Podcasts > Modern Wisdom > #951 - Dr Russell Kennedy - How To Fix Your Brain’s Addiction To Anxiety & Worry

#951 - Dr Russell Kennedy - How To Fix Your Brain’s Addiction To Anxiety & Worry

By Chris Williamson

In this episode of Modern Wisdom, Dr. Russell Kennedy examines the connection between uncertainty, childhood trauma, and chronic anxiety. He explains how the brain's alarm system can become hyperactive due to past experiences, leading to excessive worry and catastrophizing. The discussion explores how unresolved childhood trauma remains stored in the body and can trigger anxiety responses to present-day situations.

Kennedy contrasts cognitive and somatic approaches to treating anxiety, suggesting that traditional cognitive behavioral therapy may not fully address the physical aspects of anxiety. He also discusses the different ways anxiety manifests across genders, noting that women tend toward rumination and hypervigilance, while men often experience anxiety as irritability and emotional shutdown. The episode covers various therapeutic techniques, including breathwork and guided imagery, that aim to heal anxiety by addressing its physical components.

#951 - Dr Russell Kennedy - How To Fix Your Brain’s Addiction To Anxiety & Worry

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#951 - Dr Russell Kennedy - How To Fix Your Brain’s Addiction To Anxiety & Worry

1-Page Summary

The Role of Uncertainty In Causing Anxiety

Russell Kennedy explains that uncertainty can trigger the brain's alarm system, particularly in individuals who have experienced trauma. The amygdala, lacking a sense of time, can reactivate old fears when faced with present uncertainties, leading to excessive worry and catastrophizing. Chris Williamson notes that while worry often exaggerates negative outcomes, it creates a false sense of control and provides a temporary [restricted term] reward, making it potentially addictive.

How Childhood Trauma Contributes To Chronic Anxiety

Kennedy describes how growing up in traumatic or neglectful environments can embed a persistent sense of alarm within an individual. Children often become hyper-focused on subtle cues to understand their environment, leading to heightened sensitivity and chronic anxiety in adulthood. Unresolved childhood trauma remains stored in the body, with the amygdala continuing to trigger bodily alarms in response to present-day situations that echo past experiences.

Cognitive vs. Somatic Approaches To Treating Anxiety

While Cognitive Behavioral Therapy (CBT) can help manage anxiety, Kennedy argues that it often fails to address the underlying somatic sources. He advocates for a bottom-up approach that combines cognitive work with somatic therapies, such as breathwork and guided imagery. These techniques aim to heal anxiety by connecting with and soothing the physical sensations associated with past trauma.

Gender Differences In How Anxiety Manifests

Kennedy observes distinct patterns in how anxiety presents across genders. In women, anxiety often manifests as rumination, negative self-talk, and hypervigilance, possibly linked to deeper fears of abandonment. In men, anxiety typically appears as irritability and emotional shutdown, complicated by a limited emotional vocabulary. Kennedy suggests that men might benefit from alternative therapeutic approaches, such as men's groups, where they can develop better emotional expression skills in a supportive environment.

1-Page Summary

Additional Materials

Counterarguments

  • While uncertainty can trigger anxiety, not all individuals with trauma will respond to uncertainty with anxiety; some may develop coping mechanisms that mitigate this response.
  • The amygdala's role in reactivating old fears is complex, and other brain regions and factors, such as the prefrontal cortex and individual resilience, also play significant roles in how we process uncertainty and fear.
  • The idea that worry provides a temporary [restricted term] reward is not universally accepted; some research suggests that worry and anxiety are more likely to be associated with negative reinforcement than positive reinforcement.
  • The assertion that childhood trauma always leads to chronic anxiety in adulthood can be overly deterministic; many individuals exhibit remarkable resilience and do not develop chronic anxiety despite traumatic childhoods.
  • Cognitive Behavioral Therapy (CBT) has a substantial evidence base supporting its effectiveness for many individuals with anxiety, and it may be reductive to suggest it often fails to address underlying somatic sources without considering individual variability in response to therapy.
  • The effectiveness of somatic therapies is an area of ongoing research, and while promising, they may not be universally effective for all individuals with anxiety.
  • Gender differences in the manifestation of anxiety are not absolute, and there is significant overlap in how anxiety can present in men and women; individual differences often outweigh gender-based trends.
  • The suggestion that men have a limited emotional vocabulary and therefore express anxiety differently could be seen as reinforcing gender stereotypes; men's emotional expression can be influenced by a wide range of cultural, personal, and situational factors.
  • The recommendation for men's groups as a therapeutic approach, while potentially beneficial for some, may not be the best fit for all men, and it is important to consider a variety of therapeutic options tailored to individual needs and preferences.

