#3 The Role of Intolerance of Uncertainty in Worry - Overcoming Worry & Anxiety | Dr. Rami Nader
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- เผยแพร่เมื่อ 2 ส.ค. 2024
- Intolerance of uncertainty is the main "fuel" that drives the worry engine. If you worry a lot, there's a good chance that intolerance of uncertainty plays a big role in that worry and associated anxiety. Intolerance of uncertainty is a well-known factor that contributes to excessive worry in Generalized Anxiety Disorder and worries more generally. This video explains the concept of intolerance of uncertainty as akin to a "psychological allergy" that leads people to experience a lot of anxiety and worry in response to relatively low levels of uncertainty. I also discuss how intolerance of uncertainty increases worry and anxiety by acting as a lens through which a person views the world, resulting in the person always considering all of the negative possible outcomes from an uncertain situation and failing to recognize the possible neutral or positive outcomes that could arise as well.
For more information about excessive worry and Generalized Anxiety Disorder, see my long form video: tinyurl.com/y4yqthap
#GAD #Worry #CBT
Videos in the worry management series:
Overcoming Worry 1: Defining Worry: 3 features of worry and 2 types of worry - tinyurl.com/y2ox4z9n
Overcoming Worry 2: Understanding a model of worry and worry awareness training - tinyurl.com/y5awco8l
Overcoming Worry & Anxiety 3: The Role of Intolerance of Uncertainty in Worry - tinyurl.com/y6ohak2y
Overcoming Worry & Anxiety 4: Manifestations of Intolerance of Uncertainty - • #4 Manifestations of I...
Overcoming Worry & Anxiety 5: Two Ways to Build Tolerance for Uncertainty - • #5 Two Ways to Build T...
Overcoming Worry & Anxiety 6: Five Myths about Worry - • #6 Five Myths about Wo...
Overcoming Worry & Anxiety 7: Challenging Worry Myths - • #7 Challenging Worry M...
Overcoming Worry & Anxiety 8: What do you do when you hate dealing with problems? - • #8 What do you do when...
Overcoming Worry & Anxiety 9: Problem-Solving Skills to Defeat Worry - • #9 Problem-Solving Ski...
Overcoming Worry & Anxiety 10: Why we worry about things that haven’t happened - • #10 Why we worry about...
Overcoming Worry & Anxiety 11: The most surprising tool to help you worry less - • #11 The most surprisin...
Overcoming Worry & Anxiety 12 - A Worry Management Recipe - • #12 A Worry Management...
Overcoming Worry & Anxiety 13 - Dealing with Complex Worries - • #13 What are Complex W...
Overcoming Worry & Anxiety 14 - Maintaining Progress and Preventing Worry Relapse - • #14 How You Can PREVEN...
For more information about Dr. Rami Nader, visit: tinyurl.com/y3eu5dfw
For more information about Dr. Michel Dugas' work on Generalized Anxiety Disorder and an excellent workbook, visit: tinyurl.com/yxf78mnt
DISCLAIMER: The videos provided here on this TH-cam Channel are for informational use only. The video content provided is not intended to be a substitute for professional advice, diagnosis, or treatment. These videos do not establish a psychologist/client relationship. Always seek the advice of your doctor or mental health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen on this channel. Dr. Rami Nader assumes no duty to correct or update the video content nor to resolve or clarify any inconsistent information that may be a part of the video content. Reliance on any content is solely at the viewer’s risk. Dr. Rami Nader hereby disclaims any and all liability to any party for any direct, indirect, implied, punitive, special, incidental or other consequential damages arising directly or indirectly from any use of the said video content, which is provided as is, and without warranties.
Oh THANK YOU!. I am struggling with suicidal ideation because of hoarding issues. I feel terror worrying about how I will feel when my things are taken away. It is nearly impossible to find someone who really understands that intolerance of uncertainly is at the root of this for many or most. I wish I could find ANY therapist to help me using the insight demonstrated here. I appreciate having this morsel of help so much.
You are welcome. I'm glad you found the video helpful.
Your lens to see the model is a crystal diamond. Thank you for making it so clear Dr Rami
You're welcome. Glad you found it helpful!
Finally! Thank you. I really didn’t know what was going on with me. Now I can pin point the problem . Thank you so much
You're welcome. I'm glad you found the video helpful!
Oh my goodness...this was a blessing to find!!!!
5:40 That is me!!
Very informative and helpful. Thank you.
BRILLIANT THANK YOU!!!
You're very welcome!
Thank you Dr!
Hi Robin - you are very welcome. I hope you are finding these series of videos on worry management helpful.
All my what ifs when taken to the extreme end with “how will I survive?”
This makes a lot of sense. I just had an anxiety attack, I was worrying that I wasn't filling in my weekly anxiety assessments properly. It sounds so ridiculous it's comical 🤣, but the reaction is anything but comical. I get these reactions a lot. It drains the self confidence out of me, it's like having a permanent hole in the bottom of my self confidence tank.
