Psychologists help anxious teens put their worries to good use
A pounding heart. Tense muscles. Sweat-beaded forehead. The sight of a coiled snake or a deep chasm might trigger such stress responses. These physical reactions signal that the body is prepared to deal with a life-threatening situation.
Many people, however, respond this way to things that cannot actually hurt them. Sitting down to take a test, for example, or walking into a party won’t kill you. Still, these kinds of situations can trigger a stress response that’s every bit as real as those provoked by, say, staring down a lion. What’s more, some people can experience such reactions simply by thinking about non-threatening events.
The uneasiness we feel when we think about, anticipate or plan for non-threatening events is called anxiety. Everyone experiences some anxiety. It’s perfectly normal to feel butterflies in your belly before standing up in front of the class. For some people, however, anxiety can become so overwhelming, they start to skip school or stop going out with friends. They even can become physically ill.
The good news: Anxiety experts have a number of techniques to help people control such overwhelming feelings. Even better, new research suggests that viewing stress as beneficial not only can reduce anxious feelings, but also help us to improve our performance on challenging tasks.
Why we worry
Anxiety is related to fear. Fear is the emotion we feel when we are faced with something dangerous, whether real or not. Information from any of the five senses — or even just our imagination — can trigger fear, explains Debra Hope. She is a psychologist who specializes in anxiety at the University of Nebraska in Lincoln.
Fear is what kept our ancestors alive when a rustle in the bushes turned out to be a lion. Talk about a useful emotion! Without fear, we wouldn’t even be here today. That is because as soon as the brain detects danger, it starts a cascade of chemical reactions, Hope explains. Nerve cells, also known as neurons, start signaling to each other. The brain releases hormones — chemicals that regulate bodily activities. These particular hormones ready the body to either fight or flee. That’s the evolutionary purpose of the stress response.
That fight-or-flight response is how the body prepares to deal with the threat at hand. And it triggers some major changes in physiology, or how the body functions. For instance, blood is shunted away from the fingers, toes and digestive system. That blood then rushes to large muscles in the arms and legs. There, the blood provides the oxygen and nutrients needed to sustain a fight or to beat a hasty retreat.
Sometimes we don’t know if a threat is real. For example, that rustle in the bushes might just be a breeze. Regardless, our bodies don’t take chances. It’s much more prudent to get ready to confront or to flee a perceived threat than to assume all is well and do nothing. Our ancestors survived precisely because they did react, even when threats sometimes didn’t turn out to be real. As a result, evolution has primed us to be hyper-responsive to certain situations. That tendency to react to things means that our bodies are doing their jobs. That’s a good thing.
The flip side of the coin, however, is that we can experience fear even when there’s nothing to be afraid of. In fact, this often happens before a triggering event even occurs. This is called anxiety. Think of fear as a response to something as it is happening. Anxiety, on the other hand, comes with the anticipation of something that may (or may not) happen.
Whether fearful or anxious, the body responds similarly, explains Hope. We become more alert. Our muscles tense. Our hearts beat faster. In a real life-threatening situation, we would either run away or stand and fight. Anxiety, however, is all about anticipation. There is no actual fight or flight to release us from the strange things happening inside our bodies. So the hormones and brain-signaling compounds (neurotransmitters) that our bodies release don’t get cleared away.
That ongoing response can lead to lightheadedness, as our brains are denied the oxygen that’s been sent to our muscles. These reactions also can lead to a stomachache, as our food sits, undigested, in our bellies. And for some, anxiety can lead to a paralyzing inability to deal with life’s stresses.
Reducing a mountain to a molehill
People suffering from overwhelming feelings of anxiety have what’s called an anxiety disorder. This broad term includes seven different types. The three disorders that most often affect kids and teens are separation anxiety, social anxiety and obsessive-compulsive disorder, or OCD.
Separation anxiety most commonly occurs in elementary-aged kids. That makes sense. This is when many children first leave behind their parents and head off to school for much of the day. By high school, social anxiety — which centers on being accepted by others — may take over. This can include worries about saying and doing the right things, dressing the right way, or otherwise behaving in an “acceptable” manner.
