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Article

Calming Those Racing Thoughts and Anxiety

Thursday, December 21st 2023 10:00am 4 min read
Dr. Jessica Peatross dr.jess.md @drjessmd

Hospitalist & top functional MD who gets to the root cause. Stealth infection & environmental toxicity keynote speaker.

At times, everyone’s mind seems to go into overdrive. Thoughts may either spin in a constant loop, akin to a hamster incessantly running in its wheel, or they might jump erratically from one unrelated topic to another, reminiscent of a pinball game.

Such thought patterns are commonly labeled as “racing thoughts,” with anxiety being a primary trigger. Those grappling with racing thoughts consistently fret about tasks pending, tasks overlooked, and what lies ahead.  They might dwell excessively on situations from the past, present, or what the future might hold. This could manifest as replaying varied versions of a past conversation, incessantly mulling over an impending work evaluation or medical check-up, or stressing about far-fetched catastrophic events.

When overwhelmed by these racing thoughts, maintaining concentration becomes a challenge. It leads to a feeling of entrapment, exacerbating anxiety and stress, perpetuating a vicious circle.

Intervening in the vicious cycle of anxiety and racing thoughts

So, how does one interrupt this cycle and prevent racing thoughts from dominating one’s mind? Consider these five approaches:

1. Self-acceptance: The anxiety of experiencing racing thoughts often aggravates the condition itself. Accept these thoughts. Recognize them as mere mental disturbances, which are natural occurrences. Recognizing these thoughts merely as background noise gives a sense of empowerment. When perceived in the right perspective, these thoughts become less daunting and more manageable.

2. Mindfulness: Adopting mindfulness can aid in reshaping your thought processes. For example, focus on your breathing rhythm. With eyes shut, count your breaths: one for inhaling, two for exhaling, and so on. After reaching ten, restart the counting. Employ this technique especially before bedtime, a common time for the mind to wander. Make it a habit even during calm moments to perfect it for stressful times.

3. Distraction: Sometimes, diverting your attention helps. Upon catching yourself sinking into repetitive thoughts, internally remark, ‘Oh, it’s that endless chain of thoughts again’. Subsequently, engage in a different activity, such as reading, enjoying music, or chatting with a friend.

4. Physical activity: While it may seem cliché, staying active can be a genuine antidote for anxiety. If racing thoughts plague you, engage in simple exercises like a few push-ups, jumping jacks, a brief stroll, or even some house chores. Activities like these not only disrupt the thought cycle but also offer a new focal point for the mind. Incorporating regular workouts, in addition to these brief activities, can further help in alleviating stress and anxiety.

5. Allocate time for concerns: Occasionally, it’s beneficial to let thoughts flow freely to avoid them lingering. Dedicate specific intervals for this. When overwhelmed by anxious thoughts, acknowledge them and decide to address them during your designated “worry time.” Use this time to pen down or vocalize your concerns, even exploring the most daunting possibilities. Confront your anxieties directly during these sessions, ensuring they don’t encroach upon your daily routine However, set a cap, such as 10 or 20 minutes, after which you proceed with your day.

The Detrimental Health Impacts of Anxiety

Anxiety is more than just an occasional feeling of worry or fear. When these feelings become constant, overwhelming, and interfere with daily activities, they can manifest into an anxiety disorder. Beyond the emotional toll, chronic anxiety can have profound physical consequences. Here are some ways in which sustained anxiety can harm health:

  1. Cardiovascular Impact: Chronic anxiety has been linked to various heart-related issues including increased heart rate, elevated blood pressure, and a higher risk of coronary events. Over time, these can lead to a higher likelihood of heart disease.
  2. Immune System Suppression: Continuous stress and anxiety can weaken the immune system, making the body more susceptible to infections. Moreover, a weakened immune response can delay recovery from illness.
  3. Gastrointestinal Problems: Anxiety can disrupt the digestive system leading to symptoms like nausea, stomach cramps, constipation, diarrhea, and indigestion. Conditions such as irritable bowel syndrome (IBS) have also been linked to anxiety.
  4. Respiratory Issues: Those with anxiety disorders might experience rapid breathing or shortness of breath. Over time, this can exacerbate conditions in individuals with chronic respiratory disorders, such as COPD or asthma.
  5. Cognitive Impact: Chronic anxiety can interfere with concentration, memory, and decision-making abilities. This not only impacts daily tasks and productivity but can strain interpersonal relationships and decrease overall quality of life.
  6. Sleep Disruption: Anxiety often leads to insomnia or disrupted sleep patterns. Sleep is vital for the body’s repair and recovery processes. A lack of quality sleep can lead to a range of health issues, from weakened immunity to increased risk of chronic diseases.
  7. Weight Fluctuations: Anxiety can impact appetite, leading either to a loss of appetite and subsequent weight loss or to overeating as a form of coping, resulting in weight gain. Both can have additional health implications, from malnutrition to obesity-related conditions.
  8. Muscular Tension: Continuous anxiety can cause muscle tension and stiffness, which can lead to headaches or migraines, back pain, and general body aches.
  9. Hormonal Imbalance: Chronic anxiety can lead to an overproduction of stress hormones like cortisol. Elevated cortisol levels over extended periods can result in a host of problems including weight gain, decreased bone density, and a higher risk of chronic disease.
  10. Mental Health Impact: Aside from generalized anxiety disorder, prolonged anxiety can increase the risk of other mental health disorders like depression. It can also lead to heightened feelings of irritability, restlessness, and even feelings of hopelessness.
  11. Substance Abuse: Some individuals might turn to alcohol, drugs, or other substances as a way to self-medicate or escape from their anxiety, leading to substance abuse or addiction.

Recognizing the potential health hazards of chronic anxiety is the first step towards seeking help and management. It’s essential to consult with healthcare professionals to explore therapeutic options, whether they be counseling, medication, lifestyle changes, or a combination of approaches.

Final thoughts

If racing thoughts begin to dictate your daily life or disrupt your sleep, seek guidance from a healthcare professional or therapist. Persistent racing thoughts might indicate underlying conditions like anxiety disorders, ADHD, OCD, trauma, or other mental health challenges that warrant attention.

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