Women

Got butterflies again? More women are using anti-anxiety drugs than ever, yet many experts now say a little panic leads to success. So can panicking ever be productive?

Women don’t get much more successful than the British Vogue editor Alexandra Shulman, which made her recent admission that she still carries anti-anxiety drug Xanax in her handbag, as a ‘lucky charm’ against the panic attacks she used to have, all the more shocking. But look at the numbers and you’ll see she’s not alone. Prescriptions for anti-anxiety drugs have risen by a staggering 26% over the last four years, taking the total prescribed by the NHS to seven million last year alone.

Anti-anxiety drugs

Indeed, her declaration is just one sign that we’re in the midst of an anxiety epidemic, caused by a trio of factors. First, the recession is showing no signs of ending anytime soon, meaning we remain in a hyper-alert state when it comes to worries about money and job security. Second, our addiction to technology is, say experts, stopping us from switching off – and encouraging us to compare our lives with those of our friends (or at least the version they present on Facebook). And finally, there’s the relentless pressure to have it and be it all. Being successful at work or running a happy home is no longer enough, now you have to be able to bake your own bread, run marathons and look like a supermodel while doing it.

Given this explosive combo of pressures, it’s perhaps not surprising that so many of us are taking anti-anxiety drugs. Most prescribed are benzodiazepines, such as Xanax and Valium, but they are also the most addictive if used regularly. Dr William Shanahan, executive medical director at London’s Capio Nightingale Hospital, treats many women addicted to prescription drugs, and warns against seeing medication as a quick fix to this kind of anxiety. ‘You take one pill and it works, so why not take another one? Why not take three? Before you know it, you’re dependent and you start experiencing the very symptoms you started taking them for’, he says.

PR exec Lisa Taylor, 31, is another successful woman who carries her Valium in her handbag, ‘just in case’ anxiety strikes and she needs to feel instantly calmer. Originally prescribed when she was going through a bad time last year, she admits she now gets panicky if she doesn’t have it with her.

Dr Michael Sinclair, consultant counseling psychologist for harleystreet.com, stresses that anti-anxiety drugs should only be used in conjunction with longer-term coping methods: ‘While medication can be incredibly beneficial in managing debilitating symptoms short term, it should always be prescribed alongside some form of therapy,’ he says. ‘It’s much more important to learn how to manage your anxiety rather than masking it with a pill.’

Description: Website: www.harleystreet.com

Website: www.harleystreet.com

What is surprising is that anxiety has shaken off it old connotations as a negative, debilitating emotion, and has transformed into something we not only admit to experiencing, but actively boast about – in the same way that stress has recently done. But while many of the symptoms are the same (headache, a racing heart, shortness of breath, dry mouth, butterflies, sweaty palms, nausea) the distinction is in the causes. Stress result out of frustration and, it triggered by an event while anxiety stems from fear and doesn’t need a trigger – which is why panic attacks, a sign of extreme anxiety, can strike totally out of the blue. Long term, it can raise your risk of heart disease and stroke, yet increasing numbers of successful women are now declaring a certain level of anxiety (the odd sleepless night that leads to an early-hours job application, for example) is necessary to enable them to thrive. If you’re not anxious, so the subtext goes, you’re just not driven enough.

Professor Craig Jackson, head of psychology at Birmingham City University, agrees that some women see anxiety as measure of effort. ‘For some people, being time poor and working in an atmosphere of constant list-making can be very reassuring,’ he says. ‘It’s worn like a badge, to prove to colleagues – and also reassure themselves – they’re vital to the business.’

In the past, anxiety was judged as a sign we weren’t up to the job and couldn’t deal with the pressure. But now, with jobs and couldn’t deal with the pressures. But now, with jobs at risk, it seems people would rather shoe just how hard they’re working by complaining of headaches but ploughing through. ‘It’s the equivalent of seeing beads of sweat on a manual labourer,’ says Michael Garnham, a psychotherapist at TTP Harley Street, which specializes in addiction and disorder therapy. ‘Workers think looking tired shows they’re working their hardest.’

Recruitment consultant Karen Thomas, 33, admits using her anxiety to show her dedication to the job. ‘When I feel irritable and on edge, it’s a sign I’m working really hard,’ she says. ‘I feel like no one can tell me I’m not trying my best if my heart is pounding and I’m light-headed.’

Description: Just Enough Anxiety: The Hidden Driver of Business Success

Just Enough Anxiety: The Hidden Driver of Business Success

Robert Rosen, psychologist and author of Just Enough Anxiety: The Hidden Driver of Business Success (Portfolio, $19.9) argues that this shift in how we perceive is a positive. ‘We’ve historically seen anxiety as a negative, and underestimate the value it plays to help us grow,’ he says. ‘We need it to achieve success.’ He claims the key to harnessing anxiety is learning to accept that it’s part of life. ‘We live in an uncertain world and you have to learn that what you’re feeling is totally natural. We need to reframe anxiety – it’s simply your body and mind telling you to pay attention.’

Felicity Allman, 23, has a successful career in book publishing and is studying for a Master’s degree in her spare time – and she’s convinced anxiety has helped her get where she is. ‘Being completely wired enables me to tap into energy reserves I didn’t know I had, to look at things in a new way or tackle unprecedented issues,’ she explains. ‘I’ve suffered with symptoms of anxiety, such as insomnia, restlessness and a racing heart, for years and I wouldn’t have accomplished any of the things I have without them. If something matters to me in life – and success matters to me – it makes me anxious.’

But, while studies have shown that performance increases with anxiety, that’s only true up to a point. It’s a case of finding your own personal tipping point. ‘People who don’t experience any anxiety at all are too complacent,’ says Dr Shanahan. ‘Say you’re going to a job interview; you’ll naturally feel anxious beforehand. That’s healthy because it’ll make you focus. But when the anxiety’s so string that you’re sick and it doesn’t go away, that’s not healthy.’

Description: you’re going to a job interview; you’ll naturally feel anxious beforehand. That’s healthy because it’ll make you focus

you’re going to a job interview; you’ll naturally feel anxious beforehand. That’s healthy because it’ll make you focus

Deborah Reed, 28, is convinced she’s gone beyond the ‘anxiety tipping point’. ‘Without that anxious aspect of my personality I wouldn’t have done so well career-wise – it spurs me on. I have so much adrenaline that I get lots done but when my anxiety symptoms are at their worst, and I’m dizzy, sweating and feeling like I’m about to go mad, I can barely achieve anything, which just makes me panic even more.’

There’s no way of avoiding anxiety completely, but there are ways to stop symptoms in their tracks. First of all, breathe. Sounds obvious, but when anxiety strikes, we tend to shallow breathe, so slow down. Alexandra Shulman says it worked for her, and experts recommend exhaling for double the amount of time you inhale (eg four counts ‘in’ and eight counts ‘out’). Another instant calming technique involves clenching your muscles as you inhale, then relaxing them as you exhale. Work down through your face to your feet, and repeat the whole routine four times.

And bear in mind the effect your diet can have. Sugar has been linked to anxiety, while caffeine will only make you feel more jumpy. And, although alcohol may temporarily relax you, it’s a depressant, so try to cut down. Regular exercise will clear your body of a build-up of the flight-or-flight hormone adrenaline, and yoga or Pilates can help you relax.

So, how do you know if your anxiety is out of control? If you’re on the right – or wrong – side of the tipping point/ our quiz, devised with the help of Dr Sinclair, will help you diagnose your anxiety levels – and discover what you should do about them.

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