Actionables

  • You can create a personal "uncertainty plan" by identifying situations that trigger anxiety and pre-designing coping mechanisms. For example, if you know that unexpected work assignments cause stress, prepare a step-by-step guide for yourself that includes taking a short walk, practicing deep breathing, and breaking down the task into manageable parts.
  • Develop a "somatic signal journal" to track physical responses to stress and discover patterns. When you feel anxious, note down the physical sensations, such as a tight chest or shallow breathing. Over time, you'll be able to connect these somatic signals to specific emotional states or memories, which can inform personalized strategies to address them, like stretching exercises for muscle tension related to anxiety.
  • Engage in "emotional role-play" exercises to expand your emotional vocabulary and expression. Set aside time each week to practice articulating your feelings in a safe space, either alone or with a trusted friend. You might use prompts from books or online resources to explore different emotions and practice responding to them constructively, such as expressing frustration through writing or channeling nervous energy into a creative hobby.

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#951 - Dr Russell Kennedy - How To Fix Your Brain’s Addiction To Anxiety & Worry

The Role of Uncertainty In Causing Anxiety

Understanding the relationship between uncertainty and anxiety is crucial for recognizing why and how this psychological state can become a significant issue for many individuals.

Uncertainty Breeds Anxiety, Making the Unknown Intolerable

Experts in the field point out that attuning to uncertainty in childhood can cause a perpetual search for certainty in adulthood, as the familiarity with uncertainty becomes equated to security. The brain's alarm system can be triggered by the unknown, leading individuals to worry excessively and catastrophize potential negative outcomes. This is particularly severe among those who have experienced trauma or deep-rooted anxiety, often leading to a state described as uncertainty intolerance.

Uncertainty Triggers Brain's Alarm, Leading to Worry and Catastrophizing About Negative Outcomes

Russell Kennedy notes that experiences from one's past, such as childhood bullying, often trigger the brain's alarm response when faced with uncertainty in the present. This response is tied to the amygdala, which lacks a sense of time and can retrigger old alarms. Such reactivation hampers rational thinking and instead pushes individuals towards worry and negative assumptions, such as interpreting a variation in the length or intensity of a hug as a sign of impending disaster.

Worry Falsely Offers Control and Certainty, Though Often Unrealistic or Exaggerated

Despite the fact that worry often exaggerates negative outcomes and offers unrealistic solutions, it creates a false sense of control. Chris Williamson discusses the addictive nature of worry, explaining how it grants a temporary feeling of certainty. This serves as a reward, feeding the cycle and reinforcing it through [restricted term] release.

Worry Provides a [restricted term] Reward, Reinforcing the Cycle

Kennedy expands on the addictive aspect of worry, explaining the biochemical reasons—such as [restricted term] and endorphin release—that cause individuals to become addicted to it. The discussion includes how worry can create a short-term [restricted term] hit from the f ...

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The Role of Uncertainty In Causing Anxiety

