Jog on Journal: A Practical Guide to Getting Up and Running. Bella Mackie

make a note of a situation when you felt ill, ‘off’, wrong or rundown. Think about what was going on that day – were you worried about work? Were you having anxiety attacks a lot in that period? No need to be Sherlock Holmes – just jot down anything that comes to mind.

      As I said, the impact of anxiety on our bodies is very real. It might all stem from your mind, but an upset stomach is undeniably rubbish. Headaches can knock you out all day. Vomiting can force you to leave important work events. Mental-health-related issues account for the majority of sick days taken at work, and we’re often more likely to tell an employer that we’ve got flu than to explain that our bodies have been taken over by worry.[16]

      Anxiety can make it feel as though your body is breaking down sometimes. Night sweats, exhaustion, cold chills (I used to have to blow-dry my feet before I could sleep sometimes) and a propensity to pick up colds made me feel many years older than I was. Those colds might not have been a random coincidence either. There’s growing evidence that when extreme stress and worry continue for a prolonged period of time, the immune system may be weakened.[17] In fact the health consequences more generally can be significant. Anxiety has been linked to heart disease, respiratory problems and digestion issues.[18] I say this not to freak you out (please don’t freak out, I’ll have to give my book money back) but to show you that your anxiety is SERIOUS and VALID and you deserve to be taken seriously and not feel as though it’s not important. It is, and you’re not ‘imagining’ it.

      Anxiety makes our minds miserable, but it also makes living in our bodies uncomfortable and painful and tiring. So there’s even more reason to make changes and seek help – you might be able to put up with worries, or have all the symptoms of the flu, but both at the same time is more than one person should have to tolerate.

      And the great thing is, the more you understand the ways that your mind and body impact on each other, the more you can break the cycle of anxious thought – adrenaline – more anxiety. There’s nothing radical to suggest here – no potions or expensive equipment to buy. It’s the old classics as usual – sleep, exercise, good nutrition, training your brain to look at things differently (learning to reframe negative thoughts), and listening to what your body needs. Are you full of nervous energy? Maybe a walk would help dissipate some of that. Feeling cold and shaky? Have a hot bath. I hope these suggestions don’t sound too like Pippa Middleton’s party manual (‘consider a cake’, etc.). They can feel obvious but, unfortunately, there’s no quick remedy which fixes all of these physical things. There’s a reason the suggestions given by professionals all tend to be framed around exercise and wellbeing – it’s because they work. And the more you look after your body, the less the symptoms will invade on a daily basis. Since I started running five years ago, I’m ill much less. I sleep better. I don’t feel overwhelmed with adrenaline and I don’t have so many weird and frightening body niggles which used to send me straight to Google to see if it meant I had cancer.

      Write down five things you know help with physical symptoms of anxiety:

      Try to do at least one a day for a week and see if you feel differently.

       PART SIX

       INTRUSIVE THOUGHTS

      I’m covering this nasty element of anxiety even though it’s less well known and rarely talked about. No, let me start again. I’m covering this nasty element of anxiety BECAUSE it’s less well known and rarely talked about. That’s better. Although most common in people with Obsessive Compulsive Disorder (OCD), so many people wrote to me after reading Jog On to tell me about their experience with intrusive thoughts that I think they’re worth talking about here too. As I said at the beginning, mental-health problems often overlap, so it’s not surprising that this issue crops up for many people who struggle with an anxiety disorder.