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The Many Faces of Anxiety

Anxiety is often seen as a collective ball. An all-encompassing state of being that you either have or don’t have.

But in reality, there are various forms of anxiety that one could struggle with (and they are not all optimally treated by the same therapeutic approaches as the other).

Let’s start with what’s commonly known as Generalized Anxiety Disorder (GAD). GAD is the most common form of anxiety where people feel psychologically, mentally, emotionally, and/or physiologically anxious (from mild to severe). It can be difficult to calm your thoughts, there may be incessant worries, rigidities, avoidances, rumination, and physically feeling like it’s difficult to sit still. It can cause hyperventilation, or otherwise feel a sensation that you are carrying more energy than your body can handle and are not sure how to get rid of it.

Another type of anxiety is Separation Anxiety. This particular form of anxiety actually can reach into other types of anxiety. For example, many people who experience separation anxiety can experience GAD as well, but it is not one and the same. Or, interestingly, I have found that many people who struggle with fear of flying actually can also struggle with separation anxiety. This isn’t 100% across the board, but it’s enough to notice the trend. People often experience separation anxiety without fully realizing that’s what it is. While separation anxiety generally originates developmentally early in childhood, it can be further exacerbated into adulthood by continuous exposure to narcissistic parents and caretakers, growing up.

With a narcissistic parent(s), it can become difficult to feel a fully empowered sense of self, instead growing up treated as an extension of the narcissistic parent. When parents tell you there is one way to live life, and that their way is the way life “is done”, they’re essentially raising you to be little versions of themselves. They control your upbringing and life in their vision of it, rather than allowing you to shape your own. Self-actualization can become scary because the unconscious feeling is that without this parent, you can’t exist as a separate self. You learn to need them to guide you and can’t fully trust your own judgment in decision-making in life. It can be very complicated to detach from narcissistic parents when you feel helpless to guide yourself. This form of separation anxiety is often experienced the most in adulthood with co-dependent intimate relationships, and a difficulty individuating, relying on a heavy dependency on the parents (or the partner as a stand-in for the parent). As painful as these relationships can be at times, they can still be quite difficult to detach from or create effective boundaries.

Then there is also anxiety related to intimacy. This is another one that impacts people in creating relationships and friendships, but they may not realize that’s what the problem is. Anxiety with intimacy can happen for an array of reasons, but generally, it’s linked to a greater fear of being hurt, left or abandoned, shamed, or being vulnerable and sitting with a lack of emotional control in the relationship. This can create a dynamic of being arm’s distance in relationships. You may feel like you want to be closer and have the intimacy, but whenever those opportunities present themselves to create intimacy, the safer route is taken to hold back. The reaction is generally unconscious and you likely may not even be aware you’re doing it in the moment. This can end up leading to feeling less fulfilled in relationships and friendships, or also finding it difficult to commit in a relationship.

The above are just some short explanations of some common anxieties. They are each quite complicated in nature and tend to take much more than a paragraph to fully understand how these anxieties develop. Other anxieties can include anxiety related to sex, social anxiety, test-taking anxiety, dating or relationship anxiety, anxiety or fear of conflict or confrontation, commitment anxiety, fear of ending up destitute or being fired, fear of flying, fear of being alone, and others. These anxieties can all exist in their own right, and can develop from different places for each person.

In my practice, I specialize in working with the many faces of anxiety. It’s possible to struggle with just one, or more than one type of anxiety at a time. Generalized Anxiety is often present along side of other anxieties, but this actually isn’t always the case. And just because someone struggles with GAD doesn’t necessarily mean they struggle in the other areas too. What’s notable here is that while the term “anxiety” is often used as a catch-all for a collection of symptoms, in reality, the various types of anxieties do not all originate from the same place or impact the same life situations, even if they can result in some similar forms of physiological and emotional experiences at times (and they can also result in very different symptoms and responses as well).

It sometimes can take a bit of exploration and reflection to understand where a deeper form of anxiety is coming from. It’s not necessary to figure it all out by yourself, and it’s important to take the necessary time to understand the particular form of anxiety that you are struggling with. People often come to me describing previous anxiety therapies they have had, only to find that they were being treated as if their anxiety was GAD simply because the manifesting symptoms were similar to those seen with GAD. When treating one form of anxiety as if it’s another, it’s more likely that the anxiety will either return or keep recurring.

 

 

 

 

 

 

The Many Faces of Anxiety


Nathan Feiles, MSW, LCSW-R

Nathan Feiles is a psychotherapist in private practice in New York City. He also provides online coaching nationally and internationally. In his practice, Nathan specializes in anxiety issues, relationship struggles, commitment issues, fear of flying (specialized method), decision-making, creative blocks, depression, and migraines. For more information about Nathan Feiles’s work, including a complete list of services, please visit his website at http://www.nathanfeiles.com

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APA Reference
Feiles, N. (2019). The Many Faces of Anxiety. Psych Central. Retrieved on September 21, 2019, from https://blogs.psychcentral.com/relationships-balance/2019/05/04/the-many-faces-of-anxiety/

 

Last updated: 4 May 2019
Statement of review: Psych Central does not review the content that appears in our blog network (blogs.psychcentral.com) prior to publication. All opinions expressed herein are exclusively those of the author alone, and do not reflect the views of the editorial staff or management of Psych Central. Published on PsychCentral.com. All rights reserved.