This week, I speak with one of my dearest blogging friends, Dr. D!
We discuss all things anxiety. She explains the difference between anxiety disorder and situational anxiety.
Dr. Dinardo provides 3 strategies to help us cope with situational anxiety, especially because it may be heightened during the pandemic and times of racial unrest.
The most common question people ask when they discover I’m a retired psychologist is – “Is This Normal?“
This question is a significant motivator for creating this psychology blog in the first place.
Because too often people suffer because of lack of understanding versus a diagnosable medical condition.
differential diagnosis · the process of differentiating between two or more conditions which share similar signs or symptoms.
Case Study
Two people present with similar symptoms (e.g., rapid heart beat, excessive worrying, difficulty concentrating) with vastly different causes.
On closer inspection
One person’s symptoms is caused by lack of sleep, excessive caffeine consumption, and a recent breakup.
While the other person’s symptoms is caused by a mental illness, as diagnosed by a registered psychologist, using the Diagnostic and Statistical Manual of Mental Disorders (DSM-5).
One improves with time and lifestyle changes, while the other requires more intensive psychological intervention.
Education Empowers Everyone
This is why it’s my life mission to share psychology everywhere, all the time.
The goal is to discover if angry thoughts, actions, or emotions are serving a purpose.
Is anger helping or hurting?
Why Anger?
Perhaps anger allows someone to speak up, say no, set a boundary, or bond with friends.
And if this is the case, the goal of psychology coaching is to help clients replace confrontations (for example) with more effective communication patterns.
PSYCHOLOGY HOMEWORK
Anger → Awareness
First: Set aside time to journal thoughts and emotions about “hot topics”. This allows for a cooling off period and a chance for self reflection and integration.
Second: Plan a mutually beneficial time to discuss anger triggers and solutions with friends and family.
This 2-step communication technique results in safe, open, and engaging conversations that move both relationships and actions forward. Win Win!
Reflection Questions
What Purpose Does Anger Serve in Your Life? Gains versus Losses?
Does It Strengthen or Deplete You?
Does Anger Move You Further Away from Your Dreams or Closer to Your Dreams?
What In Your Life Needs To Change?
Do You Need More Effective Ways of Coping with Frustration and/or Loss?
Once you understand the underlying purpose anger serves in your life, you’re ready for the next stage in the change process:
Like all eyes are on you and every potential error you make?
Everyone experiences this phenomenon from time to time, especially when trying out something for the first time.
Think back to the first time you gave a dinner party, swung a golf club, wrote a college exam, or posted your first blog online.
Social Anxiety and Heightened Experiences
Individuals with social anxiety experience this sense of being watched (and thought about) significantly more than the average person.
Independent of skills and expertise.
Why is this the case?
The Imaginary Audience
One potential explanation is a psychological phenomenon called imaginary audience experienced frequently in adolescence.
A concept first introduced by social psychologists David Elkind and Erik Erikson in the 1960’s.
Think back to how easily embarrassed you were as a teenager.
If you wore the “wrong shirt” to school, it felt like everyone was gossiping about you and your entire social life would end as a result.
Resulting in perpetual self-consciousness, distorted views of how others saw you, causing in a tendency to conform for fear of sticking out.
Limiting your freedom to express outside the norm for fear of collective banishment and reprisal.
What does the research say?
Using the Imaginary Audience Scale as a Measure of Social Anxiety in Young Adults
Two studies explored imaginary audience phenomenon among college students.
Imaginary audience behavior was found to be related to measures of social anxiety, self perception, and personality.
Furthermore, imaginary audience scores were more strongly related to anxiety than abstract reasoning.
These results suggest that imaginary audience experiences that persist into early adulthood have more to do with social anxiety than with cognitive development.
The next time you imagine you are being watched, talked about, or judged by others, remember that imaginary audience IS AN ILLUSION heightened by social media, physiology (eg., lack of sleep), and overthinking.
When in truth, people are so focused on themselves (and their phones), that there is a 99% chance that no one cares what you are up to or how you are performing.
This is a very good thing!
CARPE DIEM
Today’s Freedom Mantra
Live like nobody’s watching. Love like nobody’s watching. Succeed like nobody’s watching. Fail like nobody’s watching. Write like nobody’s watching!
That said, it’s easy to get lost in a spiral of negativity — What’s wrong? Who’s to blame? Why did this happen to me? Leaving little time in the day for appreciation, wonder, and fun.
Go to bed visualizing three new things you’re grateful for that day.
Joy needs room to breathe.
And so do you.
Engagement
Remember when you were a kid playing with friends, and before you knew it the street lights came on? If it wasn’t for your mom yelling your name, you would be outside playing all night long. In that moment, you were in a state of flow.
You were completely engaged in what you were doing, independent of everything around you.
Your mom could have called your name for hours, and you wouldn’t have heard a word.
