Episode Transcript
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You're in the middle of a huge wave of intense
0:02
anxiety and fear , or maybe you're experiencing
0:05
a full-blown panic attack . Someone
0:07
, with all the best intentions and trying
0:09
to be helpful , instructs you to identify
0:11
five things . You can see , four
0:13
things , you can touch , three things , you can
0:15
hear , two things you can smell and
0:17
one thing you can taste . This
0:20
is the 5-4-3-2-1 grounding
0:22
exercise . If you've followed along with
0:24
me for any length of time , you know that I don't
0:26
speak too kindly about grounding exercises
0:29
, but today we're going to revisit
0:31
5-4-3-2-1 and grounding exercises
0:33
in general . What if there is
0:36
a way to use them to our benefit rather
0:38
than having them accidentally sort of blow
0:40
up in our faces ? Let's get to it
0:42
on episode 292 of the Anxious Truth , the
0:56
hastily produced no Frills edition . Hello
0:59
everyone , welcome back to the Anxious Truth . This is episode 292 of the
1:01
podcast recorded in May of 2024 . I'm Drew Linsalata , creator and host of
1:03
the Anxious Truth . I'm a therapist in training
1:06
with a specialization in anxiety and anxiety
1:08
disorders , an author and educator and
1:10
podcaster in the anxiety and mental health community
1:12
, and a former sufferer of anxiety
1:14
disorders and depression , on and off
1:17
, for many years of my life . So I'm
1:19
not speaking just based on academic
1:21
knowledge or training , but also from personal experience
1:23
. If this is your first time
1:25
here listening to the podcast or watching on YouTube
1:28
, well welcome . I hope you find the content
1:30
useful in some way and , if you do , maybe
1:32
consider adding the podcast to your library of favorite
1:34
podcasters , maybe subscribing to the YouTube
1:37
channel . Of course , if you're a returning listener
1:39
or viewer , welcome back . I'm glad you're here
1:41
this week and I hope you find it helpful . Of
1:43
course , before we get started , I'd also like to remind
1:45
you quickly that the Anxious Truth is more than just
1:48
this podcast episode or this YouTube video
1:50
. There are a ton of resources designed
1:52
to educate and empower on my website
1:54
at theanxioustruthcom , so
2:00
check that out if you're looking for more on anxiety and anxiety recovery . So let's talk about
2:02
grounding exercises like the 5-4-3-2-1
2:05
thing I mentioned to open this episode . In
2:07
most cases , these exercises are presented
2:10
as a way to calm down when activated or
2:12
triggered . If you google 5-4-3-2-1
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, you're going to find a ton of websites all
2:17
writing about this little technique as a
2:19
way to regulate the nervous system or activate
2:21
the vagus nerve or calm down or stop
2:24
a panic attack or whatever they think it's supposed
2:26
to do . So now we have
2:28
to talk again about paradoxes
2:31
that come with anxiety disorders , which is what
2:33
we're talking about , when the state of being
2:35
anxious or distressed itself becomes
2:37
the problem and the perceived threat that
2:39
must be avoided at all costs
2:41
. The paradox here is
2:43
that when we search urgently and frantically
2:45
for ways to combat our internal experiences
2:48
like anxiety or fear or uncertainty
2:50
or vulnerability , we are 100%
2:53
agreeing with the assertion that these states are unacceptable
2:55
or off-limits and should never be allowed
2:58
. See the problem here . Someone
3:05
who develops a fear of being afraid or who is anxious because they are or might be
3:07
anxious , winds up using tools like this as shields or antidotes against anxiety
3:10
, anxiety symptoms and scary thoughts . They
3:12
either find that either they just don't
3:14
work fast enough or consistently
3:16
enough , or else begins to ritualize
3:19
them and insists that they are only safe
3:21
and okay if they can engage
3:23
in these special activities when anxious , upset
3:25
or feeling a sense of distress in any way
3:27
. In the worst cases , which
3:30
are sadly more common than you might think in
3:32
this community , techniques like 5-4-3-2-1
3:35
are used to prevent or stop panic
