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How Coaching and Therapy Can Reduce Anxiety Without Medicati

Dr Kristen L Szabla

Anxiety is one of the most frequently encountered mental health issues nowadays, and since the world has become a place where everything is moving at a faster pace—whether it's in the realm of re everything is moving at a faster pace—whether it's need to stay connected, or the lack of certainty—it comes as no surprise that a large number of constant need to stay connected, or the lack of always in an "on" states as no surprise that a large number of people feel as though their minds and bodies are pathways in an "on" state. In certain cases, anxiety manifests itself as constant worry or overthinking, while in others it has a physical aspect—such as a racing heart, taut muscles, trouble sleeping, restlessness, or the sensation that something is wrong even though everything looks all right. It may also show up as perfectionism, avoidance, hypervigilance, difficulty making decisions, or a draining need to anticipate what might happen next.


As a result, people are increasingly asking questions such as:

· Whether I should see a therapist or a coach about my anxiety?

· Is it possible to alleviate anxiety without taking medication?

· What are some of the best ways of relieving anxiety naturally?

· Could neuroplasticity be of some help in rewriting my brain to alleviate anxiety?

· And if I know the reason why I'm anxious, why does my brain still react in the same way?


The following provide answers to some of the most frequently asked questions regarding coaching as compared to therapy for anxiety, non-medication methods of relieving anxiety, and the use of neuroplasticity to establish new patterns in the brain.


If you suffer from anxiety, you will probably be familiar with this experience—that is, your mind knows that you are safe but your body still responds as if there were something wrong.


Your heart begins to beat faster, your muscles contract, your thoughts speed up, and you foresee problems before they occur; at times, however, telling yourself to "calm down" makes no difference to the response.


This disconnect raises an important question:

Is it really possible to retrain the brain to react differently to anxiety?

The good news is that the brain isn't fixed. Because of a property of the nervous system known as neuroplasticity—which is the ability of the system to change as a result of experience—patterns relating to thought, emotion, attention, and behavior can alter over time.

There is no one approach that is best for all individuals. In some cases, psychotherapy is the right starting point, while in other cases coaching can assist in turning insight into new patterns and daily behaviors. A number of people also find it helpful to combine professional support with evidence-informed practices that they can apply on their own.


The way to think about the options is as follows.


What's the difference between coaching and therapy for anxiety?

There is some overlap in the skills used in therapy and coaching, but the two are not interchangeable.


Psychotherapy consists of healthcare provided by qualified mental health professionals and it is capable of carrying out assessments, giving diagnoses, and offering treatment for mental health conditions, such as anxiety disorders. For instance, cognitive behavioral therapy (CBT) is one of the most widely studied treatments for anxiety and is regarded as a foremost form of psychotherapy for generalized anxiety disorder.


Coaching as a whole is about assisting a person in going from where they are now to a particular future state. It may involve identifying patterns, practicing new responses, building up resilience, altering habits, improving performance, and setting up accountability, depending on the coach's training and method.

A coach must not diagnose or treat an anxiety disorder unless they also have the relevant clinical qualifications.


At What Time Would Therapy Be a Better Option?

It would be advisable to start by seeking out a qualified mental health professional if the anxiety is severe, long-lasting, serious enough to interfere with daily activities, linked to panic attacks or symptoms of trauma, or if it is accompanied by depression, substance misuse, self-harm, or suicidal thoughts.


Therapy can be especially helpful whenever you are trying to understand long-established psychological patterns or when you require a form of structured treatment such as CBT or exposure-based therapy.


When Could a Neuroplasticity Coach Be of Use?

It can be helpful to have coaching if you are working relatively well but realize that certain anxiety-related patterns continue to recur.

You can see why you react as you do, for instance, and yet continue to fall into the same pattern of worry, avoidance, hypervigilance, perfectionism, or overthinking automatically.

A coach who takes a neuroplasticity approach might spend less time endlessly analyzing the pattern and instead help you to repeatedly practice an alternative response.