I hear this type of thing a lot. I actually tell my clients not to get overly concerned or spend too much time ensuring that they are doing their self-monitoring homework "correctly". Just do it and tolerate the uncertainty that it's been done properly, which we review in the session.
Quality content. Thanks
You're welcome. Thanks for supporting the channel!
Can't thank you enough for making this video. Much needed information. Fantastic explanation!
You're welcome! Thanks for supporting the channel!
Wow. One of the best I ever watched. You broke the issue down so well and identified the root.
Thank you for your kind words. I'm glad you found the video helpful!
The best explanation I ever read or watched! Looking forward to more of your videos about how to accept intolerance to get out of OCD! Thank you!!!
Hi Amy - thank you for your kind words. I'm glad you found the video helpful.
Thank you so much. I really appreciate the way you explain everything in detail. Looking forward to watch all your videos. You are knowledgeable and professional. Have a great day and keep posting the great videos.
I'll keep posting videos as long as people are finding them helpful.
Thank you. You are a very skilled communicator.
Thank you for your kind words.
Doctor Nader
I loved your analogies. They were spot on on how to describe my intolerance. Thanks
Hi Steve - I'm glad you found the video helpful!
Thank you for your clear explanation
It’s concise and to the point
Waiting for more and more videos
You're very welcome. Thanks for supporting the channel!
This was incredibly helpful. I'm looking forward to the next video on how to go about building a tolerance to uncertainty.
Hi Angela - I'm glad you found it helpful and hope you find the next couple of videos equally as helpful.
I feel this is something I struggle with as a result of Social Anxiety. If I'm uncertain if someone likes me or whether our relationship is going anywhere I become too clingy in an attempt to find out for sure what's happening.
Although Generalized Anxiety Disorder and Social Anxiety Disorder are different conditions, the worry management skills that I am discussing in this video series apply to worries about social situations as well.
Hi, dr. rami! Thank you for this video! I'm a medical student from Brazil, interested in understanding psychotherapies and you help me so much! You are an excellent teacher!
Thank you so much for your kind words. Much appreciated and beat of luck in your studies and career as a physician.
The more I practice this, the more it steers towards gratitude. Tolerating uncertainty for me means an increased capacity to tolerate some suffering without tilting. And as the anxiety component decreases, my outlook becomes more holistic. I don't have to worry about taking my temperature all the time to make sure I'm feeling good because I know it's ok to have uncertainties. The world is not going to collapse if I'm uncomfortable. And I can be grateful.
Hi Joe - fantastic comment. Thank you for sharing your thoughts and experiences!
Thank you, watching all
That's great. It's a long series, but I think it lays out an effect approach to managing worry.
Wow. I've never resonated with a video more than this one right now. The past week I've experienced constant flaring of worrying and anxiety from uncertainty (of the fear of potentially contracting COVID-19). I've been so worried and stressed despite displaying no key symptoms, however I feel I am very health anxious, which leads me to expend all my energy worrying about how I'm constantly feeling. This has caused me to have a week full of constant tension, and has completely taken my focus away from me. All I want to know is that I'm okay and will not be sick - this is purely because my lens has been strictly negative: I have this internal worry that the worst possible outcome will surely happen to me if I would contract this virus. Even though logically I see that where I'm younger in age at 23 years old and do not know of any underlying health conditions, it feels like my logic voice and worry voice internally are two separate things. This fear and worry has caused me to go to the hospital yesterday from immense panic and feeling exhausted from an entire day of being extremely elevated on edge. I have this worry that I will not be able to go back to my normal self for a prolonged period of time - essentially until I wait out a number of days for it to be "impossible of being sick" (as a sense of certainty). It feels that my stress levels have been sustained for the past few days across the entire day, and I can't seem to simply "breath and relax" as everyone recommends as I then overthink about how I'm breathing or that funny feeling in my chest that suddenly appears. I feel that I intrusively fear and worry about the absolute worst possible outcomes in uncertain situations regardless of logic.
I'm glad you found the video useful and I hope you have a chance to take a look at some of the other videos on intolerance of uncertainty. Thanks for your comments and thank you for supporting the channel!
I am doing a presentation about this theory for tomorrow, and let me just say that without your explanation I would not have made sense of this theory at all!! You are genuinely my savior right now :P
Hi Dorota - glad to be of help. Good luck on your presentation!
A fantastic way of explaining it. Thank you very much! Great videos.
Hi Jennifer - Thank you for your kind words. I'm glad you are finding the videos helpful.
@@DrRamiNader I'm currently on leave with stress from my NHS job and taking the time to do some soul searching. These viseos and topics have definately given me food for thought.
Really helpful... M impatiently waiting for how to build tolerance for uncertainty... Thank you
The next two videos coming out will be discussing that topic exactly.
I like you, Dr. Nader. I wish it was easier to find help around here, right in the same city as Yale!
Thank you for your kind words. I hope you are able to find someone there who can provide good help. Take care.
Thank you very much. Would you be able to make a video about social anxiety?
