2. Anxiety

What

Types of anxiety

To say that "stress" is everywhere in the IT world is commonsensical, but to claim the same about anxiety or fear is perhaps less evident. Still, in this chapter I will argue that it has far more influence on our day to day lives than you might think. Even more so, fear is the root cause of stress.
Consider the following three stressful situations:
1. It is Sunday evening. For some reason, you decide to check your work emails and discover one from your lead engineer. It's subject is "Urgent: 1-on-1 Monday". When you open it, it is just a meeting request without further information.
2. You have been working with git your whole career, and while it still has its mysteries you're pretty proficient with it. In his first dev meeting with the team, your new CTO states that he is a big fan of fossil and expects the team to migrate to fossil ASAP.
3. You're rewriting an API for manipulating CSV data. There is a test-suite for the old API that mocks various CSV inputs -- different dialects, data with or without headers, different delimiters, non-standard encodings, and so on. However, you've never studied CSV in detail and have only limited time to spend on the project.
These three scenarios have two things in common. The first is that they are clearly stressful. The second is that in all three cases the underlying emotion is fear.

/1 Fear of abandonment

The first scenario is stressful because the email would instil a sense of dread for the mysterious "urgent" 1-on-1 meeting. The context strongly suggests that something is wrong and that the meeting will not be a pleasant on. So this "dread" ultimately boils down to anxiety that someone will be angry with us. This is an example of what we generally call fear of abandonment.

/2 Fear of change

The second scenario causes stress because it turns our professional world upside-down. Working with git for version control is difficult enough to master, but now someone comes in from the outside and wants to change that overnight. This is fear of change.

/3 Fear of failure

The last scenario can be hard to manage because we can easily start doubting ourselves, if faced with difficult problems and limited knowledge or experience. In IT, things are either right or wrong, so you cannot bluff yourself out of it. You need to deliver. This is fear of failure.

Fear versus FEAR

People are fearful creatures, and, sometimes, fear is a normal emotional response to certain situations. Most people will experience fear when they go skydiving or when someone points a gun at them. Such fear is a normal, evolutionary beneficient response to dangerous situations.
Yet there are many situations where fear (you could call it FEAR to distinguish both) is not a helpful emotion, but rather limits our day-to-day functioning. We might experience anxiety when we need to make a phone call, when our child climbs a chair, when we need to say something in public, when we accidentally ate something past expiration date, ...
There is a growing list of phobias that modern people seem to suffer from more and more, but even in our day-to-day lives fear is everywhere. So when you come to think of it fear dominates our lives. I challenge you to think of any difficult situation, personally or professionally, and see if you can't analyse it in terms of one of the three fears. It is almost always part of the equation...

Why

But why is fear so dominant in our lives?
The answer lies in our brains.

Triune brain

The so-called triune brain is a model that distinguishes three types of brains in the evolution of the verbrate forebrain.

/1 Reptilian complex

Our oldest and most basic brain complex we share with reptiles. It is about 500 million years old and has a limited but very powerful learning capacity, called classical conditioning (e.g. Pavlovian reflexes). It is almost completely shut off from the neocortex and free will.

/2 Palaeomammalian complex

Over the course of evolution, mammals have developed another type of brain structure (about 300 to 150 million years old) that is called the limbic system. This palaeomammalian brain also has a learning capacity, which is called operant conditioning (learning through stimuli of reward or punishment). This is the brain that houses emotions, body language and social communication.
2-Minute Neuroscience: Limbic System

/3 Neomammalian complex

Humans, finally, developed a third brain system, the the cerebral neocortex, which makes us capable of intelligent, rational thought, decision-making and morality. It gives us means for self-control, languages, self-awareness, and self-organization. It is a powerful tool, but also less immediate and primary than the other two systems, that function primarily subconsciously.

Anxiety and the brain

This brief history of the brain shows that stress (reptilian) and fear (limbic system) largely operate outside of our conscious control. This is why we cannot reason away feelings of stress or anxiety.
Secondly, it is also important to realize that fear always elicts a stress response. In the light of the previous chapter, this means that if we want to adequately deal with stress we need to deal with fear as its root factor.

Fear memory

Third, we should also be aware just how powerful the fear system is. Two neurological systems are vital for this.
The first is the amygdala, one of two almond-shaped clusters of nuclei that are part of the limbic system responsible for the processing of memory, decision making, and emotional responses — including fear, anxiety, and aggression:
2-Minute Neuroscience: Amygdala

The amygdalae perform primary roles in the formation and storage of emotional memories . These can be positive, but also negative. For instance, during fear conditioning, sensory stimuli reach the basolateral complexes of the amygdalae, where they form associations with memories of the stimuli.
From an evolutionary perspective, it makes perfect sense that animals should develop a system for fear memory, as this mechanism serves to protect them against future danger. However, in cases of extreme or continuous fear the amygdala can also become overactive and therefore overreact to small stimuli and taint all sorts of experiences as emotionally negative and fearful.
A second neurological structure involved in fear memory is the HPA axis, which controls reactions to stress and regulates many body processes, including digestion, the immune system, mood and emotions, sexuality, and energy storage and expenditure. With regards to stress and fear it works in two ways. One is the fast production of the stress hormones cortisol and adrenaline. The second is a long-lasting component in that the HPA axis is capable, through what is called long-term potentiation, of changing existing neurological circuits and building new ones, by which fear responses are embedded in our system.
2-Minute Neuroscience: HPA Axis

How

We have now seen that the brain is very capable of learning and embedding fear in our bodies. Not in a metaphorical sense, but right down to our neurological pathways.
Fortunately, we also have the ability to unlearn and erase fear.