Additional Materials

Clarifications

  • Uncertainty intolerance is a psychological state where individuals have a low tolerance for ambiguity or unpredictability, leading to heightened anxiety and distress when faced with uncertain situations. This can stem from past experiences, such as trauma or anxiety, and may result in a constant need for certainty and control. Uncertainty intolerance can manifest as excessive worry, catastrophizing potential negative outcomes, and difficulty coping with the unknown. It can be linked to the brain's alarm response, triggering irrational thinking patterns and reinforcing a cycle of negative reflection and worry.
  • The amygdala, a part of the brain involved in processing emotions, particularly fear and anxiety, does not have a direct sense of time. This means that when triggered by a current event, it can respond as if a past threat is happening in the present, leading to heightened emotional reactions. This lack of temporal context can contribute to the amygdala's role in generating quick, instinctual responses to perceived dangers, even if they are not currently present.
  • [restricted term] and endorphins are chemicals in the brain that play a role in regulating emotions and pleasure. When someone worries, their brain can release [restricted term], which can provide a temporary feeling of certainty, even if it's related to a negative outcome. Endorphins, on the other hand, are the body's natural painkillers and can be released in response to stress or anxiety, potentially helping to alleviate some of the negative feelings associated with worry. These chemical releases can contribute to the addictive nature of worry, as they create a cycle where worrying provides a temporary sense of relief or reward.
  • The default mode network (DMN) is a network of brain regions that is active when the mind is at rest and not focused on the outside world. It is associated with self-referential thoughts, ...

Actionables

  • You can create a "certainty anchor" by choosing a daily routine that provides a sense of stability and predictability. For example, start your day with a 10-minute meditation or a short walk, which can serve as a grounding practice to counterbalance the uncertainty you may encounter throughout the day.
  • Develop a "worry postponement" habit by setting aside a specific time each day to address your worries. During this time, write down what's concerning you and possible solutions or steps to take. Outside of this period, if worries arise, remind yourself that you have a designated time to think about them, which can help break the cycle of constant worry.
  • Engage in "positive reflec ...

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#951 - Dr Russell Kennedy - How To Fix Your Brain’s Addiction To Anxiety & Worry

How Childhood Trauma Contributes To Chronic Anxiety

Traumatic or Neglectful Childhoods Embed Alarm In Body and Mind

Growing up in an environment where emotions are not communicated directly can lead individuals to become hyper-focused on micro-movements and subtle cues to decipher hidden feelings. This heightened sensitivity to signals may lead to chronic anxiety. When children experience a traumatic or neglectful childhood, they often blame themselves, creating deep-seated beliefs of unlovability that persist in the posterior cingulate cortex.

Unresolved Childhood "Alarm" Fuels Anxiety's Worst-Case Thinking to Regain Control

Kennedy explains that traumatic childhood experiences can activate both the parasympathetic and sympathetic nervous systems simultaneously, embedding a sense of persistent alarm within the individual. This unresolved "alarm" then fuels anxiety, as the mind generates worst-case scenario thoughts in response to this lurking sense of unease.

Unrepaired Childhood Wounds Lead To Hypersensitive, Anxious Nervous System

Uncertain childhood environments, such as living with a parent with schizophrenia and bipolar disorder, contribute to developing anxiety. Trauma that's overwhelming is often repressed into the unconscious and stored in the body, a phenomenon whereby the body "keeps the score." The brain interprets this body-based alarm, perpetuating worrisome thoughts.

Amygdala Triggers Bodily Alarm From Childhood Trauma to Present Triggers

Emotional triggers, such as those related to childhood bullying, can reactivate the amygdala's alarm response and the emotions felt during the initial trauma. This reaction can impede rational thought and reinforce a pattern of worst-case scenario thinking. Unresolved trauma leaves the nervous system on high alert, creating a backdrop of incessant anxiety into adulthood.

Kennedy further explains that worries serve to distract from the original cause of anxiety—unresolved alarm from childhood traumas. This alarm remains stuck in the system, often due to experiences of an abusive or neglectful environment where escape was not possible. Consequently, worrying becomes a protective coping strategy to avoid feeling the intense alarm, rendering the individual resistant to healing from anxiety.

Kennedy posits that all anxiety can be traced back to a form of separation anxiety, specifically between the adult self and th ...