The importance of that distinction lies in the fact that gaining insight doesn't always mean bringing about change.

The fact of knowing why a particular pathway emerged does not in itself result in the creation of a new one.

The way in which new patterns become more available to the brain is for the brain to repeatedly practice a different way


Using Neuroplasticity to Reduce Anxiety

By examining anxiety from the point of view of neuroscience, learned threat responses, and neuroplasticity, an approach used by Dr Krite Szabla contributes a new dimension to the debate concerning coaching and therapy for anxiety.


The way that she has worked with Transforming Pain Now® relates experiences including fear, anxiety, helplessness, distress, intrusive imagery, and pain to threat-related neural pathways.

It is important to understand the basis of neural repatterning: anxiety is not always simply a matter of the thoughts you are aware of; it can also be due to an automatic pattern that the brain and nervous system have learnt to operate.


That helps explain an experience many people find frustrating:

I am logically aware that I am safe, which is why my body still responds as if I am in danger.

In terms of neuroplasticity, conscious knowledge and automatic neural responses need not be the same.


You can understand intellectually that situations such as a presentation, a conversation about a relationship, a flight on an airplane, a medical appointment, or an uncertain future event are not in themselves dangerous; yet your nervous system will still trigger the well-practised threat response.

Dr. Szabla's neural repatterning framework changes the focus from merely asking "Why am I anxious?" to another question:


What pattern is your brain following, and what would be necessary in order for the brain to learn a different response?


Step 1: Recognize the Pattern

The first thing to do is to regard anxiety as a pattern rather than automatically interpreting each anxious signal as proof of current danger.

A trigger may activate a familiar sequence:

The sequence is as follows: trigger leads to threat prediction, which in turn causes physiological activation, prompting anxious thoughts and resulting in protective behaviour, this behaviour then reinforces the threat pattern.


For instance, uncertainty can lead to a physical feeling. The brain then sees this sensation as a threat. As a result, your thoughts speed up and you start to catastrophise; you then either avoid the situation, carry out checks, look for reassurance, overprepare, or mentally go through all the things that could possibly go wrong.


They may offer temporary relief. But temporary relief can also unintentionally strengthen the original pattern by teaching the brain:


We were glad that we had reacted; there probably was something dangerous in the situation.

The process of neural repatterning starts with learning how to see the loop.


Step 2: Separate the Present From the Learned Threat Response

The next question is simple but powerful:

Is there actually a threat taking place at the moment, or is it my nervous system that's anticipating one?

The fact that there is such a distinction does not mean that anxiety is to be dismissed.

What this entails is making room for the realization that a sense of danger and the actual presence of danger are not always the same.

Instead of:

“Something is wrong.”

The internal response becomes:

I am experiencing a threat response in my brain.

This slight shift can lead to a reduced sense of identification with the anxiety and thus provide an opportunity for an alternative response.


Step 3: Interrupt the Automatic Anxiety Loop

A neural pathway may seem to act instantly once it has been greatly practiced.

Trigger.

Fear.

Thought.

Reaction.

The aim of repatterning need not be to stop the first signal taking place; at the beginning,the more realistic objective is to interfere with what then occurs.

The interruption could consist of slowing down one's breathing, directing one's attention to the present environment, relaxing any unnecessary muscular tension, giving a label to the reaction, moving the body, or deliberately refraining from an habitual reassurance or avoidance behaviour.

The key moment occurs in the interval between the activation and the automatic response.

At that point a new option arises.


Step 4: Introduce a Competing Experience

Telling oneself simply to "not be anxious" provides the brain with very little useful information.

Neural repatterning instead asks:

What exactly do I want the brain to learn in this situation?

Perhaps:

The fact is that uncertainty doesn't necessarily imply danger.

Catastrophe need not take place in order for physical activation to occur.

I am able to feel discomfort without avoiding it.

This feeling may increase or decrease.

