Ask HN: How to break anxiety/fear-avoidance cycle?

350 points by _yigw ↗ HN
For years anxiety/fear-avoidance cycle defined my life. I tend to procrastinate to a such extent that causes problems in my day to day functioning, and generally my life.

For example, i have to submit 2 fairly simple assignments, in 2 and 3 days respectively. If i don't pass the next 4 assignments i will fail the lab, but i keep avoiding sitting down with all of my power. I feel pure fear and a sense of "i will certainly fail if i try".

The above example is with these assignments, but this type of behavior extends to everything in my life.

239 comments

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It seems as though the problem is primarily fear and/or aversion. The mind is kind of like a cavern of echoes, and you can choose to add power to, or dampen, the echoes. Are you able to think of something that will bring up a wholesome feeling, like kindness toward an animal, or a baby, or gratitude toward a mentor? If so, you can use it to dampen the fear pattern.

When the fear pattern arises again, realize as quickly as possible that it has come back. Stop it, i.e., do not walk down a road in imagination related to the fears, imagining painful outcomes or whatever. In other words, gently stop the thought and drop it. Relax tension in the body, especially in the head. Smile. And bring up the wholesome feeling, however is appropriate for you. This dampens the fear echo. Each time you do these steps, you are taking energy away from this habit of your brain. Every time you do it correctly, you're taking a step toward not being bothered by this concern.

This technique will work, but please just try it and try to do it diligently, giving it provisional belief. In the meantime, try to do your assignments, watching for your fear to decrease.

* This message pre-censored by HN, allegedly to preserve curiosity.

Accept that you can fail and being failable is part of being human and part of who you are.

Realize that if you fail, your life is not going to end.

Internalize that even after you fail, you are not worth less than what you think you are if you succeeded.

The way you describe your problem makes me think that you might need the assistance of a therapist to overcome it.
If only the task of finding and choosing the therapist, and then actually visiting him didn't also trigger the cycle.
It may not help in the moment, but best money I ever spent was going to a therapist weekly, or more often, for about 2 years. Many universities offer free mental health services. Therapy didn’t fix everything, but it did help with perfectionism and especially with black-and-white thinking.
> Many universities offer free mental health services.

Perhaps they say they do, but they are always totally full and also really low quality

What are your thoughts on a virtual therapist (with voice control/feedback) designed for a specific mental issue?
Virtual as in AI? Never heard of such a thing to be honest. Do you have any articles on it?
as in Google Assistant for depression/OCD/ADD/anxiety management. Specialized for 1-2 problems that were diagnosed by a real doctor.

The biggest problem is it needs to be quite well customized for each user.

I believe talking to anyone/anything helps a lot, and hearing feedback helps even more.

A "personal medical assistant" like that could help manage medication intake, serious episodes, moments when you feel very bad.

I have a prototype for myself, it's just a bunch of cobbled software running on a dedicated smartphone. The voice triggers and replies are prewritten based on my own self-analysis. But I know it all already, so the best part is medication reminders and letting me know what I live for.

However it needs to always be on me, and right now it uses too much custom software to just install on anything. I can't build such an app myself, but it should be possible.

I am single btw, so of course I have no one to talk to.

The therapists I tried were just public ones, so they're more interested in showing up and getting their cut out of the mandatory insurance system.

"We don't take on new clients" or "we only speak German" is a valid reply, and what's a depressed person calling for help gonna do?

Just hang up and give up or best case, call others. It's a shit system.

I gave up on it all and am trying to make/find a "system" that is truly personal, custom, free as in freedom, independent of the gargantuan public and for profit healthcare machines, which are too big to accommodate everyone, plus the disinterest in actual help is obvious in places where insurance is mandatory.

Not knocking on emergency services, surgeons, anyone fixing obvious physical problems, those people are worth it. Mostly mental healthcare, where it's easy for unscrupulous people to fudge numbers and make money for doing nothing.

It's like my hypothyroidism, took me years to get that diagnosis, it's stupid.

But of course, when you say "I'm depressed and I drink a lot', that's not the first thing anyone would think to check for. Or maybe my luck is terrible.

Either way, universal healthcare systems are just huge machines like the justice system, they work for most, but many slip through the cracks and get zero help, being left to self-medicate and self-help, which is hard when said machines gatekeep anything that can actually work.

