Latest / Dr Justin Coulson's Happy Families / #797 Is Anxiety the Problem?
Transcript
- 0:03Speaker 1: It's the Happy Families podcast. It's the podcast for the
- 0:07Speaker 1: time poor parent who just wants answers now.
- 0:10Speaker 2: But I just want to emphasize anxiety itself isn't the problem.
- 0:13Speaker 2: We need to stop pathologizing that. It's the response to anxiety.
- 0:17Speaker 1: And now here's the stars of our show My Mom and.
- 0:21Speaker 2: Dad podcasts at happy families dot com dot AU. That's
- 0:24Speaker 2: podcasts with an SS at happy families dot com dot you.
- 0:27Speaker 2: That's the email address to send us your questions. We
- 0:29Speaker 2: love you listening questions every Tuesday. We answer them. Today
- 0:33Speaker 2: it's the fourth of July. So for our North American friends,
- 0:35Speaker 2: Happy fourth of July. We know that this is a
- 0:37Speaker 2: very big day Independence Day in the United States.
- 0:40Speaker 3: Did I say Happy fourth of July.
- 0:41Speaker 2: I'm pretty sure that's what they say. Yeah, I think
- 0:43Speaker 2: it's Happy fourth of July. And probably also worth mentioning
- 0:47Speaker 2: that Canada Day since we're talking about our North American friends,
- 0:51Speaker 2: Canada Day was just a couple of days ago as well,
- 0:53Speaker 2: on the first of July, So Happy Canada Day for
- 0:57Speaker 2: all of our Canadian friends. He all right, so let's
- 1:02Speaker 2: dive into this one. Now. This one's actually got a
- 1:03Speaker 2: bit of a North American feel to it, even though
- 1:05Speaker 2: it's happened in Australia, and it was one of those
- 1:08Speaker 2: questions that came through. It's such an unusual thing, but
- 1:11Speaker 2: it ties in with so many things that so many
- 1:14Speaker 2: families will encounter in terms of their kids being anxious.
- 1:16Speaker 2: It's just that this well, like I said, it's got
- 1:18Speaker 2: a slightly American tinge to it, and you'll see why.
- 1:21Speaker 2: So this comes from a mum by the name of Annabelle.
- 1:24Speaker 2: She was in Sydney. Just to be clear, this happened
- 1:27Speaker 2: in Sydney and it was just just over a week ago.
- 1:30Speaker 2: Two weeks ago, she said, while sitting outside with our
- 1:34Speaker 2: three young kids at a fast food joint, my husband
- 1:38Speaker 2: spotted a gun in a man's pocket. Didn't know if
- 1:42Speaker 2: it was real or fake, but he quietly alerted me.
- 1:45Speaker 2: We told our eldest, our seven year old, that we
- 1:47Speaker 2: may need to leave sooner than expected, and it was
- 1:50Speaker 2: really important that he listened to us. The man didn't
- 1:53Speaker 2: go inside, and we stayed where we were because we
- 1:55Speaker 2: didn't want to draw attention to ourselves, and my husband
- 1:58Speaker 2: was able to discreetly tell this staff, who called the
- 2:00Speaker 2: police when the man started to walk away. We took
- 2:04Speaker 2: the kids inside, and when they were alone in the bathroom,
- 2:07Speaker 2: my eldest told his dad that he was really, really
- 2:10Speaker 2: scared and he didn't understand what was going on. My
- 2:13Speaker 2: husband reassured him but didn't give any details, and then
- 2:16Speaker 2: we went to leave, and that was just as the
- 2:18Speaker 2: police arrived, and my son overheard the conversation with the
- 2:21Speaker 2: police on our way to the car. That night, we
- 2:24Speaker 2: answered all of his questions and he spent the night
- 2:26Speaker 2: in our bed. The next day was easier, and he
- 2:29Speaker 2: hasn't mentioned it since. Question. We don't want to create
- 2:33Speaker 2: unnecessary anxiety. Is it okay to just not talk about
- 2:37Speaker 2: it again if he doesn't raise it, and it seems okay.
- 2:40Speaker 2: He's someone who has a hard time letting things go,
- 2:43Speaker 2: often bringing up things from months or even years ago.