Unlearning fear

As fear can be learned through the strengthening of connections between neurons it can also be unlearned by weakening those same connections. In order to accomplish that, we can distinguish two steps.

Face your fears

First you need to face your fears by acknowledging, retelling and reliving them. This draws on the research about so-called prolonged exposure therapy, a form of behavior therapy and cognitive behavioral therapy designed to treat post-traumatic stress disorder. The way this works is, in fact, quite common-sensical. If you are not aware of your fears or always hesitant to look them in the eye, you will never get to know them through and through, and never be able to conquer them. In fact, if you keep acting out of fear you are doomed to (unconciously) repeat your mistakes and pain (repetition compulsion).
So go ahead and take the bull by the horns. Whenever you notice a fear response in yourself, become really aware of it and confront it. It is actually a good thing, because it heralds the opportunity to face it and conquer it. We know that neuroplasticity — the brain's ability to change and adapt — is triggered especially by situations that require a learning effort. However, I also need to warn you about doing this in the case of severe trauma, as this might cause panic attacks or other acute reactions or consequences. In such cases you should really only confront these fears under the guidance of a therapist.

Positive experiences

Once you know your fears, you can strive to experience new, positive things that instill confidence instead of fear. Again, this is not (only) a metaphor, but you can take it literally on a neurophsyiological level. Creating positive experiences and memories has an inhibitory effect on the threat and fear reflex.
Ideally, the positive experiences that you strive for should be in a similar context as the negative.

7 Git Tips To Overcome Your Fear of Version Control

Erasing fear

As said these techniques for unlearning fear come from behavioral and cognitive therapy. However, we repeatedly seen that especially cognitive techniques are not ideally suited for handling stress and fear which are emotional responses that are closely connected to our physical bodies. It will come as no surprise then, that the most effective technique for truly erasing fear also takes into account the physical aspect of fear.

Dynamic meditation

Dynamic meditation is a form of emotional therapy developed by a Belgian psychiatrist, Dr. Tom Herregodts and his team. Since 1995, he has been researching and perfecting techniques of somatic and emotional therapy to earse fear, based on the insights of affective neuroscience.
Dynamic meditation goes several steps further than regular ("quiet") meditation. Not only does it aim to rid the body of stress and tension, it also strives to emotionally reprogram the fear memory. In this way, it combines the aforementioned "unlearning" of fear with the bodily techniques we saw in Stress chapter.
Dynamic meditation is a complex therapeutic technique that needs to be carefully introduced, preferably by an experienced therapist. At this point, we will only give a brief introduction to the technique, and a more detailed explanation later.
As an introduction, I'd like to invite you to watch this short documentary on Dr. Herregodts and his psychiatric practice made by VTM2. It's in Dutch, but you should have no problem following with the English subtitles on (click "Watch" for a direct link with subtitles).
GOD drives a Porsche - Vanity Plates VTM2

In the video, you can see some examples of dynamic meditation (starting at 04:28 and especially 06:24)... On the surface, dynamic meditation might look quite strange, scary even. It always involves expressing anger, whether by softer techniques like wringing a towel or pushing up against a wall, or stronger techniques like shaking the body, shouting and hitting a cushion with a tennis racket, which is the most common form practiced.
However, it is important to realize that in dynamic meditation anger is never directed towards a person and always used as a catalyst to get rid of negative emotions, never as a negative emotion itself. We will discuss anger more in depth in the next chapter.

Exercise

Fear list

For this week's assignment, I'd like you to first write down your 5 biggest personal and 5 biggest professional fears. The goal is to dig deep and identify, and especially feel what really threatens or scares you.
Here's a few things that might provide some inspiration:

Personal

  • losing a loved one (child, partner, ...)
  • being rejected by a love interest
  • being homeless

Professional

  • getting fired
  • deleting production data
  • getting mocked by colleagues

Accomplishments list

Having drafted your fear list, it is now time to see if we can pit this list against its positive counterpart, which I will call your "accomplishments list". What are your 5 biggest personal and professional accomplishments? Try to spend as much time and emotional energy on this positive list as you did on the fear list. Ideally you should think of accomplishments that offset the fears, so you can use them as positive experiences to unlearn your fears, as discussed above.
For instance, these experiences might be positive counterparts of the examples for the fear list:

Personal

  • being a good parent
  • getting married
  • volunteering for a charity

Professional

  • graduating from college
  • completing a challenging project
  • getting promoted

Inspiration

Peter Levine —
An Introduction to Somatic Experiencing® (SE™)

Andrew Huberman —
Erasing Fears & Traumas Based on the Modern Neuroscience of Fear