That's how you get a huge popularity of homeopathy, religion, diets, illegal drugs, and anything desperate people can cling to and believe in.

Well, I am not sure such a thing would work for me, at least not in the long run. But like you said, it could be useful if you are alone and need a voice (even if a synthetic one) to remind you that there are reasons to keep going.

I hope you can find yourself proper counseling though, I didn't know things were so dismal in Germany (I am assuming you are in Germany based on the contents of you comment).

I'd add the caveat that therapists are like friends and teachers: who they are as people matters for how effective they are professionally.

Treat finding a therapist like dating or considering a friendship with someone. A therapist can be a very good therapist (objectively) but not click with you.

It's okay to say "I'm trying out multiple therapists right now to see who fits best. Can we just do introductions with each other?"

Find someone who you respect, shares some beliefs with you, and generally has a compatible outlook on life.

It may help to go out and do something else that you enjoy, to stop thinking about all this. That would give you some perspective on things and you can get back to your work with a fresh mind.

Also sometimes when you procrastinate it's an indication that what you're doing is not really what you want to do, so you might want to consider doing something else that you can be passionate about (not saying that's easy and you talk about assignments, so you probably don't want to drop your degree out of the blue).

The best solution to getting past the anxiety/fear-avoidance cycle is to take small, manageable actions while accepting the feelings that go along with those actions.

Start with the smallest steps possible. Maybe that means opening the assignment and saving it to your computer. Then put it down and walk away. Come back in a little while and take another small step, such as reading over the assignment or making an outline of what you need to do to get it done. Often once you've done something you will often start to feel a lot different than if you've done nothing.

Keep track of how you're feeling. It's okay to feel more anxiety at first because you're doing something instead of nothing. Those feelings tend to subside over time as you take action, but the point is not to reduce your anxiety, the point is that you are making a commitment to do something in your life, to live your life, rather than to remain paralyzed in fear. Your goal is not to get rid of the anxiety but to live the kind of life you want to live.

This is the model for Acceptance and Commitment Therapy. A great book on this is "Get Out of Your Mind and into Your Life."

I found the same thing work the best for me, but not always.
I wish someone had given me this pièce of advice early in life instead of finding that out at 25.

I call it the foot-in-the-door method, it makes wonders.

By many measures, 25 is early in life. Congratulations: you did!
Seriously, even at 30 I feel like I've barely mastered these skills!
+1 for feeling that way at 40. It never ends!
Well hell, I'm over 60 and I still can't make up my mind what I want to be when I grow up.
I am struggling with this cycle for a long time now. Relieving to hear that everybody just trying to figure things out.
Yup. Starting is the hardest part. It's easy to be overwhelmed by the whole thing you have to do. It's much easier to say, "Okay I'm going to open the document and title it. That's it". Often once you do that its much easier to do the next step.

The other piece of advice I'd give is break tasks down. Write a paper is hard. Open a document is easy. Title the document is easy. Write a thesis is harder than those two but easier than writing an entire paper. Writing the first paragraph based on your thesis statement is easier than writing a paper.

If you have things broken down into steps its much easier to have a clear step by step plan on how to move forward.

There's the 3 seconds to act too. Don't hesitate.. for positive attempts you want a fair amount of impulsivity.
A vehement +1 to this post. Reducing the conceptual size of the problem to something that you can just shrug and do will give you a step forward and knock a chunk out of your anxiety. If you keep at it, the anxiety will reduce over time.

One thing that's helped me is self talk. You should assure yourself that you're the man and that these challenges are easy for you to overcome. Don't be afraid to go over the top with this and when you do it, give yourself a pat on the back before you take the next step.

A very good advice. When I am stuck worrying and not doing a task I should have been doing, I try with a small pomodoro interval of just 15 mins doing very minimal steps related to the task that won't need lot of mental energy. This helps me to reduce my anxiety and gradually I pick up my focus and am able to move forward.
The old adage: Prepare and put your gym bag at your front door if you have problems trying to go to the gym
This is very good advice.

It can be also combined with a couple of neat tricks: talking with somebody about it & making a list about it.

    Start with the smallest steps possible. Maybe 
    that means opening the assignment and saving 
    it to your computer.
This is insanely effective for me.

Avoidance/procrastination is still an ongoing struggle for me, and I suspect it always will be.

But breaking things down into steps is my best weapon. Nothing comes close.

