Anxiety is a very generous word, so generous that it makes a
lot more sense in the plural, anxieties. This is because, like a large
umbrella, a load of elements can fit under it.
However, despite its multitude of disturbances and manifestations, anxiety can
be traced back to quite simple and predictable stress triggers. In its origins,
it is much more visceral and organic than people imagine.
A common trigger, for example, is hunger. You can lose hunger, overeat, stick
to a crash diet, all as a neurovegetative expression of stress.
Irritability is another trivial trigger. You are more easily irritated, frustrated,
and angry over nothing, cultivating an inner anger, sometimes silent, sometimes
explosive.
Loneliness is also an important trigger. It is a complex feeling that includes
inadequacy, weakened belonging, nostalgia for everything that has already happened and for
everything that cannot happen. It is a mood that can be thoughtful, rueful,
self-defeating, filled with neediness and dependence.
Fatigue, finally, is the most common of all triggers. You may notice this
mentally with impaired thinking, physically with exhaustion, overwork, and
worry. There is also cognitive fatigue, typical of those who need to make
successive, objective, and rational decisions at short intervals; and emotional
fatigue, typical of people who feel they are experiencing affective stagnation.
These triggers, converting from one into another, mark stress as the primary
cause of anxiety. You may be tired or bored and have an increased appetite or
become irritable. Likewise, you can lose your appetite when irritated or
grieved, feel tired after a frustrating day at work and so on.
From stress to anxiety disorder, there is a gradual aggravation of the
frequency and intensity of these triggers, often twisted by a first emotion
originating another secondary, irascible, lasting, and marked by anguish. A
panic attack, for example, is a symptom of anxiety rather than a simple stress
response.
Research shows that parental warmth shapes our worldview — how might acupuncture offer a reparative experience in adulthood?
It is becoming increasingly clear that our worldview — whether we perceive life as welcoming or hostile — is shaped far more by the emotional bonds of early childhood than by material hardship or environmental risk. A recent study, published in Child Development , revealed that an adult’s sense of safety, beauty, and benevolence in the world is deeply rooted in the warmth received from parental figures — more so than in their exposure to poverty or danger. This finding resonated with me on a personal level. Time and again, I encounter patients in clinical practice who, despite being outwardly successful and high-functioning, carry an abiding sense that the world is cold, fragmented, even threatening. In acupuncture sessions, it is not uncommon to witness how such emotional imprints — stored not only in the mind, but also in the body — manifest as chronic anxiety, diffuse pain, insomnia, or emotional detachment. Through the lens of Chinese medicine, these states reflect imbalances...
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