Ask HN: Do you wake up with anxiety?

90 points by septerr ↗ HN
I am just a regular software engineer at a Silicon Valley company. I go to bed and wake up with anxiety on an almost daily basis. It all seems to stem from work.

Psychologically and philosophically speaking, the root cause is not work, rather my own mind etc. but :shrug:

I want to do a pulse check to see how common it is for folks working in tech, to suffer from this level of anxiety.

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This is a disordered degree of anxiety, even if it's relatively common. You should absolutely see a therapist and/or psychiatrist. Anxiety is very treatable.
CTO of UK IoT business. Yep, I once had this daily, but now, not every day but maybe once or twice every week or so.

For me, after some experimentation and ruling things out one by one, I found it to be bunch of things. First and foremost for me it was caused by work. Those lovely insane deadlines from the board are a big source of anxiety for me. Also, what I am consuming. Consuming from a diet perspective, news, social media etc etc. Oh and dont forget the after work beer or two some days!

My solution that has worked was to do the usual diet tidy up, reduction of alcohol, EXERCISE. Then some thinking on a daily basis. Not the cool kids meditation but more just mindful thankfulness for what my life has given me. With all the craziness in the world, being thankful for the little things made my daily existence more content and happy.

Important to take time out for yourself too. Get yourself a hobby or some other interest that sparks a passion in you again. Or just timeout to do whatever floats ones boat. Your time is important. Even if that means getting up with the lark, do it.

I have also found a technique, by accident, when I am feeling anxious or being confronted with a stressful situation in work or other situations. The technique involves a mental note to almost "rise" above or "tape a step back" from myself and the situation I am in. In real-time too. This enables me to detach from the moment, without going into shutdown and see what is causing the emotional build up. Normally, its the lack of understanding, the known unknowns if you get me. Most worry comes to zilch. Remember that.

Hope this helps you friend.

I vouch for this approach 100%. You could set your clock to the 4am sweat panics that would always wake me up with my head spinning from minor problems that I couldn't put away.

I try my hardest to do one hour's vigorous walking a day when I can, audiobooked and podcasted to the max. When it's raining cats and dogs I'm doing some yoga (I'm using my free trial of apple fitness but there are loads of similar programmes) and it really helps me. It's 100 times more effective than self-medicating.

I still wake sometimes but less often and when I do, I'll get out of bed for 10 mins (cooling down seems to help) and, daft though it sounds, repeat to myself that I'm in control of what I feel.

Anxiety is absolutely horrible and I think you've got to experience it to realise how awful it can be.

Yes. I work in an early stage startup as the main engineer (founder is an engineer but has lots of outreach stuff to do) and so I always have a months worth of stuff to do. I wake up every morning with anxiety that doesn’t ease up until after I walk the dog, drink a cup of tea and do standup. I always feel behind even though I’m usually further ahead than am expected to be.
CEO of a tech startup in Vietnam. Definitely used to but no longer. When Covid 19 hit earlier last year, I and my cofounders panicked and couldn’t focus on work for a while...

For me, anxiety is very bad, and often results from stressful situations, bad relationships and uncontrollable risks. My recommendation is: take notes of all your worries in the morning, try to find a way to address them; if some can’t be address then it’s no longer a problem. Friends and family also can help with anxiety a lot!

I have been able to: 1. Reason my way out of anxiety. 2. Take my mind off anxiety by visualizing myself surf the perfect wave. 3. Box breathing.

#2 is very effective in going back to sleep and has yet to get old / used up after years of use.

Ha! Thanks for saying two. While I'm not a surfer, that looks like a lovely visualization.
My pleasure! I have a feeling that the visualizing any physical activity that you love doing, which requires focus to be good at will work.
#3 is the only thing that has ever helped me
I just wanted to chime in to say that #1 can be a very counterproductive strategy in the long run. The most important idea I can convey about anxiety is this: if you aren’t willing to face your fears, your anxiety will probably escalate over time. (Fortunately, the inverse is true as well!)

Reasoning one’s way out of anxiety is an attempt to avoid fear. Fear asks: “what if X happens to me?” Avoidance is an attempt to short-circuit the fear: “Oh, don’t worry! X can’t happen because of Y.” This may provide quick relief, but your anxiety is just as motivated as you are. It’s only a matter of time before the anxiety undermines Y with another doubt. So next, you need to prove Z, so that Y will definitely be true, so that you don’t have to be afraid of X. At each step of the way, you’re training your brain to believe that X is truly so dangerous that you must do everything in your power to get it off your mind. This causes the fear and the anxiety to get worse, not better. This is not the path that gets you where you want to be.

Avoidance can take many forms - rationalizing is just one of them. Even very healthy behaviors can be avoidant if you’re using them to run away from your anxiety.