(Second place is probably "getting good sleep" which has positive benefits for well, just about any challenge your mind faces)

I actually extend this concept to life in general. I make lists of daily tasks. This even includes "getting out of bed", "taking vitamins", etc. Sometimes it's useful to give yourself "credit" for doing all of the little things. Gets you rolling. Sounds silly but it is often effective for me.

(Second place is probably "getting good sleep" which has positive benefits for well, just about any challenge your mind faces)

I implemented a system of 9+ hours of sleep the night before an exam; this means I'll be in bed an hour and a half (maybe 3 hours) before my usual bed time. This provides a noticeable buff to my speed, accuracy, and recall on test day.

+1 for taking small steps. As someone who's dealt with anxiety for years, it's one of the most reliable ways for me to actually make progress when I'm overwhelmed.

I'll typically try making a list of the small steps I need to take, though I recognize that for some people seeing that list might make the anxiety worse. But for me it's a tangible step that allows me to cross off items and visualize the progress as I go which ends up reducing my anxiety about the task at hand. I do it for everything from work related projects to general "cleaning up the house" type work.

someone posted an article about ACT not long ago, I couldn't find the acronym, thanks :)
I just bought Acceptance and Commitment Therapy on Audible. I take book recommendations on HN relatively seriously so I'm looking forward to this read.
Ditto, though my copy is coming in paperback form :)
This is really the only way it keeps getting better for me. Big big +1 on this one
This is what I try and do with my kids. They're elementary school age - if you tell them "go clean your room", they will melt down because the problem is too big for them to understand how to fix it.

Conceptually, they know they just need to put one thing away at a time, but often their emotions kick in first and short circuits rational thought. I help them through this by sitting in the room with them and just calling out 3 things that can easily be put away and tell them to just do those 3 things. Then we will do it again, and again, and again, and ....., until the room is close to being clean and they can finally take care of themselves.

I also point out the phenomenon to them - I call it their "monkey brain" impulse, which I use to describe any impulsive or avoidant behavior. I also use "lizard brain" when they go into a blind rage against their sibling at some perceived slight or injustice, and %kid_name% brain for when rational thought and morality are piloting their actions. The framework seems to work for them, and helps them think about their thoughts (which is a concept I had to introduce to them, they'd literally never thought about doing that - I guess kids don't develop that until later?).

I mean, there are lots of adults who don’t develop that separation. Most of us fail at it at least sometimes.

Seems like an excellent skill to practice so early. Love that.

The best is, the kids learn how to reflect on their own behavior. Giving them the opportunity (at least, later on) if they want to react like this. Or do something else instead.

Good parenting in place.

I use tanglo app (tanglo.app) and something about just clicking "start" on a small task is enough to break the cycle for me. Tanglo is also helpful in visualizing what I can REALISTICALLY get done in my day and what happens if I don't start.

When I don't start a scheduled task, it just keeps pushing it down further and further. If I procrastinate too long, tasks at the end get moved to tomorrow automatically. Which sucks. Small steps, click start.

You must be either the developer or an early user - I tried to register but it says "Registration will be open soon! Please check back with us."
This looks like a reboot of the "Timeful" app by Dan Ariely, which was bought then shut down by Google.
I just want to add to the parent comment which I 100% agree with.

I have struggled with anxiety and fear-avoidance for a long time. Probably most of my adult life. It got to the point where I had to find external help in the form of a therapist. She specialises in cognitive behavioural therapy, which helped me take those first couple of steps. I got better after about 12 months of therapy, but felt like there was something missing in the CBT solution to the anxiety problem.

What really put things in a totally different gear was realising that the voice telling you to avoid, to put off, to cower and run from things, is just a voice. That voice feels like _you_, but it's not you. The voice is sometimes correct. Sometimes it's not. A part of CBT is questioning the unproductive thoughts and feelings, which helps, but it doesn't take this idea of "the voice being just a voice" to its conclusion. Just because you have a thought or a feeling does not mean you should take it literally, as the truth.

ACT, which I discovered by accident shortly after my epiphany, gets to the heart of it with defusion (de-fusing the internal chatter from your rational self) and five other core ideas. For me personally, the idea and practise of defusion was a core component in helping me deal with crippling anxiety. It requires work, but it's possible to feel great in the presence of _some_ anxiety and fear. It's possible to look forward to things which would normally make you anxious and avoidant.

