Like many autistic and otherwise neurodivergent folks I am quite good at being anxious! I can worry about anything. A recent example relates to the wonderful course I have created on Autism in Adulthood. This thing is amazing. Students in the initial tranche told us how much they enjoyed it and found it helpful. Yesterday we went out for the next tranche of the course and advertised it all over the place. You would imagine this is a good thing? Um, cue Yennski’s anxiety….
I worried that nobody would enrol in the course and then I worried that I had upset my colleague despite there being zero evidence for either of these things! I was so worried that I applied for two public service jobs this morning, thinking I wouldn’t be able to support myself as a business. Ugh. I always say I could worry for Australia!
Anxiety does not listen to logic. If it did psychologists would be unemployed! While it cna be unpleasant and even dangerous, anxiety is a valid emotion and has a very useful evolutionary purpose. Imagine the difference between a person who has capacity to be anxious seeing a tiger running towards them and about to attack. They would either try to fight back or run away from it or hide – these would all be very useful actions to take when under physical threat, fulled by anxiety and the chemical reactions that take place when a person is under threat or believes themselves to be under threat. Then imagine someone with no capacity for anxiety meeting the tiger. They might say ‘oh what a majestic kitty. Can I pat you?’ presumably followed by the tiger enjoying an unexpected lunch of the human variety!
While we need a degree of anxiety for self-protection, having too much – and having it on an ongoing basis – can be very damaging. People in prehistoric times probably encountered an anxiety-provoking situation for a few minutes or an hour and then the threat was addressed so they didn’t need to keep being anxious. However, these days anxiety can go on for days, months or indefinitely. If you have a workplace where there is bullying, every time you go to work your anxiety will peak and stay at a high level until you go home – and even then it will probably follow you wherever you go. If you have financial issues you might be anxious about that all the time. Ongoing / prolonged anxiety can be very damaging.
I have a few mental health conditions including generalised anxiety. I had this for decades before anyone picked up on it and thought it would benefit from some treatment. At the age of 47 I finally got medicated for anxiety and it made an instant difference. Anxiety used to be constant for me but now it is less of an issue. I also used to feel anxiety as a very physical thing. I would feel tightness in my head and ‘butterflies’ in my stomach. Now my anxiety manifests as tiredness which for some reason I find preferable.
Anxiety as a mental health issue is often discounted as ‘just anxiety’ – as if it is of lesser impact than other mental health issues. This is unhelpful. It is especially unhelpful for me as prolonged and extreme anxiety turns into psychosis meaning I cannot do anything much for about two years and which is very unpleasant and frightening.
I have developed a range of strategies to address my anxiety. These include:
- ‘Trump’s at the door!’ When I was in a residential mental health service a while ago the worker told me I could imagine thoughts that cause anxiety as being someone knocking on my door. I couldn’t help them being there but I could decide whether or not to let them in! I adapted this to be more Yenn-friendly and decided the thoughts were Donald Trump at my door and there was no way known I would let him in! So now when I get worried with anxiety I say to myself ‘Trump’s at the door!’ – effective and amusing all at once!
- Distraction. This is to my mind the gold standard in mental health strategies. Focussing on something other than the anxiety (or other issue). It works really well for me and I recommend it as a strategy.
- Medication. Anxiety meds have changed my life. Please don’t ask me which I take because different meds work differently with different people. I would say be careful of regular usage of the benzo-diazepine family of meds (e.g. Xanax, Valium etc) as they can be highly addictive – although they can be effective as an infrequent thing or when Ia person is in crisis.
- Worry journal / time. This one works by getting you to decide to put off worrying except for a at certain time of day – for me it is 5:30pm. Write your worry in a journal and work out strategies and mitigations during your worry time and then put off any further worries until worry time the next day. I always doubted the effectiveness of this strategy until I tried it but I actually now find it really helpful.
- Be prepared and willing to accept help.
- Practice breathing exercises – these can involve slowing your breath or being aware of your breath. I know a lot of people don’t enjoy meditation or mindfulness (including me) but there are some many methods of meditation and breathing exercises that it should be possible to find one that works for you!
Everyone has different anxiety strategies that work for them. I have been building my arsenal of anxiety strategies for a long time and I have found it helps to approach these things with an open mind and hope that they will work.
Anxiety is a serious thing which requires understanding, treatment and support. Autistic folks are particularly prone to anxiety given that the world is so frequently not very neuroaffirming or inclusive for us which can exacerbate anxiety as can a lack of understanding of autism and anxiety from clinicians. More understanding of autistic experience and mental health across the board would help address this.