I can remain present.

I have options.

The aim is not positive thinking.

It is giving rise to a different kind of experience in everyday life when the original trigger is present.

The information now being received by the brain contradicts the earlier prediction.


Step 5: Pair Safety With Agency

Anxiety may include more than fear; it can also include a feeling of helplessness:

A bad thing might happen and then I wouldn't be able to cope with it.

Which is why agency is so important.

Instead of attempting to convince the brain that nothing difficult will ever happen, a more useful message may be:

No matter what occurs, I am free to choose the way in which I respond.

It is a significant distinction.

The attempt to ensure certainty can lead to anxiety.

The greater your confidence in your ability to respond, the less certainty you will need.


Step 6: Repeat the New Pattern

The fact that one response has been successful does not mean that it has erased a pathway which has been reinforced hundreds or thousands of times.

Repetition matters.

The process becomes:

Notice it, interrupt it, regulate it, introduce an alternative response, experience the outcome, and then repeat.

It is at this point that neuroplasticity passes from being merely an intriguing scientific idea to becoming a practical framework.

You are not attempting to win the argument from your anxious brain.

You are constantly providing it with new information.

As time goes on, the response that is wanted becomes more and more accessible and automatic.


Why Neural Repatterning Is Different From “Just Think Positively”

This distinction is critical.

The idea of neural repatterning doesn't mean pretending all is well.

That doesn't mean overcoming fear.

That doesn't at all mean that someone should be blamed for feeling anxious.

The aim is to identify an established response, stop the unnecessary reinforcement of that response, and instead deliberately work on an alternative which is more adaptive.

Instead of:

“I shouldn't feel anxious.”

Try:

An anxiety pathway is now active. What response should I work on at this time?

The question shifts the aim from getting rid of a feeling to developing a response.


How can I cut down on my anxiety without having to take medication?

A great many people look for ways to alleviate anxiety without taking medication since they prefer to start with behavioural methods, have suffered from the side effects of medication, or wish to have more tools available.

You should not stop or alter your medication without first talking to your prescribing clinician. Yet medication is not the only available evidence-based option.

Psychotherapy may be used either in place of or in addition to medication, depending on the individual's particular circumstances.


There are also some everyday practices which can help to regulate anxiety.


1. Alter the way you relate to anxious thoughts

Anxiety often begins predicting.

What if this happens?

What if I am not up to dealing with it?

What happens if something goes wrong?

Rather than immediately treating the thought as a prediction:

At this moment my brain is carrying out a threat prediction.

This results in a psychological distance between thinking something and believing that thing.


2. Use your breathing to affect arousal.

Anxiety is not purely a matter of thought; it also affects the body.

What you could do is to make your exhalation a bit longer than your inhalation, without taking an unnaturally deep breath.

Inhale gently.

Pause naturally.

Exhale slowly.

Repeat it, relaxing your shoulders, jaw, and hands.


3. Stop automatically avoiding anything that causes anxiety.

While avoidance offers immediate relief, constantly escaping from something since it causes anxiety can strengthen the brain's expectation of danger.

What you should aim for is not to overwhelm yourself.

It is to create new evidence gradually:

I can feel uncomfortable and still be safe.


4. Practice mindfulness without attempting to empty your mind

Mindfulness isn't “stop thinking.”

What it involves is learning to notice what is happening without automatically reacting.

“There is tightness.”

“There is worry.”

“My brain is predicting.”

Now turn your focus back to the present.


5. Move Your Body

You can stop prolonged rumination and alter the sensory information that reaches the brain by walking, doing resistance training, cycling, swimming, practicing yoga, dancing, or engaging in some other form of physical activity.

It isn't absolutely necessary to have a complicated routine.

Consistency matters more.


6. Guard your sleep and keep an eye on the caffeine-anxiety cycle

It doesn't always involve adding yet another method for relieving anxiety.

What it involves is getting rid of a factor that continually raises arousal in the nervous system.