OCD is a two-part behavior. Obsessions are unwanted thoughts that keep coming back. Compulsions are actions performed over and over to try to make those obsessive thoughts go away. Someone who washes his hands for five minutes after touching anything that might have germs would have OCD. This condition tends to first emerge around age 9 (although it may not appear until closer to 19).
If you see yourself in this story, take heart: 10 to 12 percent of all kids experience anxiety disorders, says Lynn Miller. She is a psychologist specializing in anxiety disorders at Canada’s University of British Columbia, in Vancouver. If that percentage comes as a surprise, that’s probably because kids with anxiety disorders tend to be people-pleasers, Miller says. They also don’t willingly share their worries with others. The good news: Those kids often have above-average intelligence. They anticipate the future and work hard toward goals. They also tap into their natural tendency to scan the environment and search for danger, Miller explains. That is what causes them to make mountains out of molehills.
Miller works with kids of all ages to help them deal with overwhelming feelings of anxiety. She teaches those children how to deal with such feelings. Even if you don’t suffer from an anxiety disorder, keep reading. We all can benefit from a bit more calm in our lives, Miller says.
She recommends starting by breathing deeply and relaxing your muscles, group by group. Deep breathing restores oxygen to the brain. This allows the brain to clear the neurotransmitters that were released when the body turned on its stress response. That lets you think clearly again. At the same time, focusing on relaxation helps unclench muscles poised to fight or flee. This can prevent muscle cramps, headaches and even stomachaches.
Now figure out what triggered your uneasiness in the first place. Once you’ve identified its source, you can work on changing negative thoughts into more productive ones. Thinking it will be okay if an assignment isn’t done perfectly, for example, can help overcome fears of not doing well enough (which might otherwise lead to doing nothing at all).
Miller also recommends facing fears in small doses. Someone afraid of public speaking, for example, should prepare for a class presentation by first practicing in front of a mirror. Then in front of the family pet. Then a trusted family member, and so on. By gradually increasing our exposure to a situation that sparks anxiety, we can train our brains to recognize the situation as non-threatening.
Finally, know when triggers are most likely to pop up. For many students, Sunday night is tough, with a whole new week of school to face the next morning. During such times, it is particularly important to use breathing and relaxation techniques, Miller says.
Coping techniques can help overcome the anxiety created by a stressful situation. What’s more: Changing how we look at stress might actually help our bodies, minds and behavior.
Alia Crum is a psychologist at Stanford University in Palo Alto, Calif. Stress is typically viewed as unhealthy, she says. That’s because we have been taught that stress causes all kinds of physical problems, ranging from high blood pressure to depression.
But stress isn’t necessarily bad, Crum says. In fact, the stress response comes with some benefits. It allows us to ignore distractions so that we can focus on the task at hand. We even can exhibit greater-than-normal strength. The physiological response to a life-threatening situation has allowed people to lift cars in order to free people trapped underneath.
Crum’s research suggests that our bodies respond to stressful situations the way we expect them to. If we think stress is bad, we suffer. If we think stress can be a good thing — that it can actually enhance, or improve, our performance — we tend to rise to the challenge. In other words, what Crum calls mindset — our belief about a situation — matters.
To find out how mindset influences stress levels, Crum studied a group of college students. She started by having them answer a questionnaire to determine their stress mindset early in the class. The questions asked if they believed stress should be avoided. Or whether they felt stress helped them learn.
On a later date, the students swiped the insides of their mouths with cotton swabs to collect saliva. Saliva contains a stress hormone called cortisol. This hormone floods the body when the fight-or-flight response kicks in. The swabs allowed Crum to measure each student’s level of stress.
Then came the stressor: Students were asked to prepare a presentation. The class was told that five people would be selected to give their presentations to the rest of the class. Because many people find public speaking extremely stressful, this triggered a stress response in the students. During the class, students again swabbed their mouths to collect cortisol. They also were asked whether they would want feedback on their performance, should they be among the five chosen to present.
