Margaret Wehrenberg

Is It a Habit or Addiction? What Happens in Your Brain When You Start to Get Hooked

I have something to tell you,” Jolie said as she sat down in my office. “It’s really bad.” She went on to describe how she’d ruined a dinner with friends because she’d drunk two glasses of wine, gotten irrationally upset at something, and left before dinner was over. With a tone of mixed embarrassment and surprise, she remarked that she must have been drunk. But as I probed further, she admitted that she’d drunk “a little” before the dinner to take the edge off her day. And further probing revealed that her two glasses of wine at dinner were more like a bottle. As we talked more about when and how much she drinks, she began to acknowledge that her use of alcohol was starting to cause problems she’d been unwilling to see.

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10 Best Ways to Manage Your Anxiety

"I don't think I want to live if I have to go on feeling like this." I hear this remark all too often from anxiety sufferers. They say it matter-of-factly or dramatically, but they all feel the same way: if anxiety symptoms are going to rule their lives, then their lives don't seem worth living.

What is it about anxiety that's so horrific that otherwise high-functioning people are frantic to escape it?  The sensations of doom or dread or panic felt by sufferers are truly overwhelming--the very same sensations, in fact, that a person would feel if the worst really were happening. Too often, these, literally, dread-full, sickening sensations drive clients to the instant relief of medication, which is readily available and considered by many insurance companies to be the first line of treatment. And what good doctor would suggest skipping the meds when a suffering patient can get symptomatic relief quickly?

But what clients don't know when they start taking meds is the unacknowledged cost of relying solely on pills: they'll never learn some basic methods that can control or eliminate their symptoms without meds. They never develop the tools for managing the anxiety that, in all likelihood, will turn up again whenever they feel undue stress or go through significant life changes. What they should be told is that the right psychotherapy, which teaches them to control their own anxiety, will offer relief from anxiety in a matter of weeks--about the same amount of time it takes for an SSRI to become effective.

Of course, therapists know that eliminating symptomatology isn't the same as eliminating etiology. Underlying psychological causes or triggers for anxiety, such as those stemming from trauma, aren't the target of management techniques; they require longer-term psychotherapy. However, anxiety-management techniques can offer relief, and offer it very speedily.

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