One hundred percent of your attentional capacity was taken up by the activity right in front of you.
Most likely you still experience a state of flow and engagement, but not as often as you like.
Engagement and flow are important for mental health. When you’re completely absorbed by a task, your mind has no capacity left over for distressing thoughts and emotions.
Relationships
Social support is an important buffer for life’s challenges.
That said, not all associations are created equal. Some relationships, unfortunately, lead to a deterioration in mental health.
Consider the following when you spend time with people:
Do you feel uplifted or drained?
Do you feel listened to or ignored?
Do you feel encouraged or criticized?
Stay close to people who feel like sunshine.
Meaning
Meaning comes from serving something bigger than ourselves.
Whether it be family, charity, occupation, or community, meaning unites us in a common vision and gives us the will to get through adversity.
Students Are My North Star
That said, meaning can appear elusive to some, so why not consider one purpose each day.
Begin with a typical workday. Choose one purpose, and do something to give meaning to that purpose.
I’ve listed a few options, as well as an example for each:
Pick one person — thank a custodian for their hard work.
Pick one place — post uplifting notes and quotes on a section of the wall.
Pick one time — declare 3 pm gratitude hour.
Achievement
Achievement is the final component of the PERMA model, and, in many ways, its foundation. Goals give us a sense of achievement and satisfaction, helping us to know if we are headed in the right direction.
The key is to balance our drive and determination with the right level of difficulty. If we set a goal that’s too easy, we get bored. If it’s too hard, we experience learned helplessness.
The solution?
Set daily goals that are achievable and tied into your highest dreams.
In Conclusion
Cultivating mental health daily prepares us for the big things in our life. Every little bit counts, everything adds up. Small things on repeat change the world.
Specifically, when I teach the concept of “Differential Diagnosis” using the STATE versus TRAIT anxiety distinction.
STATE 🆚 TRAIT ANXIETY
Misdiagnosis
People often believe they have generalized anxiety or panic disorder, when in fact, what they are experiencing is an acute reaction to a short-lived, stressful circumstance.
Differential Diagnosis
For example, STATE anxiety involves temporary and situational symptoms to stress inducing events (public speaking, midterms, first dates) universal to all of us.
In contrast, TRAIT anxiety has more lasting, debilitating, and pervasive symptoms (eg., impacts all aspects of an individual’s life) independent of external events.
Psychology on Campus
For additional insights into the diagnostic process, including how I teach this concept in the liberal arts program, check out my latest video:
Reflection Questions
1. How is understanding the state 🆚 trait distinction applicable and/or helpful in your daily life?
2. Have you ever jumped to the conclusion about yourself or someone else regarding a diagnosis, only to discover later that the condition was temporary?
3. What psychology topics and ideas would you like to learn more about?
The audience was filled a very special group of people. Individuals that have been battling the chronic condition of Inflammatory bowel disease (IBD) their whole lives.
Inflammatory bowel disease (IBD) describes a group of conditions, the two main forms of which are Crohn’s disease and ulcerative colitis. IBD also includes indeterminate colitis.
Crohn’s disease and ulcerative colitis are diseases that inflame the lining of the GI (gastrointestinal) tract and disrupt your body’s ability to digest food, absorb nutrition, and eliminate waste in a healthy manner.
Individuals with chronic health problems such as IBD often feel a sense of helplessness and disempowerment over their bodies.
Which is why teaching concrete strategies for focusing on what’s within one’s control (beliefs and attitudes; deep breathing; present moment awareness) and letting go of what’s not (waiting times; IBD diagnosis; doctor availability) is so important.
Believing you can is half the battle.
Optimism Research
Research in health psychology shows that optimism and having hope in one’s future has a significant impact on whether patients follow through on medical advice.
Optimism has also been found to improve the overall quality of life, well-being, and happiness of cancer patients.
Click Here for Research on Health, Hope, and Optimism
“Hope changes everything. It transforms pessimism into optimism. It changes winter into summer, darkness into dawn, descent into ascent, barrenness into creativity, agony into joy.” Daisaku Ikeda
Optimism Can Be Learned
The good news is that optimism is a skill that can be learned!
Optimism / pessimism are not fixed personality traits that someone is lucky (or unlucky) enough to be born with.
Optimism / pessimism are states (not traits) that are malleable and open to change.
Optimism / pessimism are attributional styles that can be taught and reinforced over time.
Using Attribution Theory, I can tell a lot about someone by the way they interpret the events that happen in their lives, particularly the explanatory style they use in analyzing setbacks versus successes.
The pessimist perceives failures as personal, permanent, and pervasive, and thus has difficulty moving beyond setbacks. They often get lost in a recurrent loop of negativity.
In contrast, optimists see setbacks as universal. to everyone, temporary in time, and limited to one or two areas of their lives.
