The Bio-Psycho-Social Model of Anxiety - What Causes Anxiety Disorders? Break the Anxiety Cycle 8/30
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Why are some people much more anxious than others? And what causes anxiety disorders? What makes some people feel anxious when they’re actually safe?
Well the cause of an anxiety disorder is actually quite complicated. It’s not a disease with a single origin. There are a lot of factors that go into play. In this video we’ll talk about how the bio-psycho-social model applies to understanding anxiety.
We’ve already talked about the psychology behind anxiety, but there are some biological factors and even social factors that impact anxiety.
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Therapy in a Nutshell and the information provided by Emma McAdam are solely intended for informational and entertainment purposes and are not a substitute for advice, diagnosis, or treatment regarding medical or mental health conditions. Although Emma McAdam is a licensed marriage and family therapist, the views expressed on this site or any related content should not be taken for medical or psychiatric advice. Always consult your physician before making any decisions related to your physical or mental health.
In therapy I use a combination of Acceptance and Commitment Therapy, Systems Theory, positive psychology, and a bio-psycho-social approach to treating mental illness and other challenges we all face in life. The ideas from my videos are frequently adapted from multiple sources. Many of them come from Acceptance and Commitment Therapy, especially the work of Steven Hayes, Jason Luoma, and Russ Harris. The sections on stress and the mind-body connection derive from the work of Stephen Porges (the Polyvagal theory), Peter Levine (Somatic Experiencing) Francine Shapiro (EMDR), and Bessel Van Der Kolk. I also rely heavily on the work of the Arbinger institute for my overall understanding of our ability to choose our life's direction.
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I’ve been trying to write this comment for the past 25 mins because I want to make sure you understand precisely what I wanna say - the content you’re putting out is having a huge tangible impact in the real world. As you publish and share your wisdom and knowledge through this platform, you’re causing massive ripples of change through our everyday interactions. I cannot thank you enough for all your work and effort! Excited to see what else is in store for you!
AMEN. This anxiety series played a major role in my recovery, it was like the last puzzle piece I needed. I just came out of a 7 month long extremely deep and disturbing complex depression, anxiety, etc….It was so bad that coming out of it made me feel like an giddy untouchable warrior, so bad that I genuinely believe ANYBODY can recover period. That’s not to say I don’t experience anxiety anymore, I absolutely still do and I feel it right now, but it’s a change of perspective that weakens anxiety overtime rather than trying to never feel anxiety again. You just end up feeding the cycle with that mindset. If you’re reading this, Jesus loves you and never give up!!!!
"If you can learn it, you can un-learn it." Good stuff, as always, Emma!
I watch you everyday. I am 31 with a wife and young daughter and I suffer from severe anxiety and obsessive compulsive disorder and have since I was 9. I have gone through phases of no hope, helpless and feeling that I want to end my life. Your videos have kept me here, they have put hope and promise back into my heart and soul and I thank you for this.
I see depression as worrying about the past & anxiety is worry about the future. What MAY happen. Usually, the things that we're so anxious about, never happen. When I have anxiety I say the mantra I am safe, I am loved, I am loving.
For the last 12 years, I've felt extreme anxiety around strangers, to the point where I don’t leave my house for months. You have brought new light into what may be the defining cause. Thank you.
I quit caffeine 8 weeks ago. Never felt and slept better.
Diet 90% factor in anxiety. I had anxiety my whole life now age 34 i healed ghe daily anxiety i never thought was possible. Whole foods plant based is the answer
One thing you taught me that helped me tremendously is asking 'Am I really in danger right now?' This question always decreases my anxiety level. Thank you so much making these videos. As someone who cannot afford weekly therapy sessions, I rely on your videos and you hepl me a lot with my journey. Lots of love to you❤
But sometimes i answer to that question "yes i am" when faced with a confrontation. Even though my life isnt in real danger at that moment, i cant stop to make my heart beats slower😢 as if my social identity is my real self
It took me a while to realize caffeine was impacting my brain a lot, spiking anxiety. Even when I wasn't having anxious thoughts, too much coffee was sending signals that were impacting that fight-flight-or-freeze response. I'm caffeine sensitive I was told. So, things like cutting out caffeine to a large extent, practicing daily mindfulness meditation (using a book called 30 Days to Reduce Anxiety by Harper Daniels), increasing exercise intensity a lot, and watching my sugar intake has helped a lot.