- 2:47Speaker 2: So I read that email and I thought kids experience
- 2:50Speaker 2: all kinds of challenging moments, times where they could be
- 2:53Speaker 2: scared or anxious, and while this one has that gun
- 2:57Speaker 2: element to it, I thought, well, this is kind of
- 2:59Speaker 2: the sort of I think that a lot of families
- 3:00Speaker 2: go through all the time. What happens when you kids
- 3:02Speaker 2: experience something that's a little bit scary, when they have
- 3:05Speaker 2: a lack of predictability in their lives and they're anxious.
- 3:08Speaker 2: What are we supposed to do? How much do we
- 3:10Speaker 2: continue the conversation? Where do we go from there?
- 3:13Speaker 3: I think one of the things to recognize first up
- 3:17Speaker 3: is when we find ourselves in those situations, whether we're
- 3:20Speaker 3: children or adults, there is a level of anxiety that
- 3:24Speaker 3: comes with it because we don't understand all the details.
- 3:27Speaker 3: For this little boy, he recognizes that there's an element
- 3:30Speaker 3: of stress. He can feel the tensions in the air.
- 3:32Speaker 3: Mum and data acknowledge that we need to leave, but
- 3:35Speaker 3: he doesn't understand what's going on, and so just the
- 3:39Speaker 3: lack of knowledge is enough to create anxiety, and lots
- 3:42Speaker 3: of people it's a normal response to that kind of situation.
- 3:47Speaker 2: So this is what the Australian Psychological Society defines anxiety
- 3:51Speaker 2: as anxiety is a natural and usually short lived reaction
- 3:55Speaker 2: to a stressful situation that's associated with feelings of worrying, nervousness,
- 3:59Speaker 2: or apprehend In other words, something that stressful happens and
- 4:04Speaker 2: you get worried and fearful about what might happen as
- 4:07Speaker 2: a result of that, and that's called anxiety. It's natural
- 4:09Speaker 2: and it's short lived. And so when I'm reading this email,
- 4:13Speaker 2: what I'm thinking is, we've actually got a really healthy
- 4:16Speaker 2: response here. We have a habit, not just in this country,
- 4:20Speaker 2: but around the world, particularly in Western nations, well to
- 4:24Speaker 2: do nations. We have a habit of pathologizing anxiety. And
- 4:29Speaker 2: what I mean by that is we think that there's
- 4:31Speaker 2: a problem if you're feeling anxious. And I want to
- 4:33Speaker 2: shout this from the rooftops. Every time I do another
- 4:35Speaker 2: anxiety webinar or another anxiety seminar, or talk to a
- 4:38Speaker 2: whole of pearance about anxiety, I just want to scream
- 4:41Speaker 2: it out loud. There's nothing the matter with being anxious.
- 4:45Speaker 2: Anxiety is a normal and healthy response to a stressful situation.
- 4:51Speaker 3: When it becomes a problem, though, when you can't go
- 4:54Speaker 3: about your normal day to day, when it infiltrates the
- 4:59Speaker 3: normal day to day day happenings, right, that's when we
- 5:03Speaker 3: need to be concerned.
- 5:04Speaker 2: So when you have impaired function or the other time
- 5:06Speaker 2: that it becomes a problem is when you're anxious about
- 5:10Speaker 2: nothing like there is no stressful situation. It's an imagined
- 5:13Speaker 2: future event that you're stressful about, but you don't know
- 5:15Speaker 2: what it will be. You just know that it's coming,
- 5:17Speaker 2: and so you're fearful. And so what we're talking about
- 5:19Speaker 2: here is there's what we call an internalization process going on,
- 5:23Speaker 2: and the worries and the fears about some unspecified future
- 5:27Speaker 2: event are clouding your capacity to function right here, right now.
- 5:31Speaker 2: But generally speaking, most of our anxieties, especially a situation
- 5:35Speaker 2: like this where you've said to a child, there is
- 5:37Speaker 2: an issue. We're not going to talk to you about
- 5:38Speaker 2: it right now, but if we ask you to leave,
- 5:40Speaker 2: you need to do exactly what we say. This is important.
- 5:42Speaker 2: Like you can imagine, you've got the intense eyeballing, you've
- 5:46Speaker 2: got the low serious tone in your voice. You're making
- 5:49Speaker 2: sure that your child is fully attentive.
- 5:51Speaker 3: But now on high alert.
