Anxiety Isn't the Enemy — It's a Messenger
Dr. Brian Karaan
Author
The Problem With Fighting Anxiety
Most people approach anxiety as something to eliminate. They want it gone — and they want it gone now. But this combative relationship with anxiety often makes it worse. The more you resist, the more the nervous system interprets the resistance as confirmation that something is wrong.
In my practice, I start with a radical reframe: anxiety is information. It's your body's threat detection system doing its job. The question isn't how to silence it. The question is: what is it trying to tell you?
The Somatic Approach
Traditional talk therapy asks "What are you thinking?" Somatic therapy asks "What are you feeling — in your body?"
This distinction matters because anxiety lives in the body before it reaches conscious thought. The tightness in your chest, the shallow breathing, the restless legs — these aren't symptoms of anxious thinking. They are the anxiety. The thoughts come after, as your brain tries to make sense of the physical alarm.
The RAIN Method
When anxiety arises, try this four-step process:
Between stimulus and response there is a space. In that space is our freedom.
— Viktor Frankl
Cognitive Flexibility
Anxious minds tend toward rigid thinking: catastrophizing, black-and-white reasoning, fortune-telling. Cognitive flexibility training doesn't challenge these thoughts (that can feel invalidating). Instead, it adds alternatives.
Rigid thought: "If I fail this presentation, my career is over."
Flexible additions:
- "A bad presentation is uncomfortable, not catastrophic."
- "I've recovered from setbacks before."
- "My worth isn't determined by one performance."
Building a Wider Window of Tolerance
Your "window of tolerance" is the zone where you can experience stress without becoming overwhelmed (hyperarousal) or shutting down (hypoarousal). Anxiety disorders are characterized by a narrow window.
The window widens through:
The Takeaway
Anxiety isn't a flaw in your design. It's an adaptive system that sometimes miscalibrates. By learning to listen to it rather than fight it, you transform a source of suffering into a source of self-knowledge.

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Dr. Brian Karaan
Dr. Brian Karaan, MD. Mayo Clinic alumni. Functional medicine physician in Denver, CO for 28 years. Spent 22 years developing the gut-based protocol that Harvard confirmed in 2024. Treated 4,000+ patients. Created Sugar Harmony to bring the protocol to everyone who needs it.
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