If you’re struggling with anxiety, I can’t recommend psychotherapy strongly enough. Preferably, from a practitioner of evidence-based treatments such as CBT. Anxiety is so treatable! It’s amazing how manageable our worst fears can seem once we’ve learned how to approach them.

is reasoning out of anxiety always avoidance and hoping that what makes you anxious won't happen?

for me reasoning about something that made me anxious means to find the positive things that i can do if that thing does happen.

if i miss the deadline, then the pressure is off. it's only money, i'll need to reduce spending but i'll survive. the customer might cancel their contract? well, at least i don't have to deal with that jerk anymore. actually, why don't cancel the contract?

in other words rationalizing is to realize that X is not as bad as i think it is because or Y. not that it can't happen, but that it will happen, and that i can deal with it.

now i got a plan how to deal with X and so now i no longer need to be anxious about it.

(Disclaimer: I’m not a therapist, just someone who has dealt with a lot of anxiety and has been through treatment. Please do get professional advice if you’re struggling!)

That’s a great question, and the answer is: it depends! In the abstract, what you’re describing sounds like the opposite of avoiding a feared consequence. With fears, you want to be able to look them right in the face and say: “Yeah. That might happen. I can’t predict the future and I can’t know for sure. But if the worst does happen, I will find a way to accept that reality and adapt to it as best I can.”

(This sounds simple, but if you’re in the habit of avoiding fears, it won’t be easy at first. Your brain will twist itself into a pretzel to work out some way of avoiding the feared thing. This is where therapy is so useful: a professional knows how to guide you through a process of learning better mental/behavioral habits, and they have helped many people before you).

The nuance is intent. It’s healthy coping to open yourself up to the scary uncertainty and possibility that something bad may happen, and to commit to finding a way forward if and when that happens. But it may be avoidance if you’re trying to PROVE to yourself that there’s nothing to fear. It can also be avoidance to identify every possible scenario that might unfold and how you would deal with it - in that case, you’re trying to avoid the uncertainty by mapping it all out. (You can tell that this may be happening because your thinking becomes pretty baroque, and it always seems like there’s just one more scenario that needs to be mapped out and “fixed”.)

Generally, we humans have a hard time tolerating uncertainty. But the truth is, almost everything in life is uncertain to some degree.

There is a difference also between taking a realistic assessment of the facts of a situation for the purpose of making a realistic, fact-based assessment, versus “lawyering” the facts to get to a preferred conclusion. The former is healthy and appropriate: anxiety does skew our perception of facts, and it’s good to ground ourselves in objective evidence, whatever that evidence might say. The latter is an attempt to reassure the fear away, and the relief it offers just doesn’t “stick.” The anxiety tends to come back with a new what-if: “Oh yeah? You can handle losing that customer? Well what if you you lose several customers all at once? Then you won’t make your mortgage payment!” If you notice that happening, you want to slap a big, sticky label on that thought: that’s anxiety! And the answer is: “I don’t know. Yeah, I might lose every customer at the same time, lose my house, and end up on the street. But how likely is this? Is it an appropriate use of my time to plan for this contingency right now?”

There is another way to approach this: just don't engage with the anxiety-causing thoughts. Thoughts are just thoughts and people get all kinds of weird thoughts all the time. Most times they just come and go, never to return. But when you have an emotional response to a thought (e.g. anxiety), the thought can appear important, and will keep coming back. Engaging with it just gives it more weight.

As an example, trying to come up with reasons why the thought does not apply or is stupid is engaging with it. Trying to reason with the thought is engaging with it. Asking "how likely is this really?" is also engaging with it. Your anxious mind will always tend to fire new arguments at you, new doubts, and you'll just be giving the pointless thought more weight by ruminating on it. Just let the thought come and go, and then sit with the feeling of anxiety until it goes.

The book "Overcoming unwanted intrusive thoughts" by Seif and Winston is a very nice book about this approach to dealing with anxiety.

This is an EXCELLENT comment. Learning not to engage with the anxiety is a really important skill. To get there, you've got to get in the habit of labeling those thoughts as anxiety so that you can recognize them easily.

And you're right -- trying to evaluate how likely the feared event is can be a form of engaging with the anxiety. You can even start cultivating satellite fears about whether you've got the right read on the situation and so forth.

Nevertheless, I would caution against a blanket rule that says "never touch an anxious thought." Sometimes, you need to make a decision. Let's say you're feeling feverish, and you think: "maybe I have COVID-19!" It is appropriate to fetch the thermometer from the medicine cabinet and check your temperature -- once. If the reading is normal, and you have the impulse to check again 30 minutes later, that would a good time to simply label the anxious thought and refrain from responding to it.

> Psychologically and philosophically speaking, the root cause is not work, rather my own mind :shrug:

I would not self-diagnose here. I'm not sure what the :shrug: conveys, but you seem to somewhat downplay the anxiety by saying it's all in your own mind. I'd definitely seek professional help. It's pretty great, it's like debugging your mind and will help you further in your professional life.

