I was recently talking with a young man about his anxiety, which he experiences as extreme. When I asked him what the anxiety was about, he didn’t know. When I suggested that we become curious about it and explore what it might be about, he told me that it was so extreme, it must be “biochemical.” This meant to him that the anxiety could not be understood in a psychological way, but had to be dealt with as part of his “illness.”
I acknowledged to him that anxiety certainly involves biochemistry, but suggested that there are also experiences and interpretations of experience that trigger the biochemistry into action. For example, if he experienced someone pointing a firearm in his direction, he would likely experience an intense biochemical process within his body, but the experience would not be “just biochemical.”
If people are going to understand themselves and work through emotional problems, it is essential that they get curious about their experiences and reflect on what might be triggering them. Sometimes such curiosity or reflection results in getting valuable messages from those experiences, or at other times, it involves identifying a mistake that triggered the emotional experience, which then allows for resolution. To use the simple example of the threat perceived from the firearm, one might either take quick action to avoid being shot, or in another situation perhaps observe more carefully and notice a movie is being filmed and that the firearm being pointed is just a prop.
Of course, experiences like anxiety and depression often have their sources in much more complex experiences, and so more complex reflection is necessary to sort out what actions to take or what interpretations to revise. We live though in a society that does not like complexities or deep reflection, so we already have a bias toward thinking that disturbing emotions that don’t quickly make sense must just be something wrong with us. This bias makes us think we “shouldn’t have” disturbing emotional states, so we tend to push them away or dissociate from them, which just makes it more difficult for us ever to understand their sources and decide what to do about them.
Those who market psychiatric drugs take advantage of this cultural bias to offer a seductive pseudo explanation, which is that unwanted emotional states that aren’t easily resolved must be the result of a “biochemical imbalance” or some other biological problem. Our culture has become heavily influenced by this viewpoint, to the point where it seems the majority believe that seriously disturbing emotional states lacking easy explanations must be caused by a fault in biochemistry, rather than being something that can be potentially understood and resolved.
The sad result of this marketing effort has been to dramatically aggravate a cultural tendency to avoid deeply listening to each other, or even to ourselves. Any mental or emotional problem which does not rapidly resolve must be “biochemical” and not worth even trying to understand; instead we should be trying to drug it away. [continue reading…]