3:38
. Anxiety symptoms or intrusive thoughts
3:40
then blow up in our faces
3:42
because when they don't work reliably or
3:44
predictably , we
3:48
draw the mistaken conclusion that we are specially broken or suffering from some form
3:50
of anxiety that is worse or different
3:52
than what any other human being must be
3:54
experiencing . When the internet insists
3:57
that grounding exercises are the go-to
3:59
when anxious or when in a panic
4:01
, and we cannot get those tools to work
4:03
the way we really want them to work , our
4:06
assessment of ourselves and the problem we're addressing
4:08
can really tank and you can wind up
4:10
, sort of accidentally , in some pretty dark places
4:12
where you start to feel really hopeless and broken . This
4:15
is why you rarely , if ever , hear
4:17
me providing grounding or calming
4:19
instructions and why I am generally not
4:22
a fan of 5-4-3-2-1 in
4:24
the context I am always addressing here
4:26
on the podcast . But what
4:28
if we can find a way to use 5-4-3-2-1
4:31
and other similar exercises in
4:33
a way that teaches us recovery lessons
4:35
and doesn't backfire on us ? What
4:38
would happen if you decided to use 5-4-3-2-1
4:41
as an experiment rather
4:43
than an antidote or a shield
4:45
? But before we go
4:47
on with this , we first have to acknowledge
4:49
that anxious people and people in distress
4:51
absolutely want to make those
4:54
feelings go away . We want
4:56
to feel better . That is not a crime
4:58
. It's not wrong to want that and you're
5:00
not doing anything wrong if
5:02
, deep down , you really do want
5:04
a magic wand that will make it all stop , that's
5:07
okay . You're allowed to be human . But
5:09
wanting that and having
5:11
that are two different things . So
5:13
it's okay to have the want , as
5:15
long as we don't try to wish and
5:18
will what we want into existence
5:20
and resist the reality that it kind of
5:22
doesn't exist . That's where we get
5:24
into trouble . So let's
5:26
start from here and use the
5:28
following framing statement I
5:31
really want a way to make this stop right now so
5:33
I can feel better right away . But since
5:35
that doesn't appear to be a thing that I can do on
5:37
a consistent basis , how can I do
5:39
my best at the moment to
5:41
improve my ability to cope with these
5:43
feelings and these experiences ? Take
5:46
a moment to think about that statement or
5:48
something like it that might fit better in your particular
5:51
circumstance . You can play with it . You'll
5:53
want to use that before you
5:55
use 5-4-3-2-1 , just
5:57
as a reminder that you're not trying to
6:00
instantly feel better , even though
6:02
you can acknowledge that you do actually want
6:04
that . So what if we
6:06
looked for five things we can see or
6:08
three things we can hear , to experiment
6:11
with acceptance and surrender and tolerance
6:13
? What if we took a chance or took a risk and
6:15
turned our attention outward , to the environment
6:18
around us , rather than choosing
6:20
laser focus on our internal
6:22
state and engaging in detailed internal
6:25
dialogues and debates about the horrible
6:27
danger we think we are in when anxious
6:29
or afraid . About the
6:31
horrible danger we think we are in when anxious or afraid , rather
6:33
than looking for things to hear or touch so you can stop your panic
6:36
or anxiety or scary thoughts dead in
6:38
their tracks . Consider that if you
6:40
do make an effort to look for these things
6:42
while afraid and distressed
6:44
, you might accidentally
6:46
and reluctantly learn that it's actually
6:48
okay to not focus so
6:51
urgently and frantically on how you feel
6:53
and what you're thinking in anxious moments
6:56
. If you can listen for three
6:58
different birds singing outside your window while
7:00
your frightened brain is screaming at
7:02
you to pay attention to the disaster happening
7:05
inside your body and mind , you
7:07
might give yourself a chance to learn little
7:09
by little that you don't have to
7:11
pay such close attention to yourself
7:13
, even when highly triggered
7:16
. So imagine using
7:18
54321 as a way
7:20
to sort of test the water before jumping all the way
7:22
in . The water might be too cold
7:24