YES, cutting out all caffeine and cacao was tough but so worth it in my case. Still working on the sugar part.
I had undiagnosed hyperthyroidism for 3 years. Once it was properly treated i was 75% improved. But i still had a fear response to the great anxiety that i was experiencing from having hyperthyroidism. It had become dysfuctional. So to get a hold of it i started an ssri Escitalopram and im so so much better. 😊
@@VeganTroveI've had a semi thyroidectomy which I'm sure is contributing to hypothyroidism. Every time I do the test it comes back "normal". I'm sure it's not right as the physical symptoms are very pronounced. This definitely contributes to my anxiety, as I feel like my body is disregulating regularly, which has caused a lot of unhealthy rumination and body checking. I would say since my operation I've slowly developed an anxiety disorder which was not there before which is now self perpetuating, despite my daily battle to drop the rope and ride out waves of physical and mental disregulation. This channel is very empowering, but feels like I'm treating the symptoms and am being gas lit by drs everytime my thyroid function test comes back "normal".
Emma, you are AMAZING! I have been struggling with anxiety, depression, chronic pain, etc. for years now and one of the most effective things that has helped is you and your videos! Please keep posting these videos as you are truly helping (and healing) so many people. We need more people like you on the planet! THANK YOU!
"if you learned it, you can unlearn it"-----wow. Thank you. I had not thought about that, but it is soooo true!
Like deprograming ourselves, pretty cool.
There are also studies which show that mediation, like cbt approach, decreases amygdala in size. And there are even studies which show meditation to be as effective as antidepressants.
0:12: 💡 The video discusses the complex factors that contribute to anxiety disorders and how the bioc psychosocial model can help understand them. 3:30: 🧠 Anxiety can be influenced by internal signals and chemical differences, and is a natural part of neurodiversity. 6:30: 🧠 Our thoughts and actions can either keep us anxious or help us become more resilient and less anxious. 9:48: ! The video discusses the biopsychosocial model and its impact on anxiety and trauma. 13:20: ✅ The video discusses the different factors that contribute to mental health and the various options to improve it. Recap by Tammy AI
That stuff about past events “making” us anxious straight up unlocked an early childhood memory for me that I had suppressed for years and now I think was probably a pretty major instigating event for my own anxiety and hyper vigilance. Like you said it’s reinforced by maladaptive coping strategies, but I think that was the moment when I was so embarrassed and everyone in the room was laughing at me HARD and I felt so much shame and panic that I just shut down and resolved to never ever let that happen again by allowing myself to feel safe or act in particular ways. Feels good to have a better understanding of that at least and my mind is a lot more comfortable tackling a problem it can understand.
Every day I believe the world is getting worse, complete madness with seemingly very few sane people left, it's difficult to be optimistic at the moment. I love myself its not me
Yes true
I’ve watched a LOT of content about anxiety over the years. Emma’s is the best. Easy to understand, well delivered and relatable. Not to mention her soothing voice. Thank you Emma! 🙏🏼🙏🏼🙏🏼🙏🏼🙏🏼🙏🏼
Both Nature and Nurture for me. Have begun Lexapro to deal.
Your videos are not only useful for laymen but also to budding psychologists. You are making the change that you dreamt to help people. Many many Kudos from India ❤
Me and my broken insula and overweight amygdala ❤
I'm very aware of my physical symptoms. When I was young, I got water in my ear and I freaked out. I thought I was going to go deaf and went into my room and started crying
Informative Video! Family issues always give me anxiety. All the drama puts me into anxiety mode so bad I just want to disconnect from all of them. There are days I don’t check my computer or phone to get a break. I love them but really don’t want to know everything about their life! Anxiety is very difficult to live with day in and day out!!
I am completely stumped. I've had panic disorder for 20+ years. I've been learning tools, thanks to you. So we went to the beach for a week. I came home soooo relaxed. I felt great. The first night back, massive attack out of the blue. It was so bad a thought it was a cardiac event. So now I'm in the resetting stage. My question is WHY? Why did my body do this when I was actually relaxed??