Another book recommendation "A Liberated Mind" by Steven Hayes. I suggest reading a book or two and try to internalise these ideas through practise. No HN comment can provide the nuance and context you'll find in a book and through practise.

ACT therapy is nice and was an important step for me to develop more mindfulness, but not the full solution.

I found ACT to be a bit like relying on willpower. There were only so many times I was “willing” to move forward with my feelings when my thoughts and feelings are working against the task, before I give in and give up.

They eventually win out.

As David Lloyd George once quipped: "The best way to cross a vast chasm is to do so in a series of small jumps."
I just created this account to thank you for posting this comment. After reading it I got and read the book you recommended, and it has really helped me with issues I've been struggling with for years.

I had not noticed the pattern of "avoid negative feelings" -> "negative feelings increase over time", and I actually thought problems like my anxiety had gotten better just because I had found more and more elaborate ways to try to avoid feeling it. In fact, it got worse and I became more and more avoidant of things that might trigger it.

Now the anxiety is still there, it still sucks, but I feel it without flinching and carry it with me without getting lost in the stories it tells. And by doing that, I have enough space in my mind to do the things I was avoiding and be more present.

So again, thank you for writing this comment. Know that you have really helped at least one person.

One thing that has helped me for these situations short term is to find a buddy who is will to sit with you and keep on you task.

Long term, I found success in changing my association to the stressor. For over twenty years,I used to feel dread and panic anytime I had to write more than two paragraphs. Last year, I decided I would write one page a week about anything. It was for ME this time. After two months, I completely changed my relationship to writing through this process. I also got a lot better at writing.

You sound a bit like me. A trick that helps me overcome these situations is to imagine that the worst thing that could happen, in your case, to fail, has already happened. Then I pause and try to see how this affects me. I imagine people pointing towards me, laughing at me, whispering to each other "he failed", then I start to realize, this is not so bad. A failure is just a failure and other people's feelings towards me in this moment really doesn't matter to me.

This helps me to silence the critics in me and to just get on with it.

You are not trying to avoid failure, you are giving yourself a cushion to avoid confronting the fact that you may not be as good as you think that you are.

The cushion is that you didn't apply yourself to the maximum because you procrastinated and ergo it isn't you who failed, but a you who did not apply themselves.

Why do we do it? Out of self preservation. Confronting the fact that the reality does not match our idealized self is a very difficult process as it leaves us vulnerable and exposed. We feel that our lack of skills will be exposed and everyone will see that we are failures.

In reality, there is only one self, you that is choosing not to do what you have to because you are trying to protect a fragile ego.

I don't mean to sound harsh, all humans do it in one way or the other.

But eventually reality catches up to us and forces us to confront our situation. In the expectation you will do as you always did. However, if you condition the future on taking failure as an indicator for growth rather than an indicator of danger, you will be able to overcome the situation.

Take what you fear the most and tame it by actively trying, and instead of thinking you will fail, think and accept that it is an indicator of all the new things you will learn.

NB: Speaking from experience.

PS. Radical acceptance is a powerful tool in getting out of these situations.

> You are not trying to avoid failure, you are giving yourself a cushion to avoid confronting the fact that you may not be as good as you think that you are. ... >In reality, there is only one self, you that is choosing not to do what you have to because you are trying to protect a fragile ego.

This is something that when I was growing up, we learned to deal with through sports. Sports teach kids to confront winning and losing early on and how to better handle their egos.

I wonder if these issues are becoming more common as sports participation has dropped?

With the prevalence of player-vs-player (PvP) games with global leaderboards I'd argue that it could be the opposite, i.e. kids have a better grasp of where they stack on the larger scheme of things.

I too played sports competitively as a child and that eventually fueled interest in PvP games. It was about proving one's self.

In contrast, when one is limited to just academia/school, they have a poor understanding of where they stack up as they are essentially in a microcosm of reality. I take it that OP is in advanced studies and did well in their prior years. With high probability they did too well in school for their own good and didn't have to learn how to be consistent and do the work.

Again speaking from experience on the latter.

PvP games are a good point, though I do think there is something different than IRL sports. Even PvP game competitions in person I think have a different level of lesson than online.

Interesting thought about global leaderboards. I wonder if they are so big, that it's easy to dismiss though. I feel like there is an optimal size in between, sort of like what's happened in sports in the past. As a kid got better, they would get moved to higher levels.