for you , but if you dip your toes in for a minute
7:27
or two , you might learn that well , maybe
7:29
it's not as cold as you first thought and
7:31
it might be okay to take a few more steps
7:33
into the pool or the ocean . The
7:35
key here , as I said , is
7:43
to refrain from judging the effectiveness of 5-4-3-2-1 or similar exercises
7:45
based on changing the way you feel . That's not the goal . Remember , I'm going to take
7:47
10 seconds to make note of five things
7:49
I can see and to describe them as
7:52
a very basic way to take a small
7:54
leap of faith toward learning that it's safe
7:56
to do that you
8:11
like . We open up paths that lead toward important recovery lessons , but we also can
8:13
give ourselves instructions or steps to follow , which I know can be
8:15
helpful for an anxious person that insists
8:17
that they just simply do not know what to do when
8:20
they're triggered . Now , not everyone in
8:22
the community needs or wants steps or instructions
8:24
, but if you're kind of banging your head against the wall
8:26
because they never give you steps and instructions
8:28
or techniques to use and you might
8:31
benefit from having steps or instructions
8:33
or techniques , well , here you go . This might
8:35
fit the bill . Maybe you can
8:37
use the 5 , 4 , 3 , 2 , 1 steps
8:39
, but you can do them with a different intention
8:42
and for a different purpose . I often say
8:44
to do nothing and on Disordered , you might hear
8:46
Josh and I say do what , non-anxious
8:48
, you would do when triggered . But that
8:50
really can be challenging for anxious minds
8:52
to comprehend and put into action . So
8:55
maybe grounding exercises like 5-4-3-2-1
8:57
could be adapted like this Think
9:00
of them as sort of training wheels . They might
9:02
be ways to start putting surrender and
9:04
acceptance into action , which is where we
9:06
need them when you're simply unsure
9:08
of how to actually do that . So
9:10
I'll sort of wrap this up with a really quick example
9:12
. Let's assume you're struggling with
9:14
intrusive , unwanted thoughts that pop into
9:16
your head against your will and disturb
9:18
you . They trigger you into an anxious
9:20
or fearful state and you're trying everything
9:23
you can think of to drown out the thoughts
9:25
, make them stop or prove them untrue
9:27
or illogical . That really doesn't
9:29
work with any kind of consistency . So your scary
9:32
thoughts begin to stalk you around all
9:34
the time and you can wind up on
9:36
guard all the time , waiting
9:38
for them to spring into action or waiting
9:40
for them to attack you , so that you can then
9:42
spring into action to actively protect
9:44
yourself from them when they arrive uninvited
9:47
and unwanted . So next
9:49
time you experience one of those thoughts
9:51
and wind up triggered by it , let's
9:53
remember your new framing statement . I
9:56
really want a way to make this stop right now so
9:58
I can feel better right away . But since that
10:00
doesn't appear to be a thing that I can do on a consistent
10:02
basis , how can I do my best at
10:04
the moment to improve my ability
10:06
to cope with these thoughts and how they make
10:09
me feel ? Then
10:11
, in an act that almost feels recklessly
10:14
and ridiculously risky , when you
10:16
feel like your thoughts are a real threat to you
10:18
, you take 10 seconds to identify
10:21
and describe five things you can see
10:23
in the room . Hmm
10:25
, I found five things . I
10:27
don't feel any better , but I did it , and
10:29
turning some of my attention to that little task
10:32
felt really wrong , but didn't result
10:34
in any kind of disaster , other than I still feel
10:36
bad . What if I try to find
10:38
and describe four things I can touch ? What
10:41
might happen then ? So see
10:43
where this is going . In this little example
10:45
, we're using 5-4-3-2-1 as an
10:47
experiment that helps you challenge
10:49
your belief that focusing only
10:52
on how you feel and what you're thinking
10:54
is your only safe course of action . Now
10:57
, please note that this is not designed to be
10:59
game-changing instantly for anyone
11:01
. It's a very small shift , a
11:03
small move . It's a little experiment
11:06
, small
11:09
