Worry is an ordinary part of human experience. It is part of our primal survival instinct, our tendency to be on guard for danger and scan for any trouble that might be lurking in the shadows. It is also part of our loving and caring instincts, our wish to protect life and those we love. Deep down, it is also related to our difficulty facing our limitations, the tough task of accepting the fact that we can influence the future but we cannot control it.

Our tendency to worry is linked to our external experiences. In any given week in my practice, I bear witness to worries about finances, job security, physical health, the well-being of a child, a parent, or even a pet. People worry about their relationships, how to handle a conflict, their body image, what other people think about them, and more. Lately, many of my patients have been sharing their worries for our country and the world, concerns about safety as well as our moral compass.

Psychotherapy offers many tools to help reduce anxiety. It also provides a space set aside to share worries in a relationship that can provide empathy and perspective. In psychoanalysis, we take a long-term approach by focusing on how the external world interfaces with the internal world, working to help patients become less worried in their general disposition, from the inside out. As the therapeutic work progresses, people become less worried as they develop the capacity to trust their own strengths, resilience, and sturdiness; to depend on others for help in time of need; to clear up distortions in their pictures of themselves and the world; and to accept the reality of uncertainty and the limitations of control.

To be honest, I am a worrier myself, so this is a bit of a physician-heal-thyself kind of essay. I confess that I like to believe that I can see trouble in advance and somehow prevent it. I feel badly when I miss something or when my efforts fall short, as they inevitably do. I know that this is a crazy-making and unhelpful attitude, and I have worked with some success in my own treatment to loosen my grip on it (and its grip on me). These days, I both try to worry less and try to cultivate a more accepting, less judgmental attitude toward my tendency to worry. It takes a lot of mindful discipline to accept this weakness in myself with understanding and compassion.

Last week, I had the great pleasure of listening to an On Being podcast in which Krista Tippett interviewed the Irish poet, theologian, and group worker, Pádraig Ó Tuama. In this touching interview, he read from the end of his book, In the Shelter: Finding a Home in the World, about his approach to daily prayer. It reveals a kind and balanced perspective toward life, whether or not one is inclined to pray. He writes:

The perspective of this approach to the day speaks to me. It is an open and welcoming attitude, not only toward the day but to all aspects of ourselves. For, as I like to say: worry and hope, fear and courage, certainty and uncertainty, love and hate are all roommates in the inner world.

Perhaps a more welcoming attitude will help us help them get along.