How to Manage Your Anxiety
April Lehman, LPC
July 17, 2023 · 5 min read
In the years since the COVID-19 pandemic, anxiety has become one of the most prevalent mental health concerns worldwide. But while the pandemic may have intensified anxiety for many, the roots of this experience go much deeper — into the fundamental architecture of our brains and, for many people, into unresolved past trauma.
Anxiety Is Not Always the Enemy
Before we discuss managing anxiety, it is important to acknowledge that some anxiety is protective. It is the feeling that tells you to look both ways before crossing the street, to prepare for an important presentation, or to check on your child when the house gets too quiet. Anxiety, in its healthy form, is your brain's way of keeping you alert to genuine threats and motivated to take care of important responsibilities.
The problem arises when the anxiety response becomes disproportionate to the actual level of threat — when your brain sounds the alarm at full volume for situations that warrant, at most, a gentle nudge.
How Your Brain Creates Anxiety
Understanding the brain's anxiety circuitry is empowering because it transforms anxiety from a mysterious, uncontrollable force into a knowable, manageable process.
The amygdala functions as your brain's "smoke detector." It constantly scans incoming information for potential threats, comparing new experiences against stored templates of past danger. When it detects a match — even a partial one — it triggers the fight-or-flight response before the conscious mind has time to evaluate the situation.
Information from your senses flows through the thalamus, which routes it simultaneously to both the amygdala and the frontal lobes. Here is the critical detail: the pathway to the amygdala is faster than the pathway to the frontal lobes. This means your threat response is activated before your rational brain has finished evaluating the situation. You feel the fear before you think about it.
In a well-regulated nervous system, the frontal lobes quickly assess the situation, determine whether the threat is real, and — if it is not — send a calming signal back to the amygdala: "False alarm. Stand down." But when past trauma has sensitized the amygdala, this process breaks down.
The Trauma Connection
Past traumatic experiences cause the amygdala to misinterpret current situations as dangerous. The smoke detector becomes oversensitive — triggering full alarm responses to situations that merely resemble past threats. A tone of voice that echoes an abusive parent. A crowd that recalls a traumatic event. A moment of uncertainty that mirrors childhood unpredictability.
This is why anxiety so often resists purely cognitive interventions. You can rationally know that the situation is safe while your amygdala continues to insist otherwise. The body keeps the score, as Bessel van der Kolk famously noted, and the amygdala keeps sounding the alarm.
EMDR: Addressing the Root
EMDR therapy targets anxiety at its source by identifying and reprocessing the past experiences that sensitized the amygdala. When these foundational memories are processed and integrated, the amygdala's threat templates are updated. The smoke detector recalibrates. Situations that once triggered overwhelming anxiety begin to register as what they actually are — uncomfortable, perhaps, but manageable.
Complementary Strategies
While EMDR addresses the root causes of anxiety, several complementary strategies can support day-to-day management:
- Mindfulness: Regular mindfulness practice strengthens the prefrontal cortex's ability to regulate the amygdala, helping you observe anxious thoughts and sensations without being swept away by them
- Breathing techniques: Slow, diaphragmatic breathing activates the parasympathetic nervous system, counteracting the fight-or-flight response in real time
- Nutrition: Blood sugar stability, adequate hydration, and reducing caffeine and alcohol can significantly impact baseline anxiety levels
- Exercise: Regular physical activity metabolizes stress hormones, releases endorphins, and helps regulate the nervous system
- Yoga: Combining movement, breath, and mindfulness, yoga addresses anxiety at multiple levels simultaneously — physical, cognitive, and emotional
Managing anxiety is not about silencing the alarm — it is about recalibrating it. When the brain learns that the past is truly past, it can respond to the present with clarity rather than fear.
About the Author
April Lehman, LPC
LPC, EMDRIA Consultant in Training
April Lehman is an EMDRIA Consultant in Training maintaining a private practice focused on anxiety and trauma treatment.