Worry and Anxiety in Depression: Anxiety May Try to Help, But Then it Hurts: What Should You Do?

Anxiety is a normal human feeling.

Anxiety is what you feel when you are faced with uncertainty. When you do not know what is going on or what you should do about it, you react with a feeling of anxiety.

What makes anxiety pass? Resolving the ambiguity. Figuring it out. What’s happening or what to do about it. Then the feeling is gone, and you are relieved. You may still have work to do or a problem that needs to be fixed, but the anxiety about it is finished.

When people suffer from depression they often also feel anxiety and spend too much time worrying, which increases their depression. The parts of their brain that are involved in that normal reaction to ambiguity are working overtime. And the thinking brain, low on energy due to depression, cannot stop that worry train. When they worry too much and can’t exert enough control, then the feeling of anxiety persists beyond any situation that includes some uncertainty. In fact, the anxious feeling can be present before any uncertainty. Then it creates the nagging sense in your gut that something is wrong, so your helpful brain, the one that wants an explanation for every feeling you have, goes on a search to figure out what might be the source of that anxiety.

Because the natural response to anxiety is to try and figure out what to do, you may start to think over all the possible reasons you could feel worried, and you will inevitably find one. When you are depressed your brain generates too many negative thoughts and cannot effectively shove them aside. You can get stuck in a loop of worrying one worry after another. However, because real problems are not the reason you have the sensation of anxiety, you either think and rethink in an effort to get relief or you move on to yet another worry. Thus: rumination and “serial worrying”, hallmarks of anxiety fuel depression.

There is a lot you can do about this. You can use your brain to change your brain. Here are 2 ideas to start out:

1. If it is a real problem, you will not fail to notice it: In your “thinking brain” you can assess if the problem you are worrying about is a real problem. If it is not a real problem (perhaps just a potential problem) you can decide “not to believe everything you think”. This is a conscious, determined choice to disbelieve the sensation of anxiety that feels so real. In its place you put an intentional more positive thought: You are competent to know when you have problems that need attention. Then you move your thoughts along to something more positive.

2. Stop and Interrupt: You will also have to use your thinking brain to stop and interrupt the worrying. As they say in the 12 Step programs, this process is simple, but it isn’t easy. You must plan what you prefer to think about on a daily basis and then when the unnecessary worry pipes up, you stop, interrupt yourself, and replace it with the preferred thought. The hard part is doing this every time an anxious feeling creeps in or a worry pops into your head.

There are many ways to use your brain to change the brain. Learning various methods and putting them into place starts a process that is the first step to lifelong change. You might need some outside help to achieve this persistence in the face of such distress, but controlling anxiety is doable over time. As you get more control of anxiety, your depression will diminish too.

Margaret Wehrenberg, Ph.D.
Author of The 10 Best-Ever Anxiety Management Techniques and The 10 Best-Ever Depression Management Techniques

Are Lawyers More Prone to Stress/Depression?

“A ‘work/life’ balance isn’t possible anymore. It’s really become a concept of ‘work/life blend’ because with technology people now carry their work around with them on their iphone/ipads so its difficult to shut off.” Read the Blog

Leaving BigLaw to Ease Depression

I have depression, at times severe, and high anxiety.

Things were worse when I was in private practice and did not like my job. Keeping track of my time in 6-minute increments was stressful.  I hated marketing, even though I was good at it; because I am more of an introvert, I engaged in a lot of non-genuine behavior.  That’s never a good idea because after awhile, you sort of lose track of yourself.

Since I did not like two-thirds of my job, motivation was a problem.  And, with lack of motivation the depression increased, of course, and the occasional “sick” day popped up, or I would come to work late but then work into the night, thereby perpetuating an unhealthy lifestyle (eating fast food, etc.).  I just got sick of myself.

One morning I thought, by the end of this year I need to be out of this law firm.  I decided I needed a job that I felt mattered.  Whether that was with a not-for-profit organization or something else, I didn’t know.  Fortuitously, a judge I had clerked for after law school called me, and I returned to working for him as a law clerk.  I thought I would only stay one year, but it became three.  The hours were much more manageable, I started taking better care of myself, and I felt my job mattered. I essentially hit the pause button in my career.

I was extremely worried when I went back to clerking because all future employers would think it was odd and ask about it (and they have).  But it did not derail my career, I think because I became more confident in my choices, and more genuine. After three years of clerking, I returned to private practice, but rather than represent employers in labor and employment cases, I switched and represented employees.

Ninety-nine percent of lawyers in the labor and employment law field do not switch.  I’ve never regretted it.  The power structure between employees and employers is so one-sided it was easy to feel like what I was doing mattered, particularly when dealing with an employee who had a family and had been fired. My hours were sometimes just as long, but it felt different because I was enjoying myself.  The billing didn’t stress me and I didn’t have to market to unions; that’s not how it works in that arena.  I was right to pick a job that did not involve marketing — I’m actually good at it, but it stresses me out.

For personal reasons, I had to give up my job as a union attorney but the criteria, in looking for a new job, remained the same — it had to be a job where I would feel like what I do matters to me.  I landed an awesome job with the federal government and now feel like I have the best job in the world.

I didn’t realize until later in life that not everyone has a hard time getting out of bed, nor am I lazy, but I’ve finally found the right mix of meds and have been in therapy.

While I still have depression, I’ve become much more assertive about my health as I’ve gotten older, and much less ashamed about my depression.  A few years ago I had to do an outpatient program for 5 weeks, where I worked only half a day.  But I presented the situation to my boss as something I needed to do to make myself healthy.  I also started and stayed in therapy; that has not been an easy task for a few reasons, one of which is because we, as lawyers, are always busy.  I also have modified my type-A personality.  When I am writing a brief, letter, memorandum, etc., I tell myself, sometimes good enough is just fine.  That has helped with the depression because this saying causes me to relax and reminds me of what is important in life.

beth picsMy journey has been difficult at times and during the midst of it, I had the idea of painting a motivational saying on a 3×3″ canvas.  Now I do it for others, and they find it equally as helpful and comforting. I do it because I want you to know a fellow sufferer cares.  If you would like me to make one for you, email your saying to me at bluesyart.gmail.com, along with an address to send it to. Your saying can only be 3-4 words b/c of the size of the canvas.   It’s all free — I find it so rewarding to make these for others.

By Anonymous

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