- 5:52Speaker 2: They're on high alert, that's right. And what that does
- 5:54Speaker 2: at hijacks what we call the in the brain. There's
- 5:56Speaker 2: a little part of the brain called the amygdaler. It's
- 5:58Speaker 2: part of our limbic system, and that's the emotional part
- 6:01Speaker 2: of the brain, and it kind of takes over our
- 6:05Speaker 2: rational thought and just all of a sudden where it
- 6:09Speaker 2: activates the sympathetic nervous system, which is our fight or
- 6:13Speaker 2: flight system. So you've got a little seven year old
- 6:15Speaker 2: who's suddenly gone from parasympathetic rest and digest. Everything's comfortable,
- 6:20Speaker 2: I'm feeling good, I'm with people that I like in
- 6:22Speaker 2: life is predictable, and now we've activated sympathetic nervous system
- 6:26Speaker 2: responses fight or flight, shallow breathing, rapid perspiration. What is
- 6:31Speaker 2: going to happen next? And that's where that's where we
- 6:34Speaker 2: sort of move into if it's not dealt with effectively,
- 6:40Speaker 2: that's where we move into difficulties with anxiety. But I
- 6:43Speaker 2: just want to emphasize anxiety itself isn't the problem. We
- 6:45Speaker 2: need to stop pathologizing that. It's the response to anxiety
- 6:50Speaker 2: that's the problem. So when we give a response to
- 6:52Speaker 2: anxiety that doesn't allow for a healthy way of processing,
- 6:56Speaker 2: or where that unpredictable ability is too high and that
- 7:00Speaker 2: sympathetic nervous system is pumping out all of that adrenaline,
- 7:03Speaker 2: all that cortisol, all of those stress hormones, that's when
- 7:06Speaker 2: we start to move into big processing issues. And that's
- 7:10Speaker 2: where we start to move into anxiety disorders and trauma,
- 7:13Speaker 2: which ultimately are just a result of unhealthy responses to anxiety.
- 7:18Speaker 2: So again the anxiety itself isn't a problem. It's the
- 7:21Speaker 2: way we're responding to the anxiety. It's a problem even
- 7:23Speaker 2: with an anxiety disorder. What are you worried about? Nothing? Okay,
- 7:26Speaker 2: So let's process is healthily because that unspecified thing in
- 7:29Speaker 2: the future that you're worried about, that's unspecified stressful event,
- 7:32Speaker 2: that's meaning that you can't function today. If we can
- 7:34Speaker 2: process what's going on for you right now healthily, the
- 7:37Speaker 2: anxiety will be managed and reduced and you can get
- 7:41Speaker 2: on with your day. Ultimately, anxiety comes down to processing.
- 7:45Speaker 3: So you've used this word processing. So in relation to
- 7:48Speaker 3: our children, if we were to help people, yeah, who
- 7:53Speaker 3: help parents dealing with challenges related to natural responses of
- 7:59Speaker 3: anxiety in different situations, what would you say would be
- 8:03Speaker 3: the top two or three things that we need to
- 8:05Speaker 3: do as parents to help our children process their anxiety
- 8:11Speaker 3: in healthy ways.