That's actually very typical!!! Some sort of "one last counter reaction while adjusting to a more relaxed state". Let it pass and keep going. I know it can be hard, I've been there.
The first event that created the panic disorder has been stored in your system all that time. When you had the huge feeling of a panic attack, that was the stored stressor being released from your system, your body felt safe enough to release the stored stress in that moment. It helps to learn about trauma/ stored stress being released as it’s not something we are taught in western culture and it should be, so as we can understand what is happening in the moment and let it be felt rather than pushed deeper. Irene Lyon on KZhead specialises in the nervous system and is very informative. My daughter had 3 huge panic attacks over a few days and I was able to due to trauma education handle them differently with her, those I believe were the trauma being released. She’s been free of panic attacks since. 💖
For me it is usually when suppressed emotion comes to the surface. Whenever I get panic attacks there is anger and grief from my childhood coming up.
I get the same thing and someone said to me that maybe it’s because my “ norm” has become constant high level anxiety that once I started to relax my brain felt the abnormal calm state was the threat but I agree with the first comment, you tell your brain it’s all good and this is what you actually want to have more of.
I got so excited to see a new episode of the series was out
This made me feel really bad about having anxiety I did not give to myself. I didn't choose my dysfunctional parents, nor did I know what to do about it. I just kept going because I had no choices. Its not my fault! 😢
Unfortunately, the reality is that you have to take ownership of things that aren’t your fault to work toward resolving them. Otherwise, your only option is to just cry about your situation and stay in it. I know it’s hard, but it’s better than being helpless in your suffering.
It shouldn’t. The point of this video is to say there is hope. You can do something to help your anxiety
I love this video, and I especially relate to the part where you mentioned the folate deficiency leading to increased risk of anxiety - aka, a physical condition makes it harder to deal with your anxiety in a healthy way. I have suffered from bad airborne allergies my whole life (I have a stuffy nose all year round, 24/7, and OTC meds don't do much for me), but I was raised in an environment that was against medical treatment and medical intervention, so I suffered through it for many years and rarely got a good night's sleep because I couldn't breathe through my nose at night. I also have a lot of anxiety. But when I finally went to the doctor and got good allergy meds, I was able to sleep better at night, which gave me the energy to start healing my anxiety.
Fantastic video. Thank you, Emma.
This is the best video I’ve ever seen on anxiety. Thank you!
This was fantastic. Thank you
This video was such a blessing! Thank you Emma!
thank you, i'll be rewatching this one
This was so helpful as always, thank you!
Such a good video, Emma. Really appreciate all you do.
Emma, you are the best as usual! Thank you for these videos! 💜
Huge thanks Emma for this excellent video. 💖
Your videos have been so helpful for me! Sometimes I am ready to sit down watch your videos and tackle my inner pain and other times I distract myself while listening. Either way I am working so hard to get better. Thanks Emma!
So helpful, thank you ❤.
Great video 👍 Thank you, Emma
Always something new to learn from you Emma Gratitude 🎉
I just love how you analyze and talk about mental health. Take love Emma ❤
Thank you for your videos. I learned how to face my mind generated fears.
Emma finding you channel has been a Blessing! I love the way you talk about anxiety and depression because I feel like do you it from the point of view of hope! Whenever I feel like I need to calm down or reassurance about my progress I look for your videos, thank you so much for every video you have made! They are truly a blessing.
Thank you thank you thank you. I want to show this video to everyone that ever saw me and tried to love me.
I love the fact that your explaining this. I myself am a very anxiety ridden person and I often get asked why are you anxious and I often ask myself that and a lot of time there nothing in that moment that scares me i now for a fact its genetic thing but my anxiety definitely more severe then anyone in my family. I really appreciate you keep doing what your doing 👍👍💙
I just binge watched a lot of your videos and find your practical tips, your loving and warm personality and exactly pinpointing my struggles so helpful and inspiring that I wanted to ask if you happened to do online therapy and if yes, if you had any open slots anytime soon. Thank you for everything you’re doing, you’re awesome!!
Thank you again, Emma!
Great! You’re a beautiful soul ❤. I really needed this video now.