shift , a small move . It's a little experiment , it's a first step , so please do your best to see it and
11:11
use it , if you choose to , in this way . When it feels absurd
11:13
to even consider that you might
11:15
focus on anything other than how you
11:18
feel and what you're thinking , this
11:20
is a way to give that a whirl , without trying
11:22
to solve your entire anxiety problem
11:24
or make it go away all in one shot . Solve
11:28
your entire anxiety problem or make it go away all in one shot . Now remember , this is not designed
11:31
to make you feel better , stop your thoughts or your panic or your symptoms
11:33
instantly , or even help you achieve
11:35
any particular state of being emotionally
11:38
or physically . This is not a calming
11:40
or panic-stopping exercise . I
11:43
know the internet portrays it that way
11:45
, but I'm trying to give it to you in a different
11:47
context and for a different reason . First
11:50
, we learn that we can move through
11:52
these triggered states . Then
11:55
we can start to see changes in how we feel
11:57
. That's our deal here . So
11:59
maybe we can use 5 , 4 , 3
12:01
, 2 , 1 and exercises like it within
12:03
this framework that I just gave you Now
12:06
. Maybe this is something you can chew on and consider
12:08
trying the next time you find yourself struggling . Remember
12:11
I'm never talking about doing
12:13
dangerous things , only difficult
12:16
things . So keep that in mind when your
12:18
anxious mind wants to insist that
12:20
taking your eyes off of that
12:22
pending psychotic break , which
12:24
is a very common example fear is a very
12:26
bad idea . We based almost
12:28
everything you hear on the anxious truth
12:30
, on the premise that thinking
12:33
about staying sane , for example
12:35
, has nothing to do with actually
12:37
staying sane . It's okay
12:39
to look for things that you can hear . That
12:42
doesn't make that feared psychotic break
12:44
, for example , any more likely . Doesn't make that feared psychotic break
12:46
, for example , any more likely . Everything is based on that premise
12:48
. So keep that in mind . And
12:51
that is episode 292 of the Anxious
12:53
Truth in the books . You know it's over because
12:55
, well , because I'm telling you it's over because
12:58
I have very little time for production this week , so
13:00
there's no music to be had at the end , I mean
13:02
, I guess , unless I decide to drop it in afterwards
13:04
, because I wind up with a few minutes before I have to leave
13:06
to my office to see actual therapy clients
13:08
, which I'm loving right now . Regardless
13:11
, if you find this content helpful , maybe
13:14
consider adding the podcast to your podcast library or list of favorite
13:16
or followed shows on whatever podcast app
13:18
you use , and if you really like it and
13:20
you're on Apple Podcasts or Spotify , maybe
13:23
consider leaving a five-star rating or even writing
13:25
a little review , because it helps more people find
13:27
the podcast on those platforms and then
13:29
more people get some help or encouragement or
13:31
empowerment . Of course , if you're watching or listening
13:33
listening this week there's no video on YouTube
13:36
maybe consider liking the video , hit the
13:38
thumbs up or subscribe to the channel . Those
13:40
things really do help me reach more people , and
13:42
feel free to leave a comment or a question in the comment
13:45
section . I will circle back around
13:47
when I can to interact with you guys
13:49
on YouTube , I promise . In fact , if
13:51
you have a question about a podcast episode , listening
13:56
to it or watching it on my YouTube channel is probably the best way to ask a question about that
13:58
. So thanks for spending time with
14:00
me today . I hope you found it helpful and
14:02
remember I'm going to remind you , like I always do , that
14:05
every little step you can take toward
14:07
recovery counts , because they
14:09
all add up and there are recovery
14:12
lessons to be found even in
14:14
the smallest challenges . Take
14:16
care , check out the extra resources on
14:18
my website at theanxioustruthcom , and
14:20
I will see you in Episode 293
14:22
. Thank
14:39
you
14:42
.
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