- 8:13Speaker 2: The number one thing that I would say is don't
- 8:15Speaker 2: fight the emotion, don't try to fix the emotion, don't
- 8:20Speaker 2: pathologize the emotion, don't do each other they're wrong for
- 8:22Speaker 2: having the emotion. Instead, take a leaf out of the
- 8:24Speaker 2: Gentle Parents Book from Parental Guidance and simply say what
- 8:28Speaker 2: you see. The ability to I mean, psychologist has been
- 8:31Speaker 2: talking about this for decades. The ability to name it,
- 8:34Speaker 2: to tame it, maybe one of the most important things
- 8:37Speaker 2: that we can do to reduce anxiety. When a child
- 8:40Speaker 2: is starting to hyperventilate, I'm really scared, when the amigdala
- 8:44Speaker 2: has taken over, when they're in fight or flight. The
- 8:46Speaker 2: best thing that we can do is say, you're really
- 8:48Speaker 2: worried right now, aren't you. There's this great quote from Heimgannot,
- 8:53Speaker 2: and it's actually it's been a quote that I've used
- 8:55Speaker 2: in workshops for years, and I've recently picked up Lisa
- 8:58Speaker 2: Demoure's new book. It's called The Emotion The Lives of Teenagers,
- 9:01Speaker 2: and in the front of that book she quotes Heimgannot
- 9:04Speaker 2: one of my favorite quotes of all time. It is
- 9:06Speaker 2: a deep comfort to children to discover that their feelings
- 9:09Speaker 2: are a normal part of the human experience. You see,
- 9:11Speaker 2: when you've got a child who's six or seven and
- 9:14Speaker 2: they've got the big emotion, it's getting bigger and bigger
- 9:17Speaker 2: inside them, and we say stop it, calm down, cut
- 9:19Speaker 2: it out, stop being so silly. When we do that
- 9:21Speaker 2: to their big emotions, they're big anxieties, their big fears, worries,
- 9:24Speaker 2: and things that they're apprehensive about. It tells them that
- 9:27Speaker 2: that emotion that's inside them makes them dysfunctional. It tells
- 9:30Speaker 2: them that there's something the matter with them because they're
- 9:31Speaker 2: having this great, big feeling and they don't know what
- 9:33Speaker 2: it is, because they don't have the emotional vocabulary, the
- 9:36Speaker 2: language for it. And so not only are we telling
- 9:38Speaker 2: them they're a bad person, we're telling them they're dysfunctional
- 9:40Speaker 2: because something is happening inside them that we don't approve of.
- 9:44Speaker 2: What I'm Gannott is saying is just let them know
- 9:47Speaker 2: what you can see. You're really worried right now, aren't you.
- 9:51Speaker 2: Because when you give that emotion and name, all of
- 9:54Speaker 2: a sudden, your child recognizes that what they're feeling is universal.
- 9:58Speaker 2: All people feel this. Parents can see it in me.
- 10:00Speaker 2: And now that it's got a name, I know that
- 10:02Speaker 2: I don't have to be scared about it anymore. That
- 10:04Speaker 2: great big feeling that was taking over, Oh, it has
- 10:06Speaker 2: a name. It's called anxiety, it's called fear, it's called worry.
- 10:09Speaker 2: And now I can deal with it, or at least
- 10:12Speaker 2: I can start to respond to it a little more. Healthily,
- 10:15Speaker 2: I can process it a little more effectively. And the
- 10:18Speaker 2: second thing I would recommend is to say to your child,
- 10:22Speaker 2: would you like me to stay with you to help
- 10:24Speaker 2: you or would you like to have some space? Like
- 10:27Speaker 2: for me, that has been a game changer, both in
- 10:32Speaker 2: my relationship with you and with the kids, just saying
- 10:35Speaker 2: I know you're feeling really insert emotion here. I know
- 10:38Speaker 2: feeling really stress, I know feeling really anxious. I know
- 10:40Speaker 2: you're feeling really worried. I know you're feeling really angry.
- 10:42Speaker 2: I know you're feeling really sad, whatever the emotion is.
- 10:44Speaker 2: And if I'm wrong, you'll always tell me, and so
- 10:46Speaker 2: all the kids, No, I'm not feeling that at all.
- 10:48Speaker 2: What are you feeling? And then I get that clarity,
- 10:51Speaker 2: I say, okay, well, I know you're feeling really this,
- 10:54Speaker 2: and do you want to be with you like? Do
- 10:55Speaker 2: you want hugs and you want to talk about it?
- 10:58Speaker 2: Or do you want some space? Seven year old will
- 11:00Speaker 2: tell you I'm scared, I want you with me, although
- 11:03Speaker 2: I say I'm angry, I want you to leave me alone,
- 11:06Speaker 2: and so you can. And then you go back to
- 11:08Speaker 2: them a couple of minutes later and say I left
- 11:09Speaker 2: you alone like you said, but I just wanted to
- 11:11Speaker 2: check in, do you still want space or do you
- 11:12Speaker 2: want to hu? Do you want to talk about it?
- 11:14Speaker 2: And for me, that's the most powerful thing that we
- 11:17Speaker 2: can do. Developmentally. Our kids are experiencing this really concrete thinking,
- 11:21Speaker 2: it's really black and white, and that's only exacerbated by
- 11:24Speaker 2: this emotion or fight or flight response. And so I
- 11:28Speaker 2: think our job really is to step into the moment
- 11:32Speaker 2: with our kids and just be there with them, name
- 11:35Speaker 2: it entertainment, and give them the space, and then talk
- 11:37Speaker 2: about it once they're can't.
