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Anxiety: A Symptom Made Into a Disorder

Anxiety: A Symptom Made Into a Disorder

Anxiety is a state of mental and emotional uneasiness, distress, dread, apprehension, and discomfort often associated with various physical symptoms, such as insomnia, loss of appetite, “butterflies in the stomach,” nausea, diarrhea, sweating, tremors, racing heart or palpitations, light-headedness, decreased focus, and more.

Some have defined anxiety as the tension, apprehension, or uneasiness from an unknown threat and defined fear as the dread, apprehension, or fright of an identifiable threat.

While I don’t disagree that such a differentiation can be made between anxiety and fear, in my view, this misses the point entirely and may even lead to confusion.

Anxiety and/or fear are emotional signals that activate various neural pathways of alarm, alertness, and bodily defense, such as increased heart rate and blood pressure, moving blood away from digestive organs to the muscles to either “fight” or “flight” and activation of immune response. All of these bodily responses are a result of the brain activating its “fear” circuit and sending the “danger” signal to the body that there is a threat, whether real or imagined, and the body responds to that signal with a cascade of adrenalin, inflammation, glucocorticoids, and activation of other systems.

The point is that physiologically and neurologically, the impact on a person is the same whenever one activates their stress circuitry, whether from real or imaginary threats or unknown ones.

This system of alarm and stress response can be adaptive and healthy in the face of a real-world crisis (house on fire, child drowning, being chased by an enemy), causing one to respond quickly and with appropriate intensity to flee or overcome the danger, which then results in the alarm system turning off and the stress response calming down. But this same system, if chronically activated, becomes harmful and damages the body, causing an increased risk of adult-onset diabetes mellitus, obesity, metabolic syndrome, depression, dementia, and other problems.

Because so many people have chronic anxiety (struggling with chronic activation of their alarm system), various “anxiety disorders” have been identified (created) by the professional psychiatric community. Such diagnoses as Generalized Anxiety Disorder, Panic Disorder, Social Phobia, Post Traumatic Stress Disorder (PTSD), and others are differentiated by various criteria.

While this was done to assist psychiatrists and other mental health professionals in categorizing and differentiating the types of anxiety and, thereby, individualize treatment with the goal of better outcomes, the unforeseen result has been turning symptoms into disorders, and the creation of disorders has caused the beliefs of people to shift such that rather than seeking to resolve the cause of the anxiety symptoms, patients all too often pursue treatment of “disorders,” which means symptom relief. In other words, people with chronic anxiety come to believe their anxiety is no longer a symptom of a problem but is the problem. This has resulted in perpetuating chronic anxiety, obstructing healing, and creating a class of patients who become dependent upon pharmaceuticals or other ongoing “treatments” to manage symptoms rather than actions that would resolve the cause and restore a patient to wellness.

 

A Disorder or A Symptom?

I want to propose a shift in our thinking that understands anxiety not as a disorder but, rather, always as a symptom of something else. Anxiety functions for the mind as physical pain functions for the body. If one experiences physical pain in the body—say, they have a dental cavity—they do not think, “Oh, I have a pain disorder. All I need is pain meds.” No, whenever a person experiences physical pain, they may take pain meds, but they also think, “What is wrong? What is the cause? And how can I resolve it?”

Physical pain functions to both alert us that something is wrong, often harmful, and simultaneously motivate us to act. The greater the pain, the more intense the motivation to act. Anxiety serves the exact same purpose; it alerts us that something is wrong and simultaneously motivates us to act, to address the cause, to remove or resolve what is wrong. And the greater the anxiety, the stronger we are motivated to do something to resolve it. Unfortunately, rather than seeking to address the cause, all too often people merely seek symptom relief.

Anxiety can come from many causes, sometimes physical, but often psychological, relational, or spiritual. Physical causes include things like hyperthyroidism or hypoxia (low blood oxygen, so it feels like one is suffocating) from any cause (lung disease, sleep apnea, drowning). Anxiety in these situations can be overwhelming to the point of panic, but such individuals do not have anxiety disorders; the anxiety is normal—it is the healthy response to drowning or suffocating, designed to alert the person to take immediate action to oxygenate. If a drowning person gets their head above water, the anxiety remits.

But sadly, because anxiety most often comes from non-physical causes, the most common response is to seek symptom relief rather than resolving the cause. People will turn to alcohol, other drugs, relationships, animals (support dogs or cats), comfort food, distractions (gaming, TV, entertainment), pornography, religiosity, cutting, pharmaceuticals, Eastern meditation, and many other forms of self-soothing, all intended to cause the anxiety feelings to go away but without actually identifying its source and resolving the cause.