You have such a gift for explaining ideas in an accessible way. Thank you
Thank you for this video and for the hope you provide to so many! When I was very depressed several years ago, learning that there were simple things I could do, little steps I could take from different angles (like what you talk about here) that could help me start to feel better, even a little at a time, was so helpful. It brought me hope and motivation to try. Thanks for sharing that message. I'm excited to see your video about highly sensitive people!
Thank you Emma.
Appreciate your content tremendously, thank you for your work 🙌🙏
This has been really helpful. I went through a bad bout of having shutdowns due to my autism and my anxiety has been almost unmanageable since then. I really hope I can learn to feel my anxiety and make healthy decisions about my sensory overload without just running away. Thanks for putting this out there
Thank you for these videos. Another "tool" in my tool belt to help me understand and try to build a better life 🙏
Great video! ❤ I’m in therapy for PTSD and anxiety, and your videos give me great insight as well.
I really like all Emma’s Videos, they are very helpful and reach so many people
The psychological chapter is amazing. I wrote down about entirely what you said there.
Love your videos! You are a great teacher! I hope you will talk about how to deal with panic attacks.
Love it! This is my favorite of this series so far. The bio-psycho-social model makes so much sense and this is the first time I've heard of the insula part of the brain. I have definitely had an overactive insula, constantly scanning my body for uncomfortable and anxious sensations!
Thanks Emma. Be gentle with yourself. Good advice
I am quite an anxious person and over a time I have developed health anxiety too. There is a reason for this as I was suffering from panic attacks and dizziness over a longer period of time. Now feeling disoriented is more of everyday experience and I have adapted to this. I can't exercise because exercise makes symptoms worse. I just want to live a normal life and treat my anxiety disorders .
Wonderful wonderful words of wisdom!! Thank you. ❤
Hello! I'm from Brazil and I'm really enjoying reading, listening and watching you. This content has helped me a lot to deal with my anxiety. In addition to being useful for taking care of my mind, this is useful for improving my reading and listening in English. I read your blog posts, look up words and expressions that I don't know in the dictionary, after understanding the written content, I listen to the podcast or watch the video. I noticed that the post from day 8 of the course is missing from the blog. If you can post it, I will be very happy. Thank you very much! 😊
Thank you, Emma.👍
Loved this video! I am engaged in trauma informed learning and it is helping my brain rewire - am getting results as I can access more . I have severe trauma form past experiences and anxiety . Thank you for the explanations on anxiety-brain relations, and especially on neurodiversity. I became lost easily as a young child , so am re-learning directions, writing directions down and using a compass! Thank you Emma 💐
Yes, it was so helpful! I have anxiety and I am on medication for it and have dealt with a lot of guilt over it. Thankfully, I discovered a 12 step program for an eating problem and that has been a huge help. Improving my mindset. Thank you for addressing the MTHFR factor, which I just discovered my daughter and grandson have, and I am the likely parent who carries it. So that was extremely interesting to me. Thanks again for sharing your insight.😊
Couple things from recent videos really helped: 1. Video that had advice on dealing with anxiety something about Accept, Avoid, Run... helpful help think through my response to emotions and situations. 2. In your videos where you talk about anxiety being normal for survival. Now when i feel anxiety kicking in i tell myself the situation or emotion is not literally a bear chasing me so calm down remind myself I'm safe Sincerely your videos help so many, thanks!
These vedios are so helpful, thanks.
great video!
Thats another brilliant talk. You know your worth your weight in gold.... Thank you so much. Retrain your brain everyone, we can do it, instead of suffering, we can think it away. WE are in control people and our Spirit is in charge. I tell myself off when i get fearful, it works.
Tysm my dear Emma❤
😢 Anxiety and panic is pretty much my life 24/7, I don't know how much more of it I can take 😭
It's tough. 😢Make sure and get some blood work done and see if you can figure out what's causing it. For me it's usually adrenal exhaustion, or thyroid is off. Find a good functional medicine doctor. It's a heavy load.
