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By DANIEL SMITH
One day last year, I called my
brother Scott in a state of agitation, self-hatred and incipient despair. Scott
was at work and short on time. I got straight to the point. “I’m in a state of
agitation, self-hatred and incipient despair!” I cried.
“Tell me more,” Scott said.
“What is it?”
“I’m anxious — again! I’m
anxious day and night. I wake up anxious and I go to bed anxious. I’m a total
wreck. And I’m not doing anything to help myself! I know what helps and I’m not
doing it! What’s wrong with me? Why am I not doing the things I know full well
will make me feel better?”
“Oh,” Scott said. “That’s an
easy one. It’s because you’re an idiot.” Then he said he’d call me after work.
When Scott called me an idiot,
I initially took it as a joke — a bit of sharp-elbowed levity meant to nudge me
out of my morbid self-involvement. As a brother, friend and fellow anxiety
sufferer, Scott has license to make such jokes. And they help; they truly do.
But the more I think about Scott’s comment the more I come to see it as
containing real wisdom, as well as the power to explain one of the particular
hells of anxiety: its tenacity.
Like many people who have been
given a diagnosis of an anxiety disorder (and many who have not), I am always
braced for the next recurrence. Anxiety, like the tide, is forever receding and
returning, receding and returning. I have been experiencing this pattern for
nearly 20 years now, so that my anxiety has come to seem, at times, inevitable
and unassailable — a fait accompli. My anxiety, I’d concluded, is what I am.
There is no escape.
Thanks to Scott, I am now coming to understand that this is not true. Thanks to
Scott, I am now coming to understand that anyone, even the most neurotic of
souls, can lessen and even elude anxiety, so long as he heeds a simple dictum: Don’t
be an idiot.
I should define “idiot” for our
purposes. I don’t mean someone of low I.Q. or poor academic abilities.
Intelligence as commonly conceived has nothing to do with it. By “idiot,” I
mean exactly what my brother meant when he tagged me with the epithet: an
impractical and unreasonable person, a person who tends to forget all the
important lessons, essentially a fool, one who willfully ignores all that he
has learned about how to come to his own aid. A person who is so fixated on the
fact that he is in a hole that he fails to climb out of the hole.
An idiot, in short, is someone who is self-defeatingly lazy.
Laziness: it isn’t a
characteristic usually associated with the anxious. Hysteria, yes. Clamminess,
yes. A shrill speaking voice, often. But laziness? If anything, people tend to
view the anxious as more active and motivated than normal, because they are
more haunted by the specter of failure. And yet long experience has taught me
that it is laziness — and not enclosed spaces, social situations or any other
countless triggers — that is the foremost enemy of the anxiety sufferer, for
laziness prevents him from countering the very patterns of thought that make
him anxious in the first place.
It’s true that the anxious are
rarely slothful in any typical sense. It’s more that we tend to be
undisciplined, or somehow otherwise unwilling to see our anxiety for what it is
— a habit of mind. To the argument that anxiety is not a habit but an
affliction, I’d respond that the two are not mutually exclusive. Anxiety may
come on like an affliction, but it persists due to habit. Or, to put this
another way, just because you are afflicted with a mental disorder doesn’t mean
that you can’t apply your conscious will to mitigating that disorder. Even if
you use medication, as I do, to coax your nervous system in a more salutary
direction, your will — your determination to act in a way that is counter to
your nature — still factors in. Indeed, I am convinced it is essential
to recovery.
This isn’t to say that being
willful is easy. Anxious thoughts — the what-if’s, the should-have-been’s,
the never-will-be’s — are dramatic thoughts. They are compelling
thoughts. They are thoughts that have no compunction about seizing you by your
lapels and shouting, “Listen to me! Believe me!” So we listen, and
believe, without realizing that by doing so we are stepping onto a closed loop,
a set of mental tracks that circle endlessly and get us nowhere. This makes the
anxious habit very hard to break. Over time those mental tracks deepen and
become hardened ruts. Our thoughts slip into grooves of illogic, hypervigilance
and catastrophe.
My own mind, I am fairly
certain, will always gravitate toward anxiety. And like many, I will often be
disinclined to do anything about it. The reasons for this are no doubt complex
and myriad. But it is certain that anxiety is exhausting and demoralizing: in
many cases, as you listen to your anxious thoughts you get tired and apathetic.
You get depressed. And that hopelessness, inaction and despair can
become a sort of cocoon, a protective layer between you and the high-pitched
terror of it all, and maybe, over time, even a painful and perverse comfort.
But that doesn’t mean — and
here is the good news — that there is nothing we can do about anxiety. Indeed,
there is plenty a person can do. The promising thing about a habit is that it
is not the same thing as a fate. An alcoholic, we are told, is always an
alcoholic — but not every alcoholic drinks. Similarly, an anxious person will
always be at risk of anxiety, but he needn’t be troubled by it on a daily
basis. He can avoid his own tendencies. He can elude his own habit.
To accomplish this, however, he
has to work, and work hard. He has to fight — every day of his life, if he’s
got it bad — to build new patterns of thought, so that his mind doesn’t fall
into the old set of grooves. He has to dig new tracks and keep digging.
As for what that digging
entails, I have my preferences. Over the course of my anxious life, I have
found two reliable methods to keep my anxiety at bay: Zen meditation and
cognitive-behavior therapy. Both methods teach, in their own fashion, that
one’s thoughts are not to be taken as the gospel truth; both foster mindfulness
and mental discipline. But you will likely have your own favored methods. You
might find yoga, or exercise, or therapeutic breathing, or prayer are what work
best for you. I’m not sure it matters what a person chooses — so long as he
chooses and keeps choosing. So long as he remains dogged. Anything else, as my
brother might say, is idiocy.
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*The New York Times / Opinion Pages / Opinionator / Anxiety - August 11, 2012