 

Unintended Consequences

The healthiest approach to anxiety is to realize it is always a symptom of something that is not right, designed to alert us and motivate us to address the source of the anxiety—anxiety is never the problem in and of itself! If we fail to recognize this and falsely believe that anxiety symptoms are a disorder in and of itself, then we formulate an identity upon this, solidify into our understanding that the symptom is a disorder, and we stop pursuing the cause, which allows the cause to fester and worsen. This would be like having a cavity and experiencing dental pain and concluding one has a pain disorder, getting on pain medications, but never filling the cavity. Yes, for a time one might feel better, but the cavity would slowly get worse and, eventually, as the tooth decays, the meds stop working and, if infection sets in, overall health worsens.

This is the problem with much of modern psychiatry, the unintended consequence of turning symptoms into disorders; promoting the belief that the symptom is a disorder results in both patients and practitioners focusing on relieving symptoms rather than resolving the cause of the symptoms.

So, what are the causes of anxiety other than physical ones?

  • Existential anxiety—fears related to one’s existence, purpose, future, and identity, such as a loss of meaning, a fear of death, disability, purposelessness, etc.
  • Relational—grief, fear of abandonment, isolation, loneliness, fear of rejection, not experiencing healthy connection and love, etc.
  • Psychological—distorted sense of self, internalized negative patterns of thinking and processing, unreasonably self-critical or other-critical, etc.
  • Spiritual—ongoing unresolved guilt, shame, uncertainty about self, internal condemnation (belief that one is too sinful to be saved), hyper-religiosity, fear of judgment, judgmental toward others, etc.
  • Situational—being overwhelmed with real-world responsibilities and not having the resources to keep up or meet objective duties or needs—a single mother with limited income working two jobs and falling behind in bills, etc.
  • Unresolved trauma that can impact all of the above, existential concerns, relationships, negative internalizations about self and others, unresolved spiritual concerns, whether guilt or distrust or anger at God, and various situational stressors.

PTSD is an anxiety disorder that is caused not simply by exposure to trauma, but also by the inability to process the trauma and come to a resolution of it. It is not primarily driven by neurobiological changes but by changes in beliefs, perspectives, and understanding—which causes the subsequent neurobiological changes. In other words, the trauma has caused a change in one’s way of thinking and perceiving life, self, and others that is incongruent with one’s self, is unacceptable, undermines their sense of well-being, security, faith, or identity, and those changes in beliefs cause changes in the brain, activating the stress response with subsequent negative physiological and psychological cascades.

The traumatized individual finds themselves unable to incorporate the trauma experience into an internalized self-story that they are at peace with; thus, they continue to resist accepting what has transpired and avoid working through the emotional trauma because it is too painful and to resolve it requires some change in their pre-trauma understanding.

But because the unresolved traumatic experiences have not been worked through and the individual has not come to an internal understanding that they can live with, be at peace with, or experience acceptance, this state causes internal emotional conflict, where the mind basically says, “This is not right,” but because it is not being actively worked through, it gets pushed away from the conscience mind. And because it is not right, the mind keeps bringing it up to the self in various forms—dreams, intrusive thoughts, flashbacks, etc., as a means of saying, “Stop ignoring this; it hurts; deal with it; let’s heal!”

However, because it is painful and because the trauma survivor doesn’t know how to process it, doesn’t know how to make sense of things, they will often seek to avoid the anxiety and suffer the symptoms of PTSD.

This anxiety is not a disorder; it is a symptom of an unresolved emotional, psychological, or spiritual wound that needs healing—just like a person with an unhealed physical injury will feel ongoing pain (and anything that touches the wound causes flashes of worsening pain) but does not have a pain disorder; they have actual wounds that need healing. This is what happens to people with unhealed traumas.

Recently, a veteran told me that his community of veterans has rejected the label Post Traumatic Stress Disorder and referred to their struggles as Post Traumatic Stress Injury. I couldn’t agree more! Trauma causes injuries to hearts and minds, wounds that, if unhealed, cause symptoms, which are alerting us that there are wounds in need of healing.

If you or someone you love struggles with anxiety, recognize that the symptoms are designed to alert you that something is wrong. Don’t fall into the trap of pursuing only symptom relief; instead, step back and begin pursuing what is actually wrong, what is causing the anxiety, and then pursue resolving, healing, and removing the cause. If you find, like many, that you only know you are anxious all the time but don’t know why, then I encourage you to pursue competent, professional Christian mental health assistance to help you identify the underlying cause and work on its resolution.


