Guide · anxiety · 3 min read
Why anxiety shows up in your body first, when you are waiting for something
Racing heart, tight chest, churning stomach. Understanding the mechanism makes the symptoms less frightening.
Start here
Six things, in the order that makes the most difference. The first two do most of the work.
Waiting is dead time you can spend on this instead.
If you only do one thing from this page, do the first point below. It is first because it removes the most friction for the least effort.
What helps
The symptoms usually peak within ten minutes and then fall, even if nothing is done. Knowing that the peak is short helps more than it sounds.
The physical symptoms come from the same system that gets you out of the way of a car. It is fast, physical and not very smart.
Because the system is physical, physical things work on it: slow exhales, cold water, walking, moving your shoulders.
What to do when it does not work
Checking your body for symptoms increases your sensitivity to them. This is why health anxiety tends to escalate.
Your heart rate rises, breathing speeds up and blood moves to your muscles. That is why your hands go cold and your chest feels tight.
The symptoms are uncomfortable but not dangerous. Chest tightness from anxiety does not damage the heart.
Questions people ask
How do I know it is anxiety and not my heart?
That is a question for a doctor, and one worth asking once. After it has been checked, treating new sensations as anxiety is usually correct.
Should I avoid the situations that trigger it?
Avoidance works in the short term and shrinks your world in the long term. This is the pattern CBT is designed to break.
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