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How Childhood Trauma Contributes To Chronic Anxiety

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Counterarguments

  • While childhood trauma can contribute to anxiety, not all anxiety disorders stem from traumatic experiences; genetic factors, brain chemistry, and life circumstances also play significant roles.
  • The idea that all anxiety can be traced back to separation anxiety between the adult self and the child self is an oversimplification; anxiety is a complex condition with multiple potential origins and manifestations.
  • The concept that the body "keeps the score" of trauma is a metaphor that may not fully encapsulate the nuanced ways in which the brain and body process and remember traumatic events.
  • The text may underemphasize the potential for resilience and recovery in individuals who have experienced childhood trauma; many people find ways to cope and lead fulfilling lives despite early adversities.
  • The role of the amygdala in anxiety is complex, and while it is involved in emotional processing, it is not solely responsible for transporting a person back to childhood anxieties; other brain regions and mechanisms are also involved.
  • The assertion that worries serve to distract from the original cause of anxiety may not apply to all individuals with anxiety; some may worry as a direct response to current stressors rather than as a distraction from past trauma.
  • The text may not fully acknowledge the effectiveness of various treatments for anxiety, such as cognitive- ...

Actionables

  • You can create a personal "emotion map" to identify and track your emotional triggers throughout the week. Carry a small notebook or use a note-taking app on your phone to jot down moments when you feel anxious, what triggered it, and what childhood memory it might be connected to. Over time, this can help you recognize patterns and understand the deeper roots of your anxiety.
  • Develop a self-soothing toolkit by selecting five activities that calm your nervous system and commit to practicing one each day. These could include deep breathing exercises, listening to a specific genre of music, engaging in a short meditation, taking a warm bath, or walking in nature. The goal is to provide your body with a signal of safety, helping to counteract the persistent alarm state.
  • Start a "d ...

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#951 - Dr Russell Kennedy - How To Fix Your Brain’s Addiction To Anxiety & Worry

Cognitive vs. Somatic Approaches To Treating Anxiety

Dr. Russell Kennedy describes the limitations of traditional cognitive approaches, like Cognitive Behavioral Therapy (CBT), for treating anxiety and emphasizes the need to address its somatic sources.

Cbt Manages Anxiety but Often Misses Somatic Sources

Altering Thoughts Without Addressing the Physical "Alarm" Leaves Anxiety's Root Cause Unresolved

Kennedy expresses the concern that altering thoughts through CBT without tackling the somatic "alarm" leaves anxiety's root cause unresolved. He argues that thinking one can resolve anxiety through thoughts alone is ineffective. The necessity to address the somatic sources for effective treatment is evident from Kennedy's discussion on the influence of past trauma stored in the body, which continues to trigger anxiety.

Kennedy discusses how feelings of alarm are recognized by the insula through interoception, signaling danger to the default mode network, which leads to negative self-reflection without addressing the physical sensations. He explains that this contributes to the perpetuation of anxiety and suggests that most university programs dealing with anxiety are primarily cognitive and fail to address the crucial somatic, emotional part needed for resolving anxiety's root cause.

Kennedy also criticizes traditional therapies for merely helping to cope and not heal because they do not address underlying subcortical, unconscious programs from our younger selves. This implies a cognitive approach that manages symptoms without effectively healing the root cause.

Somatic Therapies: Connecting Mind to Body, Processing Emotions, and Integrating the "Younger Self" for Anxiety Healing

Kennedy advocates for a bottom-up approach involving the adult self in healing the younger version of ourselves to effectively treat anxiety. He suggests breathing into the area of pain, applying pressure, or tapping over it to disrupt the anxiety loop and engage the anterior cingulate cortex to interrupt the default mode network associated with anxiety. By healing the underlying cause of anxiety and connecting with the alarmed younger self, Kennedy believes in the necessity of somatic practices for actual healing.

Kenned ...

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Cognitive vs. Somatic Approaches To Treating Anxiety

Additional Materials

Counterarguments

  • CBT has a strong evidence base and is considered a gold standard treatment for anxiety, with many patients experiencing significant improvement.
  • The cognitive model posits that thoughts, feelings, and behaviors are interconnected, and changing one can affect the others, including somatic symptoms.
  • Some research suggests that CBT can have somatic benefits and can alter physiological responses to stress.
  • The effectiveness of somatic therapies, while promising, may not be as extensively researched or empirically supported as CBT.
  • The idea that past trauma is stored in the body and is the root cause of anxiety is a concept that is debated and may not be fully supported by all in the scientific community.
  • The integration of the "younger self" is a concept from certain therapeutic models and may not resonate with or be applicable to all individuals or all forms of anxiety.
  • The insula and interoception are complex and their roles in anxiety are not fully understood; other brain regions and systems are also involved in anxiety.
  • Some individuals may not respond well to somatic therapies due to personal preferences or specific conditions that make such approaches less effective.
  • The dichotomy between cognitive and somatic approaches may be overly simplistic, as many modern therapeutic approaches, including CBT, increasingly incorporate mindfulness and body awareness.
  • ...

