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Steering a Ship Amidst Stormy Seas: How Anxiety Can Affect Executive Functions and What You Can Do About It

The COVID-19 pandemic has impacted our lives on an unprecedented scale.

With the social distancing measures and enhanced community quarantine, many people around the world have to contend with a “new normal”.  In a snap of a finger, our lives have suddenly changed. The old routines we used to have that put order into our lives and made us feel safe have to be set aside for new ways of living.  Our situation demands us to make dramatic adjustments in a very short span of time. We are compelled to come to terms with the loss of certain freedoms and continue carrying on despite uncertainty and fear.   On top of these, we experience the constant feelings of unease and worry, perhaps even pain and grief, over how COVID-19 has affected our lives and those of our loved ones. 

During this difficult time in our lives, we need to keep our wits about us. We need to be focused, flexible, and exercise frustration tolerance.  In other words, we need our executive functions to do its job so that we can adapt effectively. When we talk about executive functions, we refer to those set of higher skills we all have which help us plan and organize, solve problems, remember things, make decisions, keep our impulses and emotions in check, and achieve things we set out to do.

Our executive functions help us adapt to change.

However, when we are in a state of heightened or ongoing stress, or when our anxiety intensifies and gets too overwhelming, it affects our executive functions.  

The way our brain works is that the prefrontal cortex, or the part of the brain used for thinking and regulating/controlling, interact with the deeper structures of our brain called limbic system, which have to do with emotions and motivation. Whenever our emotions become too intense particularly when we are faced with something threatening or dangerous, and we are in state of constant stress, these deeper limbic structures tend to take over, overpowering the thinking, regulating parts of the brain. We shift to a feeling mode, rather than a thinking mode. The fight-flight-freeze response kicks in.  

How can anxiety and chronic stress affect the way our executive functions work?

  • Impulse and emotional control – We tend to react based on our feelings at the moment. We make rash decisions, some of which are driven by our fears. We get more irritable or become easily annoyed. Our emotions get the best of us. 
  • Working memory –  When we are very anxious, it’s very hard to concentrate and remember what we need to keep in mind. we could be making mental notes of things we need to do, but we lose track of what they are.  So we might be making a trip to the grocery store only to forget an important item or two we were meaning to buy.  Or, we want to remember a lot of things at the same time, like the different numbers to ways to access an online store or hospital, how to maintain proper hygiene, or what COVID-19 symptoms to look out for. But, because we are being bombarded with so much information day after day, our brain reaches its limit and we up “mentally losing” or forgetting the information we want to remember.  
  • Saliency determination – In other words, figuring out and focusing on what we think is important. When we are very anxious and stressed, we might lose sight of the big picture. Instead, we get tunnel vision. We have an increased vigilance about what’s threatening. This means what we pay more attention to the negative, worrisome information for instance those related to the COVID-19 pandemic, because it feels more important at the moment. However, we end up disregarding our positive or hopeful sources of information we need to cope in a healthy way.  
  • Task initiation or completion – When we get overwhelmed by anxiety, we tend to put things off, especially those that demand so much thinking and analyzing. So for those of us working from home, we might experience difficulty starting on a work-related email or report.  Sometimes, we set aside the chores or tasks we need to attend to, and prefer to distract ourselves with other activities. 
  • Flexibility – This refers to our capacity to shift our perspective, the ease in which we transition from an old to a new routine, and our ability to creatively problem solve and adapt. The rapid yet dramatic changes brought by the COVID-19 pandemic challenges our flexibility. Some of us might feel very stressed and uncomfortable having to stay home if we are used to an active social life. We feel inconvenienced and irritated by the sudden change in our routine. Others might have to learn new ways of using or maximizing technology, especially those working from home and managing work online.  We have to find new ways to keep busy, earn a living and stay healthy. And sometimes, it’s easier said than done, especially when our brains are already wired towards certain habits that we’ve grown accustomed to. 

So, how do we keep our wits about us to manage our day to day life despite living at a time of chronic stress and uncertainty?

How do we use our executive functions to stay anchored in the midst of a great storm? 

