Unity Prime, Day 87, Part 1
Brittany: So, how has this past week been for you?
Brittany: How's the anxiety, 0-10?
Max: Maybe... four? Five?
Brittany: That's good. And your energy levels?
Max: Better, I think... six? Most nights they sleep two decent blocks with a wake for a feed in the middle.
Brittany: That all sounds really positive.
Brittany: I want to focus on your anxiety in our session today. Talk me through a time when you felt anxious this week, and then we can unpick it.
Max: Okay... um... on Thursday, Asher felt hot when I picked him up from a nap. I took his temperature and it was a bit elevated. I started thinking about people who we'd been in contact with over the last few days... my sister mentioned there's been chicken pox going around her school recently and we have been around her so I started worrying about chicken pox. We're planning on getting the twins vaccinated but the doctor said they're not old enough yet. Asher was getting really fussy and I could feel myself panicking.
Brittany: What did you do then?
Max: I talked to Lainey... she was trying to reassure me, I think, but I wasn't really listening to her. In the end she told me to give Asher to her and take the dog for a walk. I think the walk helped calm me... then when I got back, Lainey showed me a new tooth Asher's been cutting - that's why he was fussy and a bit hot. I've still been checking both of them for spots when I get them dressed every morning, though, just to be sure.
Brittany: So your anxiety about chicken pox still hasn't gone away, even though you've found out he was cutting a tooth?
Brittany: I want to talk you through something called the anxiety loop, which might help you with understanding why your brain is doing what it's doing when you feel anxious about Fern and Asher. So, first there's a trigger - what do you think the trigger was for you on Thursday?
Max: Um... Asher feeling hot.
Brittany: Yep. Then there's your interpretation of that trigger - "he must be sick - what if it's chicken pox?". Then the emotional reaction - you've already said a bit, but what was your emotional reaction when you picked Asher up and he felt hot?
Brittany: Absolutely. The next part of the loop is the behavioural response - what you do because you're anxious. For this situation, it sounds like you took his temperature, and you're still checking for spots. Then comes temporary relief "no spots - they seem fine now" and then reinforcement, where your brain learns that worrying and checking keeps them safe. This loop feels like it's helping-
Max: But it just makes me more anxious because I feel like when I worry, I'm keeping them safe.
Brittany: Exactly. It seems to me like your anxiety is your brain trying to keep everyone safe. And of course it's natural your brain is working overtime right now. You lost your mum, you've got two tiny humans who depend on you - of course it's scary. Your brain is just trying to protect you all the only way it knows how.
Max: I don't want to be anxious-
Brittany: I know you don't. But I wonder whether your anxiety is your brain trying to take control. Lots of things recently have been out of your control - the twins being born early and unwell, Ivy dying... and a lot of your childhood was out of your control, too.
Max: You can say that again!
Brittany: When you were little, your mum and dad weren't consistently there to protect you. You and Josh were left by yourselves. You developed hypervigilance to protect yourself, and Josh too. Now you're the dad and you're the protector, but your brain is still stuck in that hypervigilant state, thinking that if you worry enough, you can keep everyone safe. Does that make sense?
Max: Yeah... Yeah, it makes a lot of sense. So what can I do, then? How can I break this loop and not be so anxious?
Brittany: First of all, I want you to know that you're doing really well - you're a great dad-
Max: Doesn't feel like it, sometimes.
Brittany: I know. But sometimes you have to keep telling yourself something until you really believe it. I want to try a few things to help with the anxiety. Firstly, for the next week, I want you to try and keep anxiety thought record. I've got a template here, I thought we could complete it for the situation with Asher this week. Are you up for that?
Brittany: Great. The first column is for the situation.
Max: So... "When I picked Asher up from his nap, he felt hot".
Brittany: Perfect. Then you write your first, automatic though - the worry.
Max: "He's coming down with something - probably chicken pox."
Brittany: Then you write some evidence, for and against. This is where you can write down the things that are making you have this worry, but where you also force yourself to think about alternative explanations. So for this situation, evidence for would be things like chicken pox being around at the moment, Asher having not been vaccinated against it, the fact he had a temperature... But what could be evidence against this thought?
Max: Um... that there could be other explanations for a temperature - like having too many layers on, or wriggling around a lot, or teething.
Brittany: Good. Anything else?
Max: I guess we haven't actually been around anyone who's definitely got chicken pox? Even if my sister was in contact with someone who had it, she couldn't catch it because she had it as a kid.
Brittany: Absolutely. And then here in this last column, you write an alternative thought for yourself. What can you think instead of "he must have chicken pox"?
Brittany: How about: "He might be a bit warm, but that doesn't mean he's seriously ill. It could be something minor like teething or having too many layers on. I can monitor him calmly and see how he is in a few hours - I don't need to panic right now."
Max: All that seems easy enough to say...
Brittany: I know. But by telling yourself those less anxious, realistic alternatives, you're slowly training your brain not to catastrophise. Do you think you can give this a try?
Brittany: Brilliant. I also want to look at some grounding techniques that might help you in the moment when you're spiraling. Have you heard of grounding techniques before?
Brittany: Well, when your mind goes into overdrive, it can help to use your breathing or your senses to bring yourself back into the present. Taking the dog for a walk sounds like it did that job for you on Thursday, but sometimes it won't be possible for you to leave the house. Would you be open to learning some grounding techniques as an alternative?