Anxiety is a normal, if unpleasant, part of life, and it can affect us all in different ways and at different times. Whereas stress is something that will come and go as the external factor causing it (be it a work, relationship or money problems, etc.) comes and goes, anxiety is something that can persist whether or not the cause is clear to the sufferer.

Anxiety can make a person imagine that things in their life are worse than they really are, and prevent them from confronting their fears. Often they will think they are going mad, or that some psychological imbalance is at the heart of their woes. What is important is the recognition that anxiety is normal and exists due to a set of bodily functions that have existed in us from our cave-man days.

Back then, we were equipped with an internal alarm system designed to protect us from the dangers surrounding us in the wild. This system would make us hyper-alert by giving us a boost of adrenaline that would increase the heart rate and boost the amount of oxygen going to our limbs so we were better able to fight or run from danger. This is known as the “fight or flight” response. The “butterflies in the stomach” feeling that many associate with anxiety is this mechanism kicking in, but instead of being used to avoid immediate danger, it is often wrongly and inappropriately activated in a person during normal, everyday situations when stress has built up, often unknowingly.

Some people have a very identifiable cause for their anxiety; a traumatic incident, lots of stressors or have undergone a significant life event (moving house, getting divorced, having surgery). However, some people don’t have an identifiable cause for their anxiety and it causes them some distress. One way of thinking about your anxiety is to imagine your stress levels as being like a bucket of water. If we keep adding stressors to the bucket (even tiny ones like the school run or commuting to work), over time it fills up until one day it overflows. This can be a good way of looking at anxiety as it explains why sometimes it can seem to come out of the blue with no significant trigger. However, what has happened is that the trigger was just a very small stressor that tipped us over the edge and allowed our bucket to overflow. What we need is a leaky bucket with lots of holes in to reduce your overall stress levels. Each one of these holes could be something positive that you do to manage your anxiety, such as yoga, exercise, reading, listening to music or spending time with friends or family.

Symptoms of anxiety

People often experience physical, psychological and behavioural symptoms when they feel anxious or stressed.

Some of the most common physical symptoms of anxiety are:

  • Increased heart rate
  • Increased muscle tension
  • “Jelly legs”
  • Tingling in the hands and feet
  • Hyperventilation (over breathing)
  • Dizziness
  • Difficulty in breathing
  • Wanting to use the toilet more often
  • Feeling sick
  • Tight band across the chest area
  • Tension headaches
  • Hot flushes
  • Increased perspiration
  • Dry mouth
  • Shaking
  • Choking sensations
  • Palpitations

Some of the most common psychological symptoms (the thoughts or altered perceptions we have) of anxiety are:

  • Thinking that you may lose control and/or go “mad”
  • Thinking that you might die
  • Thinking that you may have a heart attack/be sick/faint/have a brain tumour
  • Feeling that people are looking at you and observing your anxiety
  • Feeling as though things are speeding up/slowing down
  • Feeling detached from your environment and the people in it
  • Feeling like wanting to run away/escape from the situation
  • Feeling on edge and alert to everything around you

The most common behavioural symptom (the things we do when we are anxious) is avoidance. Although avoiding an anxiety provoking situation produces immediate relief from the anxiety, it is only a short term solution. This means that whilst it may seem like avoiding is the best thing to do at the time, the anxiety often returns the next time that you face the situation and avoiding it will only psychologically reinforce the message that there is danger. The problem with avoidance is that you never get to find out whether your fear about the situation and what would happen is actually true.

What Type of Anxiety Do You Have?

Many people in Manchester struggle with anxiety. For instance, 40% of people will experience anxiety about their work. Which of the following difficulties do you recognise?

Social Anxiety

Social anxiety happens around other people. We worry about being the centre of attention, other people’s opinions, and getting things wrong. Social or work situations cause self-consciousness and fear. Typical symptoms include:

  • Censoring your thoughts as being ‘stupid’ or ‘not funny enough’ etc.
  • Feeling anxious when attending parties or meetings, when queuing or in busy places, or anything involving scrutiny.
  • Worrying about eating / drinking / writing in front of others.
  • Blushing or sweating in social situations.
  • Anticipating work or social situations with dread (or avoiding them altogether).

Social anxiety often reflects low confidence. It can be removed by boosting your self-esteem and learning to feel at ease around people. Hypnotherapy and NLP (Neuro-linguistic Programming) are very effective for this. Contact me to find out more.

Performance Anxiety

Often associated with sport or the performing arts, this anxiety also occurs when giving presentations, taking exams, and within intimate relationships. It combines a fear of failure, judgment, scrutiny and rejection. This often leads to anticipatory anxiety, leaving us worried about things in advance. Typical symptoms include:

  • Panicking before or during exams, tests, presentations, speeches, performances, etc.
  • Worrying about failure, judgement, and getting things wrong.
  • Procrastination, distraction, over-planning, difficulties with motivation.
  • Low self-confidence and a pessimistic outlook on life.

This fear reflects negative beliefs: about failure, our own worth, and things going catastrophically wrong. It can be stubborn and rarely goes away ‘on its own’, which is when you need the help of a skilled therapist.

Phobias (e.g. fear of flying)

Typical examples include the fear of flying, enclosed spaces, driving (especially motorways and bridges), needles, vomiting, using public toilets or public transport, and heights.

Phobias can cause severe panic. For more information, visit the phobias page.

Other Types of Anxiety

Anxiety affects different people in different ways. Over the years I have helped people with anxiety-related problems including:

  • Excessive jealousy and insecurity in relationships.
  • Obsessive thinking; pessimistic thinking; OCD-type behaviour.
  • Teeth grinding (bruxism); Hair pulling (trichotillomania); nail biting; tinnitus.
  • Excessive sweating or blushing (including a blotchy chest) in social situations.
  • Selective eating disorder; health anxieties.
  • Generalised anxiety disorder (a ‘free floating’ anxiety which switches from one issue to the next).

Unchecked, anxiety leaves us feeling vulnerable, frantic, and misunderstood. I have worked extensively with anxiety over the years, using an effective combination of hypnotherapy and other techniques.

How to Overcome Anxiety

Anxiety sometimes has obvious causes, e.g. financial difficulties or problems at work. However, sometimes the basis for our anxiety is complicated. My skill as a therapist involves understanding your circumstances and selecting the right techniques for you. A combination of Hypnotherapy, NLP, Coaching and Counselling maybe required.




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