I can tell you from experience that it is very, very embarrassing to be low ranked when your friends are not ranked.

A friend of mine was top 100 in a region with 10 million players, and I could barely get to top 10% without help. Granted my friend is absolutely brilliant and has played competitively in all the games he played (e.g. WoW, League of legends, hearthstone, and so on). I wish he could find something in real life that gave him the same rush as "being one of the best".

This resonates with me. Tips on how to apply this?
Radical honesty, radical acceptance, and introspection.

The idea of radical honesty is to avoid all forms of "dishonesty" which also includes omission. If you are feeling or experiencing something, you have to accept it and articulate it even that entails becoming vulnerable and losing some of the metaphorical shield that protects you.

In the example above: radical honesty is admitting that we are trying to protect our ego from being punctured by avoiding what is making us uncomfortable.

Radical acceptance calls for the acceptance of the current circumstances, i.e. expressing it is what it is, and trying to make the best of the situation. I can't change the fact that I am not as intelligent as Terrence Tao or Erik Demaine even though our childhoods up to a point were identical. The past can't change because the future wants it, so might as well try to create a future that doesn't want to change the past.

In the example above, radical acceptance for me was accepting that I can't just sit in the class and absorb the material as I did in undergrad, but instead I had to actively work for it to get the same grades.

Look into Cognitive Distortions - those are the self conversation lies we tell ourselves, as we "play ourselves". Cognitive distortions take the form of exaggerations of the unknown future, reading others' minds (which is impossible) and then taking a negative thought attributed to others as truth. Cognitive distortions are in general are a nasty little asshole inside your head constantly being negative.

I suggest you look into Dr. David Burns, the father of Cognitive Behavioral Therapy and the first person to seriously document and address this negative self conversation vicious cycle, and how to defeat it.

Maybe not the most popular person, but I think Jordan Peterson has some really nice lectures and talks about this subject in YouTube. Also about fear.

Insickness in this thread also pointed this out: start with the smallest step.

And when it comes to fear: become braver. What helped me a lot was to accept fear.

There are more direct approaches, but, recognize those thoughts as bubbling up from lower levels of brain function, that they are not who you are nor are they your destiny nor are you required to act upon them, leave them be, and do what you need to be doing, with your attention on the doing. If you engage with the thoughts (by trying to change them or suppress them or argue with them), you simply strengthen the associated neurology. If you respond to the thoughts with avoidance, you strengthen that associated neurology.
This was a slow process, but:

1. Regular written self-reflection, i.e., keeping a journal and

2. Re-framing "failures" as learning experiences; forgive yourself

helped me a lot.

The written part was important to me because it forced me to revisit my previous thoughts and reevaluate them in light of what had happened since last time I wrote.

(2) also helped me do things with the mind-set that "failure" wasn't actually failure. The goal was to try and learn from it.

I didn't get around to doing this until after school, but I wish I had. In your situation, I'd try to get myself to do the assignment with a quick pass early on leaving notes for things I wasn't sure about. Take a break, then revisit and revise. Afterwards, write in your journal what worked well and what didn't. Write about what you want to try next time differently if some things come to mind.

Hope you find a solution that works for you. E-mail is in my profile if you want to talk more about what's worked for me.

I've tried to keep a journal. I'm about to start again -- for the n-th time-- but i don't know how to use it, beyond writing my thoughts. How am i going to use the reflections i wrote nine days ago? Sometimes i re-read what i wrote, but i can connect with the words and thoughts that are written on the paper.
Personally, I had a specific time (Friday mornings) dedicated to journaling.

Before writing anything, I would read the previous entry.

Usually, I'd include a small goal I thought was achievable for the upcoming week.

That allowed me to slowly build up good habits. I'd reflect on how well my attempt over the past week went.

Beside the habit forming, I found value in just reading my thoughts from the past week. It was helpful to recognize negative thoughts that persisted week to week. And I spent time thinking about ways to improve the situation. It was also helpful to recognize desires I had that I wasn't making progress on and translating those into actionable steps.

The _key_ imho is the reviewing. That helps you set yourself up for improving instead of ignoring issues and stagnating.

You have ADHD. Your anxiety is a comorbidity. Get a specialist psychiatrist. It has to be a specialist on ADHD.
I'm curious, how did you come the conclusion?
What you want to do is try to get past the emotional part of it. I find laughing helps. You want a kind of telling stories around the campfire attitude about it.