- 11:42Speaker 3: I know we've been talking about a seven year old,
- 11:43Speaker 3: but just recently, our fifteen year old actually had a
- 11:46Speaker 3: panic attack. I had left the house and I got
- 11:48Speaker 3: a message from one of the girls to say that
- 11:50Speaker 3: they needed help fast. When I walked in, I was
- 11:55Speaker 3: absolutely blown away at how distressed our daughter was. She
- 12:01Speaker 3: almost couldn't breathe, like it had really just absolutely taken over.
- 12:08Speaker 3: I have actually never been with somebody in that situation.
- 12:11Speaker 3: I've never dealt with it firsthand, and I wasn't sure
- 12:14Speaker 3: what to do. I just knew she needed to know
- 12:17Speaker 3: that I was there, and so I just grabbed her
- 12:21Speaker 3: nice and tight and I said, I'm here. I just
- 12:24Speaker 3: need you to look in my eyes and realize that
- 12:27Speaker 3: you're okay. You're okay where I'm here. And what was
- 12:32Speaker 3: so astounding to me is just how powerful our brains
- 12:35Speaker 3: are and how quickly it escalated for her. She went
- 12:39Speaker 3: from being completely in control to completely out of control.
- 12:43Speaker 2: Yes, look call amigdala hijack.
- 12:46Speaker 3: And yet how quickly we were able to diffuse it
- 12:49Speaker 3: once she had something concrete to look at and to
- 12:52Speaker 3: change the perspective, because in that moment, all she could
- 12:56Speaker 3: think about was the one hundred and one things that
- 12:57Speaker 3: were creating this panic attack. But to have something concrete
- 13:02Speaker 3: to bring her back down, and within a few minutes,
- 13:05Speaker 3: you know, she had really come down. I just said,
- 13:06Speaker 3: you do you want me to cuddle you? Or do
- 13:08Speaker 3: you want me to leave you? And she just rolled
- 13:10Speaker 3: up into a ball on the bed with me, and
- 13:12Speaker 3: I just sat there with her for probably about twenty minutes,
- 13:15Speaker 3: and I felt as her body regulated, her breath, her heartbeat,
- 13:20Speaker 3: everything come down. But it really was, like you said,
- 13:24Speaker 3: just sitting in that space with her, You're okay, and
- 13:27Speaker 3: I'm here as long as you need me.
- 13:29Speaker 2: Yeah. Now, there are one or two other things that
- 13:31Speaker 2: I just want to quickly jump in here. We live
- 13:33Speaker 2: in the lucky country, right, so guns are not really
- 13:36Speaker 2: an issue here. We recognize that there are guns in
- 13:39Speaker 2: this nation, but we don't tend to come across them
- 13:41Speaker 2: in everyday life. It's very very rare for typical families
- 13:44Speaker 2: to come across guns. Unless there are very good reasons
- 13:47Speaker 2: for that family to have guns in the home. It
- 13:49Speaker 2: just doesn't happen. So it's rare. But again, this anxiety stuff,
- 13:53Speaker 2: it comes up all the time. The effectiveness of our
- 13:56Speaker 2: responses to anxious moments is what we are really talking about,
- 14:01Speaker 2: and I just want to emphasize as we go back
- 14:03Speaker 2: to Annabelle's email, the last thing that she said was
- 14:07Speaker 2: do we bring it up and talk about it again
- 14:11Speaker 2: or because this is a kid who does ruminate and
- 14:14Speaker 2: will bring things up several months later. So I don't
- 14:17Speaker 2: have a perfect answer for this, because I'm not sure
- 14:18Speaker 2: that there is a one size fits all answer. This
- 14:21Speaker 2: is general advice. A guy called Tim Wilson wrote a
- 14:24Speaker 2: fabulous book a few years ago called Redirect and he
- 14:27Speaker 2: shared some science in there looking at first responders and
- 14:30Speaker 2: whether or not going through counseling was good or bad
- 14:33Speaker 2: for them. So there's this idea that talk therapy is necessary.
- 14:36Speaker 2: We need talk therapy, especially when we experienced traumatic events.
