Part 1: Decoding Anxiety - Understanding the Silent Struggle

In conversations with patients—or even in personal encounters—it's not uncommon to hear people reject the idea that they’re experiencing anxiety. Responses like, “I don’t have anxiety; I’m just stressed,” or “I’m just worried,” are common. Sometimes, when I ask questions like, “What is the fear telling you?” or “How do you feel unsafe?” the reply might be, “I’m not afraid; I’m just nervous. ” This confusion stems from a variety of reasons. One contributing factor is the stigma surrounding mental health, which can create a bias against acknowledging anxiety. Additionally, I often encounter situations where someone resists labeling their feelings as anxiety because of comparisons to others. For instance, a patient might downplay their fear of social situations—characterized by sweaty palms, increased body temperature, and shallow breathing—by calling it “nerves.” This distinction allows them to separate their experience from that of a loved one who suffers from intense anxiety or pan...