That is on my list of videos that I will be making in the coming months, so please keep an eye out for them.
I Like the expression „worry engine“. 🌾
Glad you found it helpful!
Great video! I need to work on increasing my tolerance for uncertainty. A topic I’d like to hear you talk about is dealing with disappointment, like when you are really hoping for a certain thing to happen and it doesn’t. Thanks!
Hi Siobhan - glad you found the video helpful. I have done a video on dealing with disappointment, and you can find that here: th-cam.com/video/Pwi-my4Xl2Y/w-d-xo.html
@@DrRamiNader Awesome! Thanks for providing the link. I’m looking forward to watching it!
Hello thanks again for making these videos. Would you be able to make a video specifically on anxiety around the pandemic? That seems to be the source of my anxiety and worry these days!
I'm glad you are finding the videos helpful. I've had a few people ask me to make a video specific to anxiety related to the pandemic, but I've been a little reluctant to do so because, to be perfectly honest, I don't know enough about it. I don't know if any psychologist does. What I've been doing with my clients who are struggling with anxiety and worry regarding the pandemic is using these worry management skills and applying them to worries regarding COVID-19. Things like doing tolerating uncertainty experiments involving not wiping down groceries with lysol wipes when they bring the groceries home. Maybe it's just that I haven't gotten my own head around what is "reasonable pandemic anxiety" vs "pathological pandemic anxiety", but I don't feel I'm in a position to comment with any sort of expertise related to the pandemic, other than taking my usual tools and applying them to pandemic anxiety. I hope that makes sense.
@@DrRamiNader thank you so much for the thoughtful response. I guess this is uncharted territory for all of us. I will use your tools and apply them the best I can!
omg THIS IS ME
whelp....I guess part of this intolerance of uncertainty is trying to control others. Trying to control doesn't work. And my perpetual attempts to control tells my significant others that they are always coming up short, cause my worries and obsessions can't be solved by them. Lots to work on. But at least I am beginning to work on solvable issues instead of living in dreamland.
Trying to control the world and other people is a common manifestation of intolerance of uncertainty.
Thank you for this content! Im curious as to what is happening with people who are highly intolerant of uncertainty, but also very disorganized. Is that a dichotomy, or is there something else going on?
Good question. Sometimes the disorganization can be a manifestation of intolerance of uncertainty. For example, if the person is not certain how things should be organized, they may not try to organize things out of fear that they might do it wrong, which then perpetuates the disorganization. It's a form of avoidance.
@@DrRamiNader That makes sense. Thank you for the reply!
Hello Dr Rami,I watch all of ur Vedios,I want U to make a vedio On How To stop reassuring if U have GAD,After Making a Decision i still reassure from people Whether i made A Good Decision or not and It Disturbs me A Lot..
I will be discussing reassurance seeking in the next video and then will be discussing how to build tolerance for uncertainty by doing behavioral experiments. Those will be videos coming up in the next few weeks.
Thnks a lot Dr Rami
Thank you doc very informative my chid fits into lower lever and what l learn so for will help but how the best way to talk to them about it
Hi Drew - I'm not sure exactly what you're asking, but I think the best way to talk to people about their worry is to begin by better understanding worry yourself so you can have a better sense of what they are experiencing. The next couple of videos are going to be discussing various ways in which intolerance of uncertainty manifests in a person's behavior and ways to improve tolerance for uncertainty, so hopefully those videos will give you some ideas.
@@DrRamiNader my 15 years old has mild anxiety and when they have an episodes their very hard to talk to about it
@@DrRamiNader thank agin Doc look forward to seeing the video thank please keep up the good work
Hi Rami,
Is this intolerance associated with certain personality types? For example wanting to deliver good work (perfectionism), will lead to overworking to eliminate the uncertainty of a good response?
Can we discover these traits in ourselves, to eliminate worry?
Furthermore, is the body response to worry also associated with uncertainty of anxiety? Or has this something to do with the 'amount of danger' that we interpret within the uncertainty?
Cheers
Perfectionism is very commonly associated with intolerance of uncertainty, because if you know you have done something perfectly, it eliminates any concern about having made a mistake or any negative uncertain outcome. However, just like it is impossible to completely eliminate uncertainty in the world, it is impossible to do everything perfectly as well.
I try to keep away from doing things cause of uncertainty and the bad worry of regretfullness that I will be going through for a long time, it’s really scary, and I might loose control so I keep away or avoid! I have ocd and most of the time something fearful happens 99%
I think there's a difference between experiencing anxiety in a situation and a situation actually turning out negatively. People can experience anxiety even if the situation is not dangerous or threatening.
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Point of break off with you and all connected persons.
There are only two comments except it on this video.and I want reply for other one
I feel like the people with high tolerance of uncertainty are the ones who end up being eaten by bears. But your point is taken.
I was thinking about this very issue today, that I don't travel much because of all the things which may go wrong and not knowing if I could get back home.
People tend to overestimate the likelihood of bad things happening and underestimate their ability to cope when bad things do happen.
Whisper, try talking