. I mean, I'm.
- 56:30I'm sure that's what. I don't know if that's what
- 56:32prison must feel like someone else is controlling you.
- 56:35But at least there's a routine. This is There's no routine with
- 56:38this kind of thing. You have no clue when you're
- 56:39eating or what you're doing. Yeah.
- 56:40It's all like a social experiment.
- 56:43Isn't it for entertainment? Push people, push people to
- 56:45their limits for that, for for entertainment and stuff like
- 56:49that under the guise of it's like someone's doing you a
- 56:51favour. They're not, but it's that
- 56:54anxiety, it's like. Like what can we do to create
- 56:58maximum anxiety? And it's the that that makes the
- 57:03good TV because and with the anxiety, with that height, like
- 57:08insanely powerful version, then comes great TV.
- 57:11Yeah, which is then edited. Yeah, which makes it even more
- 57:14pretty. Look, it's a.
- 57:15It's a very good program. The way it comes out.
- 57:18But yeah, that the price is is we are going to make you very
- 57:22stressed. Yeah.
- 57:24Can you handle it? No, I don't want to.
- 57:26No, I don't think I would be able to.
- 57:28Oh. Gosh, yeah, also just.
- 57:30Working with people and all those.
- 57:32Egos. I couldn't do it like I I would
- 57:34be out the door straight away. That's why I work.
- 57:38I work on my own, so to live with them, yeah, it's.
- 57:42Because they're all huge personalities, so if you can
- 57:44have one in a room, you can just about handle it.
- 57:47But then they all there, like 17 of them really intense
- 57:50personalities, you know? So I just take my book and sit
- 57:54in the corner. I think, yeah.
- 57:56Well, you won't allow books. Yeah, you won't allow.
- 57:58Books. No.
- 57:59No phone, no books. No materials.
- 58:01Nothing to read, no exercise, nothing.
- 58:03Yeah, no, they did. This is a but this is just tell
- 58:05you something like prison. This.
- 58:07Is it's special you can get a book in prison.
- 58:10No. No books, not no you.
- 58:12Can't. You can't write anything.
- 58:13You have no pen, you know, paper, nothing.
- 58:17So you can't, you can't connect in that way.
- 58:21You can't go and watch TV. You can't go for a walk.
- 58:25So at one point I was getting, you know, the claustrophobic
- 58:27tube feeling. I was going.
- 58:28I just want to go for a walk. And I can I please just go for a
- 58:31walk? No.
- 58:32Were you afraid of the tube before going on that show?
- 58:42Yeah. Feeling trapped.
- 58:44Hey. Yeah.
- 58:46So tell us. About your podcast.
- 58:49I have a podcast. Called disordered and I also
- 58:53rebooting my original 1 called the panic pod just 20 minutes of
- 58:58me and the dulcet northern tones talking about bits of anxiety
- 59:03and stuff. But disordered is one with me
- 59:05and another therapy colleague and we talk about all things
- 59:08anxiety disorders. If anyone's listening today and
- 59:10they wife says resonated it's a great place to start.
- 59:15You know, it's just me and Drew talking about some good things
- 59:18and about our lived experience with anxiety, but also the
- 59:23evidence of based approaches towards it and both how we got
- 59:26better than how we work with other people.
- 59:28And it's there's a lot of community wins in there as well.
- 59:31So we get people to send in their voice notes and we all
- 59:33celebrate that. Like, like that.
- 59:35We had one the other week, you know, gang on the tube.
- 59:37We got on the tube the first time in years.
- 59:38And I was like, that's great. You know, we and we play them on
- 59:41the show and stuff, so it's cool.
- 59:42Oh wow, Yeah, we'll. Put the descriptions in in in
- 59:46the channel description for this episode.
- 59:49So anyone watching, and I will be, I will be watching too
- 59:54because I think it's really good.
- 59:55It's nice to tap in and it's nice to talk about this and to
- 59:58know that you're not alone. And whether you have a tube fear
- 1:00:00or whatever it might be, or you blush or you get really nervous
- 1:00:05on stage or on a podcast or even just speaking up in a meeting or
- 1:00:10at school because we have some young good ones or uni in the
- 1:00:13lecture hall. You're scared to.
- 1:00:15Yeah, well, it's it's literally fair if you choose to do.
- 1:00:17Something despite the fear. I mean, it's the definition of
- 1:00:21courage, isn't it? You're being courageous.
- 1:00:24Courageous. Yeah.
- 1:00:24And I see that in people. Just because it's not
- 1:00:27conventionally courageous doesn't mean that it's not
- 1:00:30physiologically the same fear. And that's courage.
- 1:00:34And I and I say that to to everyone also.
- 1:00:37You can be ambitious and and anxious.
- 1:00:41You can do both. You can do both and it's OK of
- 1:00:45course. It's OK, one thing I say in my.
- 1:00:47Practical times. All feelings are welcome, even
- 1:00:49the ones you don't like. It's been amazing having you on.
- 1:00:53Thank you. Thank you so.
- 1:00:54Much for coming. Thank you.
- 1:00:55It's been a pleasure. Thank you.
- 1:00:58Go on the tube I. Will, I'm going to know I like
- 1:01:00that it's an empowering. I like that.
- 1:01:02Exposure therapy. Expose myself.
- 1:01:05Yeah, do it. Go.
- 1:01:06Be anxious. Go.
- 1:01:07Be anxious. Love it.
- 1:01:08Thank you. Thanks.
- 1:01:09So much, Josh. Thank you.