Yes. For five years I’ve been in developer roles with endless responsibility and zero mentorship and it has built itself into an anxiety disorder of sorts such that sometimes I’m not good for more then a few dozens of lines of code.
No.

Historically, there were few bad periods. Looking back, each time it was because the environment in work was bad in some way. Either it was objectively bad in a way that I normalized in my head (meaning actually toxic but I considered that behavior normal at the time). Or, simply, you are bad match for actual position you are in. "Software engineering" is not one job, it is more of many different positions requiring different personality kinds.

I've had weeks and months like this.

The general healthy advice all worked for me to different degrees.

Exercise, meeting friends and having non-desk/screentime intensive hobbies.

Meeting friends and nurturing those relationships helped hugely. And sadly, the second most effective thing was switching to a less-intense team.

I've definitely seen other friends with unhealthy habits and anxiety in the industry too so I'd try some of these and see if it helps.

And you could definitely try therapy and/or medical help too.

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I started a Silicon Valley FANG job about two years ago. I now wake up early most mornings with anxiety. I’m close to 40 years old, and this is the first time in my life I’ve experienced this.

I’ve wondered if the pandemic and quarantining has exacerbated this. I don’t have much going on in my life right now besides work, and get little human contact beyond Zoom calls with my coworkers.

Absolutely. Same thing as you-- for the same reasons, I dread going to bed. I dread waking up. I do everything I can to avoid being at my desk.

This all started about six months into quarantine. Went away briefly but now back with a vengeance.

While I do have some personal drama going on, I'm thinking SAD is playing some part in this too-- the days are shorter and darker. I was already prone to that pre-COVID.

Mind that your relaxation space and work space are now permanently commingled. You can't get away from work. It lives with you now.

I don't have a solution for you, but hang in there. It should get better when you regain the option of leaving your work at the office.

I outfitted my home where I work with 100 watt equivalent LED light bulbs and LED shop lights aimed at the ceiling for super bright indirect lighting.

The result has been several years of easier waking in the morning all year and no more SAD during winter.

The downside is the gloominess of other people’s dimmer lighting is very apparent to me.

Your anxiety is trying to save you, just as much as depression.[0]

Disclaimer: I am not a professional in medicine of any kind, just another techie, recovering from the depths of anxiety.

Do not blame yourself for your anxiety. Look for causes in your environment. By the shrug you seem to accept it, yet you know it's wrong.

Seek help, be it professional or supportive environment outside work, be it a new hobby, be it sky watching, etc... Add different stimulii to your mind before going to sleep.

Once you find out what is wrong, address it. Is your anxiety caused by uncertainty? What uncertainty? Do you have control over it?

BTDT, never again. All the money one making will all go to health care. There are plenty of discussions on HN about recovery advice.[0]

[0] https://news.ycombinator.com/item?id=25546043

Used to have panic attacks and constant anxiety (without knowing what they are and what was wrong with me) every day for about 2 years triggered by a bad cannabis experience . Turned out I was predespositioned and it runs in my dads family. It started to mix with depression. 7 Years later I still sometimes get panic attacks and anxiety and dystonic thoughts, especially when my perceived stress is high (I work as a freelance SE). I have identified following long term factors that help bringing frequency and severity down significantly (talking about going from daily to maybe once every few months): - Exercise 4 times a week (preferably running) - Eat healthy (I cut sugar and eat according to an app 90% of the time) - Being outside every day and exposing myself to sunlight - Balancing alone time with social time according to my needs - Walk away from things that stress me out for no real benefit (that also means walking away from people) - Do not overpromise

Factors that help me coping when it hits anyway: - Breath slowly, deeply and on exhale remind myself that its only temporary - Put my feet on a cold floor - Smile and nod - Eye movement desensitization and reprocessing (google it) - Walk outside

Which app do you use for eating?
I use Feastr and complement it with Captain Cook if I feel like trying something new. Took me about a month to pick out what I liked (I am vegetarian and I try to gain weight) and which dont take too long to prepare. I definitely spend more time preparing food this way (more than i save from just buying groceries once a week instead of 2-3 times a week)but I see that as the cost of living healthy.
FWIW, rubbing down / interacting with a cat also seems to help massively.
Having strong anxiety (from family and especially a bad mushroom experience that let me wrecked), I can only strongly recommend Escapadl advice.

The best combination has been cutting sugar definitely plus a lot of sports (freeletics + a lot of running. Running helps A LOT)

You can't imagine how sugar affects anxiety before cutting it entirely. This is insane. Just having some sugar raises my anxiety for a few days.

Just try to follow Escapado advice and you'll endure it way more easily.