Actionables

  • Create a personal "somatic diary" to track physical sensations associated with anxiety. Start by noting down any physical feelings you experience during moments of anxiety, such as tightness in your chest or a racing heart. Over time, you'll begin to see patterns that can point to somatic sources of your anxiety. This awareness can guide you to more targeted somatic practices.
  • Develop a "body scan" routine to practice interoception. Set aside a few minutes each day to lie down in a quiet space and mentally scan your body from head to toe, observing any sensations without judgment. This practice can enhance your ability to recognize feelings of alarm and may help you connect with your body's signals more effectively.
  • Engage in "somatic dialoguing" as a self-help exercise. ...

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#951 - Dr Russell Kennedy - How To Fix Your Brain’s Addiction To Anxiety & Worry

Gender Differences In how Anxiety Manifests

Kennedy explores the distinct manners in which anxiety manifests in women compared to men, attributing these differences, in part, to societal norms around emotional expression.

Anxiety in Women: Rumination, Negative Self-Talk, Hypervigilance

According to Kennedy, anxiety in women often appears as rumination and a negative self-view. They may continuously replay conversations in their mind, even those that took place years ago. This process could lead to hypervigilance and negative self-talk as women process experiences emotionally, sometimes experiencing "white knight syndrome" and people-pleasing behaviors. This tendency may be linked to deeper fears of abandonment and a heightened level of emotional engagement.

In Men, Anxiety Can Manifest As Irritability, Emotional Shutdown, and Difficulty Expressing Feelings

On the other hand, Kennedy notes anxiety in men typically presents as irritability and an inability to truly feel. Men often possess a limited emotional vocabulary when compared to women, which contributes to their anxiety and distress. Men may find it challenging to express emotions such as sadness, but they might express frustration through crying as a necessary emotional release.

Kennedy talks about using methods like car screaming to release pent-up emotions when crying isn't an option. Emotional buildups can lead to sudden outbursts in men. Furthermore, men's experiences of anxiety may present as emotional shutdown due to suppressed trauma and negativity, which leads to self-reproach.

Kennedy observes that due to men often lacking verbal skills to discuss their emotions, traditional therapy might be challenging for them. He ad ...

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Gender Differences In how Anxiety Manifests

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Counterarguments

  • The idea that anxiety manifests differently in men and women due to societal norms may be an oversimplification, as individual experiences of anxiety can vary widely regardless of gender.
  • The characterization of women's anxiety as involving rumination and negative self-talk could be seen as reinforcing stereotypes and may not reflect the experiences of all women.
  • Similarly, the depiction of men's anxiety as irritability and emotional shutdown might not account for the full range of men's emotional responses to anxiety.
  • The suggestion that men have a limited emotional vocabulary could be challenged by research showing that men and women have similar capacities for emotional expression, but may be socialized to express them differently.
  • The efficacy of alternative outlets like men's clubs or retreats for processing emotions could be questioned, as they may not provide the same level of professional support as traditional therapy.
  • The notion that irritability is a socially accepted way for men to discharge anxious energy does not consider that such expressions of anxiet ...

Actionables

  • You can start a personal emotion journal to track your feelings and triggers, noting when you feel irritable or have difficulty expressing emotions. By doing this, you create a private space to explore your emotional patterns and begin to develop a richer emotional vocabulary. For example, instead of writing "I'm stressed," delve into the specifics, like "I feel overwhelmed when I have back-to-back meetings without breaks."
  • Organize a peer-led book club focusing on emotional intelligence and mental health, where members can discuss and share their experiences in a structured yet informal setting. This can be a space for you to learn from others' insights and practice articulating your emotions. Choose books that prompt discussions about emotional expression, such as "Emotional Intelligence" by Daniel Goleman, and encourage members to share personal reflections.
  • Develop a habit of engaging in physical activities that al ...

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