In the end, students who had a stress-is-enhancing mindset (based on the results of the questionnaire they had answered earlier) showed a shift in cortisol levels. Cortisol went up in students who didn’t have much to begin with. It went down in students who had a lot. Both changes put the students at a “peak” level of stress, explains Crum. That is, the students were stressed enough to help them perform better, but not so much that it put them into fight-or-flight mode. Students who had a stress-is-debilitating mindset did not experience such cortisol changes. The stress-is-enhancing students also were most likely to ask for feedback — a behavior that further improves performance.
How can people shift into a stress-is-enhancing mindset? Start by recognizing that stress can be useful. “We only stress about what we care about,” Crum says. She points out that achieving goals necessarily involves stressful moments. If we know that stress is coming, then we can see it for what it is: part of the process of growth and accomplishment.
anxiety Uneasiness, worry and apprehension. Anxiety can be a normal reaction to upcoming events or uncertain outcomes. People who experience overwhelming feelings of anxiety have what is known as an anxiety disorder. Such individuals may even develop panic attacks.
behavior The way a person or other organism acts towards others, or conducts itself.
chasm A great or deep gulf or fissure in the ground, such as a crevasse, gorge or breach. Or anything (or any event or situation) that would seem to present a struggle in your attempt to cross to the other side.
cortisol A stress hormone that helps release glucose into the blood in preparation for the fight or flight response.
depression A mental illness characterized by persistent sadness and apathy. Although these feelings can be triggered by events, such as the death of a loved one or the move to a new city, that isn’t typically considered an “illness” — unless the symptoms are prolonged and harm an individual’s ability to perform normal daily tasks (such as working, sleeping or interacting with others). People suffering from depression often feel they lack the energy needed to get anything done. They may have difficulty concentrating on things or showing an interest in normal events. Many times, these feelings seem to be triggered by nothing; they can appear out of nowhere.
evolutionary An adjective that refers to changes that occur within a species over time as it adapts to its environment. Such evolutionary changes usually reflect genetic variation and natural selection, which leave a new type of organism better suited for its environment than its ancestors. The newer type is not necessarily more “advanced,” just better adapted to the conditions in which it developed.
fight-or-flight response The body’s response to a threat, either real or imagined. During the fight-or-flight response, digestion shuts down as the body prepares to deal with the threat (fight) or to run away from it (flight).
high blood pressure The common term for a medical condition known as hypertension. It puts a strain on blood vessels and the heart.
hormone (in zoology and medicine) A chemical produced in a gland and then carried in the bloodstream to another part of the body. Hormones control many important body activities, such as growth. Hormones act by triggering or regulating chemical reactions in the body.
mindset In psychology, the belief about and attitude toward a situation that influences behavior. For instance, holding a mindset that stress may be beneficial can help improve performance under pressure.
neuron or nerve cell Any of the impulse-conducting cells that make up the brain, spinal column and nervous system. These specialized cells transmit information to other neurons in the form of electrical signals.
neurotransmitter A chemical substance that is released at the end of a nerve fiber. It transfers an impulse to another nerve, a muscle cell or some other structure.
obsession A focus on certain thoughts, almost against your will. This intense focus can distract someone from the issues that he or she should be addressing.
obsessive-compulsive disorder Best known by its acronym, OCD, this mental disorder involves obsessive thoughts and compulsive behavior. For example, someone who obsesses about germs might compulsively wash his hands or refuse to touch things like doorknobs.
physical (adj.) A term for things that exist in the real world, as opposed to in memories or the imagination.
physiology The branch of biology that deals with the everyday functions of living organisms and how their parts function.
psychology The study of the human mind, especially in relation to actions and behavior. Scientists and mental-health professionals who work in this field are known as psychologists.
questionnaire A list of identical questions administered to a group of people to collect related information on each of them. The questions may be delivered by voice, online or in writing. Questionnaires may elicit opinions, health information (like sleep times, weight or items in the last day’s meals), descriptions of daily habits (how much exercise you get or how much TV do you watch) and demographic data (such as age, ethnic background, income and political affiliation).
separation anxiety Feelings of unease and fear that develop when someone (usually a child) becomes separated from his or her family or other trusted people.
social anxiety Feelings of apprehension caused by social situations. People with this disorder may be so worried about interacting with others that they withdraw from social events altogether.
stress (in biology) A factor, such as unusual temperatures, moisture or pollution, that affects the health of a species or ecosystem.