  • Do something calming. Instead of telling yourself to “Calm down!”, do something calming instead.  It’s important that you first find ways to reasonably tame your anxiety so that you can effectively apply executive function skills. Think about things you typically do that calm you down. It works better if these consists of healthy or health-promoting activities. Write this down in a list and pick from any of these activities whenever you feel overwhelmed. Another think you can do is make a new routine. Routines are also calming. Create a sense of predictability within your home by using routines or schedules for working, eating, sleeping, and other pleasurable, leisure activities. If you feel overwhelmed, take a step back from whatever you’re doing. Try to decrease the stimulation by going to a quiet room and do some slow breathing. Gaze softly at the movement of the leaves outside your window or the clouds passing by. If you feel agitated, try doing some slow, mindful movements.  
  • Activate your inner observer. Each of us has the ability for metacognition, which  means our awareness and understanding of our thought processes. By activating your inner observer, you track what is going on in your mind and become aware when you are already experiencing lapses in your executive functions or when you’re already letting your emotions get the best of you. This momentary pause will give you the opportunity to make a wiser choice about how to best respond, rather than react, to the given situation. 
  • Use strategies. If you recognize that stress and anxiety make it very hard for you to stay productive, remember things, or manage your home effectively, it’s okay. You don’t need to pressure yourself with mental calisthenics to overcome these weaknesses. Instead, why not use some strategies to help your brain along? For example:
    • If you feel yourself becoming more forgetful when you’re anxious, write things down or record this in your cellphone.
    • Use a calendar app for reminders if this works for you.
    • Color code tasks you’ve written down in your to-do list so you can easily see which are more urgent than others. 

If you feel like you’re getting stuck or you’ve ran out of solutions, gather more information or tips to give you more ideas.  Those working from home might find it hard to start on job-related tasks. You could begin with easier ones to get those wheels turning before moving on to the harder tasks.  

  • Use a growth mindset  and practicing self-compassion – You don’t need to beat yourself up over executive function lapses or mistakes. Instead, use these as opportunities to learn, to figure out what works for you and what doesn’t. In a way, whenever we are taken out of comfortable habits or routines and thrust into unfamiliar territory, this is actually a learning opportunity for all of us. Any chance to test our limits and creativity, to firm up our frustration tolerance, and discover things about ourselves outside of our comfort zone, is a learning opportunity.  More importantly, we should give ourselves generous doses of self-compassion – or being warm and kind towards ourselves when we make mistakes, fall short, and encounter personal shortcomings.  After all, we are all imperfect in some way or the other!

If you skimmed through the post, here’s a summary

Anxiety and stress can affect how your executive functions work. It interferes with your capacity to stay focused, organized, remember things, make decisions, finish tasks, and be a flexible problem solver.  You become reactive rather than responsive. In order to gain a handle on anxiety and allow your executive functions to work well for you, you first need to do something calming, pause from time to time and check your thoughts and feelings, use strategies to help you get around those weaknesses. And more importantly, use these challenges as learning experiences and temper these with a good dose of warmth and kindness towards yourself.  

Take care everyone! 

*Executive Functioning (EF) coaching is one of the clinical services offered by We Thrive. Contact us today to learn more.

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The 3R’s of Providing Safety and Support to Co-Workers in Distress

The experience of stress and anxiety have become so prevalent in our lives
as a result of these prolonged conditions of threat and minimal social engagement. Human nervous systems are designed to thrive in conditions of safety and connection. Conversely, our continued exposure to crisis makes us vulnerable to internal dysregulation, which can manifest in persistent worrying, heightened anxiety and fear, frustration, anger, mental confusion, and exhaustion. If you have not experienced these moments in the past year, you might not have been living on this planet. We have all been emotionally affected by the pandemic in one way or another. Though perhaps viewed from a different angle, this shared vulnerability that we are experiencing has given us an opportunity to be kinder to ourselves when we’re going through difficult emotions. And it has also opened the door for us to care for each other and extend compassion to alleviate the suffering that we see in people around us. 

About 78% of the global workforce reported negative mental health impact from the pandemic (www.thriveglobal.com). This probably does not surprise us. Now more than ever, it has become essential to build a compassionate workplace environment that capitalizes on our common humanity and our inherent human capacity for empathy and connection. We can all be part of cascading support in our workplace community. If everyone is acting on the intention of mutual care, the ripple effect of compassion will become wider and wider, reversing the contagion of toxic stress into that of collective resilience. It does not take extraordinary effort to have a significant impact. But it’s important to keep a few guidelines in mind so that our compassion can become an effective bridge that takes the other person to a state of emotional safety and agency.  

The 3 R’s, Regulate-Relate-Reason/Reflect (adapted from Dr. Bruce Perry),  is a brain-wise approach to helping co-workers and other people who might be experiencing emotional distress.

Stress reactivity and dysregulation occur when our brain senses danger (real or imagined), triggering an internal alarm state. In a state of heightened arousal, the brain has difficulty engaging its higher capacities of reflecting and reasoning.

When the person seeking support is in an emotionally dyresgulated place (i.e. anxious, angry/frustrated, helpless and stuck) we can be more effective in helping them by responding in a way that brings their nervous system back into safety. 

STEPS TO RESTORING SAFETY AND CALM:

1. REGULATE

Calm the flight-fight-freeze response by making the person feel you are fully present and available to listen. Reinforce the help-seeking behavior by saying you’re glad he/she reached out to you. Use a tone and body language that communicates comfort and reassurance. Our nonverbal presence is key to regulation. This includes using a warm and accepting tone of voice, nodding to signal you are actively listening, showing that you are focused and paying attention, and not interrupting what they are saying. When the other person is very agitated, regulating could also take the form of inviting the other person to take a few mindful breaths with you, “How about we take a minute to just breathe to settle our minds?” 