For example, I once spend 2 weeks trying to decide on a startup name, for a startup that barely even exists anymore. It's funny now, and I think about that when I'm trying to pick names for things now. But in those 2 weeks it was not funny! I felt terribly guilty during that time.

Try to take it / treat it lightly. Joke about it. I know that's hard to do when you're in the middle of it though.

Keep in mind the point is to actually do the thing. Maybe my way doesn't work as well for and you find something else. I think it's worthwhile to experiment with different ideas here.

I’m exactly the same, turned my 3 year degree into a 5 year slog because I’d get too anxious to do assignments or even exams. Took me a long time (decades) to learn about anxiety and it’s impacts, so you’re doing well to be aware of it earlier.

Therapy & mindfulness has been a huge help for me. It’s helped me be more aware of how I’m feeling, and to take steps when I’m feeling anxious. For example, I’ve got a regular reminder in my Phone to check in with how I’m feeling, to actively think about what I’m avoiding, and to consider what it is I’m afraid of that’s causing me to avoid. If I’m feeling anxious or avoidant, then I do something to help, like try to ”explore” why I’m feeling that way, and to do some mindful breathing / grounding exercises.

You’ve done really well to ask here for advice, being vulnerable and open is a huge first step. I’d recommend seeing a professional therapist or counsellor if you can, especially while you’re studying - your education institution should have some people who can help.

>3 year degree into a 5 year slog

Same here. It took me 7 years. I would usually vomit before every exam.

The horrible thing was that my grades were 98th percentile and my study method was very effective for me. I've never had this problem until the end semester of the first year of University. I don't really know what happened given that that first semester ended perfectly: two exam with a 100% and one with a 93%; such are mental tribulations like anxiety

If you keep that up eventually your head will dry up and fall off. Stop that.
Note, I have a bias as I had anxiety through ADHD.

That being said both Anxiety and ADHD have the same exact dopamine problem which means that analogues of dopamine and serotonin treat anxiety if it's cause is genetic in nature.

I do not know if the poster has a genetic version of anxiety, however if they do here is what I take for my ADHD that works for anxiety:

L-theanine ashwagandha(its what is in Maca!) L-dopa

and my further twist is to take a tablespoon if raw Cacao powder in mornings as it has two ingredients caffiene and anandamide.

Anandamine is what interacts with CBD receptors, i.e. if you want to get around the TCH in CBD oil this is the way to do it as anandamine obviously is not tested for i the THC tests and there are no addictions associated with anandamine.

Caution, it does not solve the emotional past obstacle you have set up for yourself. to solve that part you have to drastically change your life from consuming to doing in the form of making and creating and communicating. And yes, it is in fact a lot of work. But, I can tell if you make the honest effort towards this life-change you will be rewarded with the amazing stuff you can do once that life-change take hold. IMHO

I'll add my own experience:

I call it the ADD-anxiety-depression circle. Can't do what needs to be done -> anxiety about it and just everything -> depression because it's all too much -> can't do what needs to be done -> repeat ad infinitum.

I found that I must fix all three of them at the same time, because any of them can trigger the others very fast.

No anxiety? Skip straight to depression. No depression? Still can't do shit and am always anxious. No ADD (am doing everything)? Things are objectively great yet I feel anxious and depressed. It's a horrible cycle that only gets worse.

You take levodopa without having parkinsons?
For me, starting anything is the most tough part, but once I start something I will work on it, I am good. What I do is to turn on the music and make myself start. For some tasks, I usually get engrossed so much that I don't hear the music or lyrics at all. Other times, I force myself to do something with the beat of the music. ( I listen to all kinds of music, for some reason lo-fi playlists won't work for starting my work, I listen to some pop or rap or rock)
I highly recommend reading Daring Greatly by Brene Brown (after completing your assignments). The book covers this topic among others.
walks in nature helps

I’ve struggled with this as well and only doing things that interest me helped. Over time those things were profitable enough; took a long time to find.

good luck and hang in there

Listen to John Danaher (world famous BJJ coach interviewed by Lex Fridman).