I feel for you, I was there, too.😢 IF it resonates, maybe try if eating mostly protein and fat for breakfast helps. Cutting out gluten grains (I basically switched to white rice with tamari sauce) CAN help, too. I am very sensitive to many grains. Lowering intake of caffeine and sugar will most likely help as well. Light exercise if possible. Also, knowing that it feels like a nightmare, but it's not dangerous to your body. ❤
Ive suffered from anxiety too It's like I'm constantly having an internal battle. I'm always second guessing myself and worrying about the future. It's like I'm stuck in a loop and I'm never able to break out of it. I used shame to help me get motivated. It's amazing what a difference this product has made in my mental health.
@@DarylDixxon Mine comes and goes in cycles, long and short cycles, sometimes months long but sometimes only days, it's weird when I'm going through an episode of anxiety it feels to me like that is how I have always felt and how I always will feel, but when I'm not having anxiety it's like I've never had anxiety and I can't really remember how it feels to have it....
Cardio exercise followed by an ice cold shower will help.
I have also found it very interesting that the weakened immune system makes a person prone to anxiety and paranoia
this is EXACTLY ahat I have ! and what I am dealing with right now - weakened immune system.
@@JacquiQ If you've ever had to take a bout of antibiotics that completely destroys the microbiome you have to work on restoring it look it up
@@JacquiQ If you're not familiar, probiotics the makeup of the microbiome, and prebiotics feed the probiotics
@@JacquiQ in 2013 I was quite sick and I had to take antibiotics from April until September and I learned this the hard way
@@JacquiQ I was hospitalized in August of 2013 and I noticed that my whole psyche had changed and I didn't recognize myself because I was angry and depressed. I looked up side effects of all the antibiotics they were giving me and they equaled the side effects of a low immune system or weak microbiome good gut bacteria. So I asked if they would prescribe me a probiotic pill, and they gave me some probiotic pills. Within 24 hours it was like taking a mind-altering substance I had reawakened and I was back at my own congenial sort of happy self. Even the doctors and nurses were able to see the difference because uncharacteristically I was quite cranky😉
Love you Emma. Would you do a video on perimenopause anxiety? X
you are so awesome, thank you
Good information.
I love you soo much. and i think the only thing i can do for you is to pray good luck emma keep it up GOD bless you❤❤
Thank you Emma😁🌹👍
Dear Emma, I have chosen to send many thanks from here - for all your videos. I am a poor man, so could not afford to consult a specialist. It is now up to me, how can I use the informations to make my psyche better. Greetings from a country far, far away. 🙂
Very helpful videos, my 16 y old son is having everything you said and I m watching your videos so I know how to help him, not very much about it on the web but very hard to see him like that
Gods I would be ecstatic to find out my constant exhaustion is a vitamin deficiency or inability to metabolize some vital mineral. That would be amazing, to have a cause!
Thank you thank you thank you
I think learned thought patterns are what produce an anxiety response in a given situation more than any supposed genetic cause. As far as it being hereditary it's just simply that kids learn to think like the people that raise them.
Tysm.
8:16: While trauma can initiate anxiety, our anxiety in the present moment is determined by our thoughts, perceptions and behaviours in the present moment. 12:55: If your learned it, you can un-learn it. 13:58: It is impossible to determine how much of your anxiety is caused by your genetics and/or your psychology, so the only thing to do is to be gentle to yourself; be compassionate with yourself. 14:46: Accept what you can’t change; change what you can. 14:56: 95% of people experience some anxiety on a regular basis - it is NORMAL.
Interesting before I saw this video I was looking up is American conservatism based on paranoia and anxiety. Generally the answer is yes
excellent
🙏 thank you
I also believe anxiety may be passed on to the fetus while in the womb if the mother is under a great deal of stress.
I believe this as well. My father died was my mother was pregnant with my sibling. And they are incredibly anxious while I'm not
Nah, I don’t think so. That’s like saying your oatmeal raisin cookies in the oven might come out of the oven with chocolate chips instead of raisins.
Everything that effects the mother effects the fetus. Cookies are inanimate objects.@@Pluralofvinylisvinyls
Obrigada pelas legendas em português!
Can you talk about FND and anxiety?