- 14:39Speaker 2: But what research has shown is that quite often talk
- 14:42Speaker 2: therapy does exactly the opposite of what it's intended to.
- 14:44Speaker 2: It exacerbates, magnifies, and amplifies the anxiety, the stress, the trauma.
- 14:48Speaker 2: It actually leads.
- 14:49Speaker 3: Actually go back, you put yourself back in that space.
- 14:51Speaker 2: Right, Yeah, it leads to ineffective, unhelpful processing. Now, is
- 14:56Speaker 2: there a blanket rule that says that you should or
- 14:58Speaker 2: you shouldn't know? It depends on the individual and also
- 15:00Speaker 2: depends on the time frame, Like you have something hard
- 15:04Speaker 2: happened to you, and sometimes you just say I don't
- 15:05Speaker 2: want to talk about this, But maybe six months down
- 15:08Speaker 2: the track you say I think I'm ready now, or
- 15:10Speaker 2: six years down the track you say, Okay, it's not
- 15:13Speaker 2: going to traumatize me to talk about this, and now
- 15:15Speaker 2: I can work through it because I've got enough distance.
- 15:18Speaker 2: So what my inclination around this is with your kids,
- 15:22Speaker 2: whether they've seen a gun in public, or there's been
- 15:25Speaker 2: a police incident or a car accident, or just something
- 15:27Speaker 2: horrible happened at school with bullying, if they've got that anxiety.
- 15:31Speaker 2: My suggestion is check in with them after a week
- 15:34Speaker 2: or so and say, hey, you know that thing. Do
- 15:36Speaker 2: you want to talk about it anymore? Or you're feeling okay?
- 15:38Speaker 2: I just want to check in and see how you're
- 15:40Speaker 2: reacting to it, see how you're processing it, and let
- 15:43Speaker 2: them be your guide. If they say I don't want
- 15:45Speaker 2: to talk about it, and you can tell it they're scared,
- 15:47Speaker 2: you say, okay, no problem, will give you some space.
- 15:49Speaker 2: Do you want to talk to a school counselor or
- 15:50Speaker 2: someone about it? No, okay, no worries. Let it be
- 15:53Speaker 2: and check in again a couple of weeks later. But
- 15:55Speaker 2: if they give you a really nonchalant no, it's cool,
- 15:57Speaker 2: then you know that they've probably processed it, they've done
- 16:00Speaker 2: with it, and just move on. I don't think that
- 16:03Speaker 2: we want to be digging too deep into fresh wounds.
- 16:06Speaker 2: We may be making it worse.
- 16:08Speaker 3: I think one of the other things that has been
- 16:10Speaker 3: really good for me is I don't think anybody ever
- 16:14Speaker 3: helped me recognize the times where I was feeling anxiety.
- 16:17Speaker 3: You know this idea of naming and taming, and so
- 16:19Speaker 3: as an adult, there are certain responses that I have
- 16:24Speaker 3: in different situations where it's only as I've been, I guess,
- 16:29Speaker 3: learning about emotional regulation with our children, that I've recognized, Oh,
- 16:35Speaker 3: I'm actually feeling anxiety right now. This is a bit intense,
- 16:39Speaker 3: and so for me, being able to actually articulate that
- 16:43Speaker 3: for myself helps me then understand when my kids are
- 16:46Speaker 3: in that space as well.
- 16:47Speaker 2: Bernard Brown's got this really cool thing. She says, if
- 16:50Speaker 2: you can use a sentence before your own emotions, it
- 16:54Speaker 2: gives you the distance that you need to process them effectively, healthily, functionally,
- 16:57Speaker 2: and that sentence is I'm beginning to notice that I'm feeling.
- 17:01Speaker 2: And so what we've got there is we've got this
- 17:02Speaker 2: distance where oh, I'm standing outside of myself and looking
- 17:04Speaker 2: in and noticing that I'm starting to feel anxious, and
- 17:07Speaker 2: teaching kids that kind of phrasing as well can be
- 17:10Speaker 2: really powerful. We could talk about this for a lot longer,
- 17:13Speaker 2: but I hope that that answers Annabelle's question and is
- 17:15Speaker 2: useful for anybody who's got kids who are dealing with
- 17:17Speaker 2: some anxious moments. The Happy Family's podcast is produced by
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