He talks about that the greatest fighters pick their battles very well, and they often get submitted in the gym because they intentionally put themselves in handicapped positions so that they can learn how to get out (and sometimes that doesn't work out, of course). So life situations where stakes are not high should be used to run high-risk experiments so that we can learn from them. He takes about risk taking a lot, and how confidence building is important for high performers. First, you learn how to recover from bad situations. You train this a lot. Then you need to learn and experience that even if you make a mistake you're good enough to recover from it. If you know that you can recover from your mistakes you're suddenly free to take large risks. As an extension: if you're new to a field and you're looking to acquire skills then learn how to recover from bad situations first, so that you can then keep exploring without the fear of getting into bad situations.

> So life situations where stakes are not high should be used to run high-risk experiments so that we can learn from them.

Your comment made me realize that every failure i considering it as high stakes...

As for John Danaher, he's seems an interested character. For a while now i want to listen his conversations with Lex Fridman, and also the 3hour long conversation he did with two other martial artists.

You have ADHD. Ditch Lex. It's ADHD, get a specialist on ADHD.
Great examples of your last point in most speed sports. The quickest competitors always look like they're extreme risk takers, but it's more likely they've had ample time experiencing mistakes and as such, they know their ability to recover well enough to deduce a good safety margin.

I love watching ragged edge hill climb segments or peak performance downhill mountain biking runs, they're this weird blend of composure and moments of recovery, and you can see them pushing through each small mistake fearlessly, as they're so familiar with them.

Get some exercise and then immediately (while still sweating) sit back down at your desk and try to start. For some reason, that was a very effective way to start my homework assignments (the hardest part) in grad school.
The above post is truly great advice.

Also, pages and pages of advice here about anxiety and nobody mentions caffeine? Be aware that many people get a big increase in anxiety from just one small cup of coffee. Try a caffeine-free life for a couple months, if you have never tried it.

Finally, similar to the above advice, try doing some work in the morning before your "procrastination and anxiety" side has even woken up. In other words, roll right out of bed, still half asleep, and slouch over to your desk and do some work on your project.

Good luck!

Great advice about caffeine. My personal limit is one cup a day, first thing in the morning. More than that has very noticeable effects on me - positive in the short term but negative in the long term. Don't listen to what other people tell you about it, and do the experiments on yourself. Like most drugs, people seem to like brag about being able to handle it, and like most drugs, it has wildly varying effects on different people.
This is not a simple "do this", except to say you need to see a doctor. You are not alone! Many suffer with anxiety for their whole life. What helps is therapy to learn to train your brain that many are anxious too and that you are normal. The ones who don't have chronic anxiety are people you can learn from. When you figure it out you'll have superpowers that most would kill for.

You may choose medication to help you with that initial training, you may have a completely different diagnosis.

No one here should diagnose you, because a doctor wouldn't diagnose over the internet.

A helpful book: "Brain Lock" by Jeffrey Schwartz. It's about OCD but in my experience all these things are connected.

A doctor is the worst person to go to if you have a mental health problem. They will immediately go to prescribe you dangerous, addictive drugs, like Zoloft or some other SSRI
In my opinion, this never goes away and you can only learn coping strategies. I never had this issue with classwork though, but checking my email/dealing with DevOps problems/filing taxes.

For me, I can see when I'm getting into that cycle (e.g. haven't checked my email in a few days) and one way to break it is to use medication. I don't like benzos, but I'm sure they work. Instead, I take a full dose of Benadryl and that can sometimes help me get rid of the anxiety long enough to get through the initial part.

Drinking alcohol works too, but obviously only works when you're at home. Shouting or high intensity dancing to loud music can help.

Basically, just knock yourself out of it just enough to actually start doing the work. Once you start, you'll realize it wasn't so bad.

Just picture Michael Burry having to read this emails in The Big Short during the most stressful scenes.

Cognitive Behavioral Therapy (CBT) to help address the underlying causes of anxiety. It is very similar to another suggestion in the thread about breaking the problem down in to small manageable steps, with a cognitive framework to

* be present, in the moment

* be mindful, of your anxiety, of your surroundings, of your self

* take action based on the above.

Maybe also take a ADHD diagnosis from somewhere like adhdonline.com. It takes an hour or so, longer if you're very introspective about the answers, and then you'll know if there are medical options to help you with this as well.

A lot of good advice here which you can try to implement, but at the the end of the day if this is affecting your day to day life then this is a mental health issue.

I would recommend therapy. They'll give you some similar advice as this thread, and also help you implement it, help keep you accountable, and help find if there's a further underlying cause.