If someone you know is struggling with anxiety that interferes with function and self-help resources are not enough or professional treatment hasn’t led to the improvement they would like, you can let them know about Honey Lake Clinic (HLC), where I serve as the medical director of the adult program. HLC is a holistic, Christian mental-health residential treatment program that seeks to identify and resolve the various causes of anxiety—whether biological, psychological, relational, or spiritual. We are here to help!

 

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I have been watching you for many years and have learned to love God with all my heart. I was raised by a loving Christian mother that had been lied to about who God really was, so our religious upbringing was hell fire and damnation. As soon as I was old enough and moved out, I not only left the church, I ran as fast as I could to get away from it. Sad to say, it wasn’t until the past couple of years that I learned and understand who my Father really is and how much He loves me. I understand God’s Design Laws (which make sense) and when I’m teaching my church Bible study class, I’m able to really put to use the things I’ve been learning and Holy Spirit is leading. Thank you for introducing me to my Father of true, pure love. Everyday with Him is new and exciting. One thing that breaks my heart is that I didn’t know Him sooner. God Bless you and your ministry!

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I grew up in a prominent protestant church and had what I like to call religious anxiety. I’ve always had questions about God and Salvation that no one could seem to answer.  I didn’t know how to find resolution. During 2020, at the height of my anxiety, I fell to my knees and begged God to show me truth and light and to give me the hope that I’ve been longing for. Days later, I stumbled upon your online videos and it was like a veil was lifted and EVERYTHING made sense! For the first time in my almost 39 years of life, my religious/spiritual anxiety has lessened. I feel a sense of freedom and peace I’ve NEVER had before… and it’s all because my view of God has changed. Thank you!

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I just want to say thank you so much for your conversations via YouTube. I regularly tune in to your lectures, “Let’s Talk” sessions, and many others. Through these I’ve found greater depth and meaning to God’s word. Thanks for all that you do and please continue. I’m currently working in the middle of Silicon Valley at Stanford University. I feel like God really has me in the right place right now and I’m sensing that your teachings might be part of it.

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I would like to express my thanks to the C&R team for creating a platform from which people can learn to trust in God and grow. My life is a witness to the effectiveness of this ministry. Without believing the truth about God as you have shown, I don’t know what my life would be like. I had given up on God helping me with certain sins – it was all useless. Given that the scripture is clear and God is so good, how could I have betrayed him so many times? I was a yo-yo christian; spinning up and down. My faith and enthusiasm was driven by discoveries/threats that prophecy is about to be fulfilled. But when I watched your “Healing the Mind” seminar, it was like a light finally went on. I could see God had no plan to hurt me, the danger came from sin, and that He is working to protect me and strengthen me. Thank you for allowing God to use you. The message God gave C&R saved my life!

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Thank you and may God continue to bless you as you share with others the intricacies of how we are all “fearfully and wonderfully made”. I must share that you have opened a whole new world to me, and I have found tremendous healing through what you have shared in two of your books, “Could It Be This Simple?” and “The God Shaped Brain.” I praise God for what you shared, what I have learned, and how I have grown and healed! My prayer is that My Precious Jesus will be seen by others in the way I live, act, talk, etc. and they may be encouraged to know He is truly a GREAT God of LOVE, desiring that no one should perish! God Bless you in your continued endeavors to present Him as He really is!

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Testimony 38

Since November 2015, when I started studying Gods word from this God Is Love point of view, my life has been transformed. My troubled marriage of 15 years has been healed and my husband and I are truly happy for the first time in 15 years. Now When I read the word of God I understand it so much better and I can’t help but see Gods love radiating through the pages to humanity. Gods word is living and active and I am blessed beyond measure to be having this amazing experience. God has given me a beautiful understanding of Jn 3:16 that amazes me more and more each day. Thank you again for your ministry.

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Nancy S.

 

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God bless you so much and your ministry.

Michael A., Ghana

 

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I have been really blessed reading your response to the various questions on your site.

K.C., OH, USA

 

Testimony 53

I was so blessed by a friend who gave me your book, “The God Shaped Brain,” while I was sitting in church asking God to please help me learn more about Him and help me not to be so confused and scared. That was about 2 years ago. Your books have helped me to love God even more. I’m not confused or scared anymore! I have listened to all of your bible study classes and feel like I know the wonderful people that attend every week. Thank you for all that you’re doing in spreading the true message about God and His law of love. God bless you and your whole class.

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