I remember that my therapist (highly recommend that too if possible, being in germany health insurance automatically covers it) after seeing me suffer for a long time pressed me to exercise which I had not done in years (I was pretty skinny too). When I started running I hated the first two times. I could not run for more than 2km and I was done afterwards. Third time magically I could run for 3km without feeling like I was dying. Fast forward 3 or 4 months of running every other day I was running 10km and it almost felt like a positive form of addiction and I was even getting runners high from time to time.

I vividly remember one day around that time I was on my way to a therapy session and I started crying in joy while on my bike, literally sobbing because I was so happy about how much my life has improved simply by changing this one variable. I went from "I don't know if I can live like this another year" to "I love my life and I can accept my handicap as an occasional unwanted companion but now I define what my life is and not my anxiety".

Are you using a kind of self-administered EMDR for short term stress relief?
Yes. I went to therapy for a while and my therapist tried it with me and it felt beneficial. Not that my anxiety went away but I lessened notably which to be honest surprised me. After doing it in two consecutive sessions she told me I can always try the same procedure at home and instead of following her hand I can pick two spots on the wall and move my eyes between them while going through the process internally. I found it works equally well and I still use it as a tool which helps.
No.

I always wonder in discussions like this how much more common they make the issue seem, because people don't exactly start threads saying "Ask HN: I don't have anxiety, and everything is great, is that common?"

My first bout with anxiety started when I got engaged. Heart palpitations, had to wear a Holter monitor for a week, the works, but everything checked out fine... Skip a few years and then decided to buy my first house. I'd been staying up for tons of hours trying to bank a bunch of cash for the down payment. Was working on a project that was make-or-break for a local startup, the guy before me didn't care enough, but I wouldn't let it fail, stayed up for 4 days building it and BOOM, crippling anxiety again. Different though, couldn't take full breaths of air this time. But in both cases I wasn't getting enough sleep. Got some sleep, talked to my doctor, then my dad, and then I was fine. Used to stay up for 2-3 days during college all the time so I really didn't think much of it. Sleep is huge.
I used to suffer badly with anxiety (and depression) for years. I was fortunately able to get the help I need and eventually recover. Around the same time I had about a month off work.

The day of my return, as I drove in, I noticed I felt physically sick. It took me a few moments to realise it was anxiety, and that I had forgotten what it felt like.

I handed in my notice 3 days later.

Going through a bout of it right now. :(

I feel physically sick just thinking about joining the morning standup from home.

Working remotely has made it cutting off from work much easier.

I end up feeling anxious and guilty and sad all day.

Not I, though I don't really work in tech, but I was listening to an interesting talk on avoiding it by self examination and philosophy type stuff which I recommend:

>Naval Ravikant on Happiness, Reducing Anxiety, Crypto Stablecoins, and More | The Tim Ferriss Show - YouTube

https://youtu.be/HiYo14wylQw?t=2376 for the anxiety bit.

Yes, working on an EdTech startup. I truly wonder how things will turn out, but the one of the best pieces of advice I ever got was 'things are never as bad or as good as they seem'.

It's not a perfect strategy, but it helps to remind me not to be in a peak or trough, and instead think and see things long term and from a higher perspective.

Same here. I recall being most anxious when I worked in level 3 customer support many years ago - a different highly stressful customer problem would land in my lap each day. I used many things to help with it.

One thing that was crucially important for me was to understand the biological causes of anxiety and how it occurs in the human brain. The book Rewire Your Anxious Brain by Catherine Pittman and Elizabeth Karle helped me a great deal. The biggest insight that I got from that book was understanding that there are two distinct causes for anxiety (one that comes directly from external stimuli and one that comes from our thought processes) which we need to deal with in fundamentally different ways. The book gives a lot of advice and strategies for coping with both causes and I highly recommend it.

I used to, more so when I woke in the middle of the night than in the morning.

I started exercising a lot more and now find I am so tired I don't wake up before my alarm, reducing alcohol intake helped too.

HRV breathing (deep belly breathing) and "accepting" my anxiety during the breathing helped me, but one has to train consistently. some books on the topic (by phds or mds, not wuwu-shamans):

> Invincible: How we can train our hearts to beat stress and achieve success

> The Healing Power of the Breath: Simple Techniques to Reduce Stress and Anxiety, Enhance Concentration, and Balance Your Emotions

It seems a simplistic answer but... hard physical work does wonders. Workout is OK but cutting woods, moving earth, building wooden things really put mind to peace. Maybe our wonderful tech work is just the new version of the boring secretary job in old movies. We need to run, sweat, build. I wrote the best pieces of code and engineered long lasting architectures after such activities.
Yeah, for some time I was constantly tired from sitting almost all day in front of computer for several days. After a heavy session of snow removal I felt much more happy and energetic. To think that as a kid I hated it.