Both poor sleep and an excessive intake of caffeine can make it harder to control anxiety symptoms.


What is the most natural method of reprogramming your brain to alleviate anxiety?

There is probably not a single technique.

A more useful principle is:

In the presence of old triggers, create small sensations of safety and a sense of control and then carry out this action again.

Since the brain has been repeatedly conditioned to expect danger, it will not be sufficient merely to tell it to cease doing so.

Instead:

Recognize the old pattern, interrupt it, regulate the situation, select a new response, experience the outcome and then repeat.

The process can be subtle.

Which is exactly why it can be overlooked.

Neuroplastic changes aren't always noticeable as they take place; gradually a different way of thinking, a different physiological reaction, and a different behavioral decision, when repeated many times, can alter what the nervous system anticipates next.


Where Transforming Pain Now® Fits

This view is central to Dr. Kristen Szabla's wider work in the fields of neuroscience and human transformation.

With Transforming Pain Now®, Dr. Szabla draws awareness to the way that threat-related neural patterns can become linked with experiences such as anxiety, fear, shame, helplessness, distress, intrusive imagery, depression, and pain.

Instead of looking at these experiences only from the point of view of conscious thought, her work examines them in terms of the brain's ability to adapt and change.

That distinction can be especially relevant for someone who has already done significant personal work and says:

I fully understand the reason for my reaction. I don't seem to be able to stop reacting like this.

It is valuable to understand where a pattern comes from.

But neuroplasticity introduces another possibility:

Perhaps the next stage isn't further explanation but instead new learning?

Neural repatterning is especially compelling there.

The objective is not to wipe out your history.

The purpose is to stop an established neural pattern from automatically influencing your current response.


Coaching and Therapy Don't Have to Compete

It isn't necessary for the question to be one of coaching compared with therapy for anxiety.

For certain people, going to therapy is the right choice.

For some people, coaching based on the concept of neuroplasticity might offer a systematic approach to identifying and changing patterns.

For some people, the most effective method might be to have psychotherapy aimed at the clinical symptoms, while coaching helps with implementation, resilience, performance, and maintaining behavioral change.


The choice you make should be based on the seriousness of the symptoms, the patient's medical history, their personal goals, and the qualifications of the professional you are thinking of.


The Takeaway: Anxiety Can Be Viewed as a Pattern That Can Change

Anxiety may seem to be automatic since a great deal of the response is automatic.

It doesn't follow that automatic patterns are permanent.

The brain is capable of change as a result of experience.

It means that relief from anxiety doesn't always depend on finding one remarkable technique.

It can involve repeatedly practicing small differences:

 Notice differently.
Breathe differently.
Interpret differently.
Respond differently.
Rather than automatically shunning it, choose the safe option.
Create agency.
Repeat.


The framework that Dr. Kristen Szabla developed for neural repatterning combines these principles around a seemingly simple idea:

Instead of merely inquiring into why your brain developed the anxiety pattern, consider what kind of experiences will assist it in learning a new one.

That is both the promise and the discipline of neuroplasticity.

Not forcing yourself to “get over” anxiety.

Not pretending fear is not there.

But deliberately giving the brain opportunities to discover:

I have another way of answering.


With repeated practice, the new response can require less effort and instead become a pattern.

tended for educational purposes only and should not be regarded as medical or mental health advice. Anxiety may have both psychological and medical origins. When symptoms last for a long time, are severe, are getting worse, or are affecting your everyday life, it is advisable to seek help from a qualified healthcare or mental health professional. You should not stop or alter any prescribed medication without first talking to the doctor who prescribed it. C

Share the big news

I spent the majority of my life consumed by fear and anxiety. After working with Dr Kristen and practicing her approach, I barely notice my anxiety, and I can make decisions from a place of confidence rather than fear.  Dr Kristen literally transformed my life.  Thank you for helping me save my life dear lady.  --- KP, Nurse Practitioner

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