15 Minutes
Cover of Unwinding Anxiety: New Science Shows How to Break the Cycles of Worry and Fear to Heal Your Mind

Mental Health · 15 min

Unwinding Anxiety: New Science Shows How to Break the Cycles of Worry and Fear to Heal Your Mind

Judson Brewer · 2021

Who it's for

For anyone who lives in a constant state of worry, checks their phone nonstop, or catches themselves ruminating over the same problem late into the night. This book offers a practical way to view anxiety as a habit and to train curiosity in place of avoidance.

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3 ideas to take with you

1

Feeling anxious about being anxious creates a second layer of suffering that wasn't there in the first place.

2

According to the book, the brain doesn't judge whether a behavior is good for you; it simply registers whether a reward showed up.

3

Being hard on yourself for feeling anxious is just another trigger, and self-kindness usually disarms it.

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Worrying a lot doesn't prove you're responsible; it may just be a habit that learned how to deliver cheap relief.
An idea from Unwinding Anxiety: New Science Shows How to Break the Cycles of Worry and Fear to Heal Your Mind, in the words of 15 Minutes

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Anxiety as a habit, not a flaw

When people say they are anxious, they almost always talk about it as if it were a personality trait, just like their height or eye color. Psychiatrist Judson Brewer suggests a different view: much of the anxiety that gets in the way of daily life works like a habit, and a habit can be learned, reinforced, and also taken apart.

That changes the conversation. If anxiety were a factory defect, all you could do would be to live with it or try to push it down. Because it is a habit, there is a mechanism that can be observed, and anyone who observes that mechanism gains some room to maneuver. Notice that this room is not a promise of a cure: it is a practical starting point.

One caveat is worth making right at the start. The book deals with everyday anxiety, the kind that shows up when you worry about an upcoming bill, an unanswered text message, or tomorrow's meeting. Severe conditions, such as panic disorder, call for an evaluation by a psychiatrist or psychologist, and the book's method can serve as a complement, never a replacement.

The cycle of trigger, behavior, and reward

At the heart of the book's approach is a three-part loop. First comes the trigger: a thought, a notification, a tightness in your chest. Next comes the behavior: worrying, checking your phone, eating when you aren't hungry, avoiding a tough conversation. Finally comes the reward: a feeling, however brief, of relief or control.

Think of a familiar example. You wake up at five in the morning with the thought that you are going to get laid off. The trigger is that thought. The behavior is opening your banking app and checking your balance three times. The reward is the impression that you did something about it. Yet the relief is short-lived, and the cycle calls for another round.

Brewer insists that the brain doesn't judge whether a behavior is good or bad. It only registers whether the reward showed up. That is why a habit that hurts us can survive for years: as long as the brain reads that action as rewarding, it will keep being repeated.

Why worrying feels like useful work

Worry has a curious reputation: many people see it as a sign of responsibility. If I stop worrying, won't I be letting my guard down? That line of thinking is one of the strongest locks on the cycle, because it turns anxious behavior into a virtue.

The author explains that worry fools us for a simple reason. When we keep ruminating on a problem and nothing bad happens, the brain concludes that the rumination worked. It is like the sports fan who always wears the same jersey for big games: the team won, so the jersey must have helped. Worry gets credit for outcomes that may never have depended on it.

Separating planning from ruminating is an important step. Planning ends in a concrete action, like calling a creditor or scheduling an appointment. Ruminating goes around in circles, burns up energy, and delivers no decision at all. The book asks readers to notice which of the two they are doing, without judging themselves.

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About Judson Brewer

Judson Brewer is an American psychiatrist, neuroscientist, and professor at Brown University. He researches how habits, addiction, and mindfulness interact, and he is the author of The Craving Mind, published in 2017. He has also developed mindfulness-based digital programs for anxiety and eating habits. Unwinding Anxiety was released in 2021.

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Category:
Mental Health
Part of the Journeys:
Anxiety Under Control