The normalization of anxiety across the spectrum of our society is a relatively new thing - it was very rare until the mass adoption of wireless-radiating devices like cellphones, wifi, cordless phones, baby monitors, blutooth, smartmeters, etc etc. Think back (if you are old enough to do so) to how you felt before these things became a dominant part of our lives. Just get away from all of it for a few days (or even several hours, and i mean with NO cellphone even on airplane mode - since blutooth & wifi are still enabled on most phones in airplane mode). Try it and see. You might not need those psychotropic anti-anxiety/depression drugs - or even a "shrink"!
Interesting, thanks. I might give it a try, although it's not easy anymore to find a place to stay without radiation. How far away should my cell phone be? I would like to bring it for emergencies but maybe switch it off and keep it in another room?? Not sure.
@Wesenskern : Good point. Well, first of all, aside from a rare bnb where they are willing to turn off the wifi and nobody else is there, including the owners, it is very difficult to find a commercial establishment that won't be irradiating you with numerous wireless devices, including their security system. Do you have a friend or relative with a cabin in the woods or at a deserted beach? Or a similar place you can camp or even sleep in your car? Second, as for your cellphone, if it is really totally off, it can be near you, though at times i have heard they can turn themselves back on (like for an emergency alert), so it is best if it is as far away from you as possible. Also, for insurance, bring some aluminum foil. You can wrap the phone in several layers of "tinfoil" to stop the signals. Also do that with any "smart"watch or better yet leave it at home. Most smartwatches cannot be turned off, and emit a strong signal from 3 times a second to every 3 seconds, depending on model. Another very important point: If you are far away from cell towers, your phone will ramp up it's signal to reach them, which causes a massive increase in radiation exposure - so it is a very bad idea to use a cellphone in a place where reception is poor, like when it shows only one or two bars. I am really happy to hear you are interested in trying an alternative approach. I myself do not have an anxiety problem - unless i am around wireless radiation. With close-range wireless stuff, i become quite overcome and incapacitated physically and mentally in all sorts of bad ways. So i live in a wireless-free refuge. If you have any other questions about the wireless issue, or would like some support about it and links to other resources, you are welcome to email me at insidejanhavi@ymail.com. Btw, i have a friend who started getting anxiety attacks once he had a cellphone - and for years this has been happening, with many trips to the emergency room - but he still carries and uses a cellphone and doesn't want to believe the phone has any connection with his attacks.
@@Wesenskern also, there is a somewhat delayed effect with wireless radiation for most of us - kind of like a sunburn, which you don't notice until later (that is one reason many people don't attribute their headaches, anxiety, insomnia, etc) to their wireless devices). So, when you go to a wireless refuge, your system will still be affected for at least several hours by all of the radiation you were exposed to before you got there - by your GPS, the celltowers on the highway, your phone in the car, etc. That is part of why the longer you can get away, the better. I notice most exposures right away to some degree - but my symptoms keep getting worse for about 2 hours after the exposure is over, and for a really bad exposure, it takes me 20 hours to fully recover. Anxiety and a feeling of inner agitation are usually my first symptoms.
Hi Emma! I'm loving your course and your videos have helped me a lot since the pandemic. I have a question I hope you may be able to help me find some clarity on: I have some injuries in my ribs and my neck - very nervy area - when they flare up the pain (according to my cardiologist) causes a bunch of cortisol to be dumped into my system and triggers palpitations. I'm not anxious in my head, but when my body flares up it causes panic attack symptoms. My nervous system is very oversensitised now so when i also get the slightest bit nervous, stressed or excited this also triggers racing heart and palpitations - things that prior to the injuries NEVER caused me anxiety - like seeing friends, or performing. In your course you say that consciously trying to soothe your body when it kicks off can backfire and train it to be worse - is this also the case for when things aren't tied to your thoughts/emotions? ie. when my injuries flare up. I'd rather not take anti-anxiety medication but i'm beginning to wonder if that might help my nervous system find its balance again so it can heal.Thanks!
Id love to have one of the shirts you are wearing
How do I stop having anxiety about having anxiety?😢🥺
BRAVO 👏🏻 👏🏻
I Love you.❤
Such amazing comprehensive education
had an episode this morning 😒
You're not alone. My anxiety is off the scales right now and a mess.❤❤
I have anixiety from childhood but i diagonsed with severe anxiety just 1year agoo
How do you fund out about genetic issues or digestive issues like that ?
What about the bigger picture like economic situation ?