2. RELATE

Instead of jumping into problem-solving or advice-giving, focus on listening, providing empathy, and making the other person feel validated.  Our anxiety and helplessness can get activated in the face of someone else’s suffering. When this happens, we often push for an immediate resolution to the distress by offering solutions and advice. This can make the person in distress feel invalidated. While they might politely take your suggestions, they are not likely to act on it if there was no genuine sense of being understood or empathized with. Take the time to simply acknowledge and normalize their feelings. Use reflective statements such as, “You’re really feeling isolated and it’s been hard for you to stay motivated with work in this situation.” It is possible to validate the emotion without necessarily agreeing with their perspective, “I understand that it was frustrating when you had to take on more work than you expected.”  

3. REASON AND REFLECT

When the person has felt listened to and connected with, the higher parts of the brain become more available to reflect and reason. You may help the person think about concrete steps to address their situation or link them with needed resources. For example, you can help a co-worker figure out how to communicate in a constructive way with their manager or supervisor. You may also invite the person to brainstorm self-care practices that build their inner resource for coping with difficulties.  Sometimes it might help to ask a person experiencing a challenging situation to consider what they value and how their actions and choices can be aligned with what truly matters to them. Don’t hesitate to recommend seeking support from a mental health professional especially when there are safety concerns that require immediate attention. Seeing a mental health professional does not have to be the last resort, it can be a resource to tap into to prevent problems from escalating. 

There is so much that a compassionate conversation can do for someone who is experiencing pain and difficulty. We are wired to respond with empathy and care to our fellow human beings. And as we provide support to others, it is of UTMOST importance to keep our oxygen masks on. Check-in with yourself after assisting another person, take a pause to pay full attention to how you feel, be intentional in renewing yourself by doing something that restores your energy. Compassion only becomes complete when you don’t leave yourself out of the circle.

Contact us to learn more about trainings in providing safety and support in the workplace.

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4 Ways to Calm and Ease Anxiety

The coronavirus (COVID-19) pandemic has disrupted all of our lives–worldwide.
This global public health crisis is so stressful that in May 2020, the United Nations (UN) released a policy brief emphasizing the need for action on mental health.1 And just this month, the World Health Organization (WHO) released a survey of 130 countries that highlighted the massive impact of the pandemic on access to mental health services and called attention to the urgent need to invest more in mental health services.2

These are truly exceptionally challenging times, yet the possibility remains open for us to live our best life now regardless of the external circumstances, as long as we make the internal choice to awaken to what is possible, right in this moment.

Dealing with anxiety has been the top-most problem reported by those who have sought one-on-one consultation sessions in our corporate programs, and for perfectly understandable reasons. Globally, a good majority of us are feeling more anxious and stressed since the pandemic started. Because of this, it has become all the more important to focus on accessing tools for calming and easing anxiety. 

Anxiety is a natural response to the threats we are currently experiencing and we shouldn’t blame or judge ourselves for feeling worried or anxious. But we also don’t want to get stuck in the loop of anxiety because it can cause our mental energy and efficiency to suffer. Additionally, it can  lead to medical issues like hyperacidity/ Gastroesophageal Reflux Disease (GERD) and increased risks for high blood pressure and heart disease.

To manage anxiety effectively, it is important that we intentionally activate our nervous system’s relaxation response in order to counteract the fear or threat reactivity in our brain that leads into a constellation of anxiety-driven thoughts, emotions, and physiological reactions. 

Here are some brain-wise anxiety regulation practices that you can try:

1. Pause and breathe

Engage in conscious or mindful breathing for about 1-3 minutes.
Conscious breathing practice can reduce stress and anxiety, soothe the mind, and lower your heart rate. The elongated exhale used in this exercise activates your parasympathetic nervous system to stimulate a relaxation response in your body and mind.3

  1. Find a comfortable position with a relatively straight spine. You can sit up in a chair or lie down on your back.
  2. Place one hand on your belly and one hand on your chest, while you breathe, see that each hand moves as you inhale and exhale to access your full respiratory capacity. 
  3. Inhale to the count of 4 through the nose.
  4. Exhale to the count of 6 through the mouth.
  5. Continue this breath pattern, 4 seconds in and 6 seconds out, for 1-3 minutes or until you feel a sense of ‘Calm’ wash over you.
2. Self-soothe

Do a pleasant or self-soothing activity, like listening to soothing or invigorating music, looking at nature around you, or playing with a pet.

3. Get moving!

Expend your body’s stored up physical energy by doing yoga, lifting weights (or whatever you have at home), dancing, walking fast, running, or jumping.

4. Connect

Spend time with someone in your life whose presence gives you comfort and joy.