Don’t Tell Me to Follow My Gut
There is this American things, well, maybe it’s not just American, but we are all about taking risks, following your dreams, and listening to your “gut”. There are many problems with this for the average Jane or Joe, but these issues compound when clinical anxiety, depression, PTSD, or the like is present.

The first issue is that following your “gut” avoids calculating risk, effects of the action in the long term, or seeing it’s effect with a wider lens. It is making a decision based on what ultimately suits you or follows the emotional beckoning of the moment.
I think the only times following your “gut” is reasonable is when you are in a situation where you realize danger and need to be only your guard or need to run away. That is just it, though, the gut usually is directly tied to our brain’s “fight or flight” mechanism – usually manifesting as panic or anxiety or adrenaline. Why would you trust this in situations other than being chased or needing to protect or rescue someone? The gut is only trying to preserve itself without care for any one else or even the objective truth.
This is why the worst thing you can tell someone who is struggling with detrimental anxiety/depression/PTSD/Paranoia to just follow what they are feeling when they have to make decisions. What they are likely feeling is “RUNN!!!” even if that would actually be feeding into the anxiety, evading something that needs addressed, or leaving a good thing that’s hard. When someone is in that unbalanced place in their mind, their gut – or you can think of it as their current wiring – is usually avoiding triggers, pain, or uncertainty at all costs. However, they will not improve in that way.
I wrote the song below about 2 years ago, when I first started sharing my own music in public places- the anxiety was real:
What I have been learning in my therapy, research, and online classes and communities I have taken part in the last couple of months is that although it is good to know the things that are causing you anxiety (triggering experiences, memories, words, etc.); it’s often not beneficial to “follow your gut” when they are encountered. The gut reaction here is fear, running, and hiding… however, one cannot heal or rewire their brain this way. Anxiety, PTSD, and OCD has caused me great levels of distrust – of my own thoughts mainly, and of other people. It tells me that my thoughts are the enemy and all those who have ever hurt me are the enemy. This is my gut response.
I have been working on what I have often heard called “leaning in” to the discomfort. If something triggers me, instead of questioning the cause of the anxiety to death, I just allow myself to sit with it and let it pass. If I need to make a decision and anxiety is right there thinking it’s going to help me make the decisions like it always has, I remind myself that either I don’t need to make or shouldn’t make any choices now; or, that I should not make a choice based upon fear.
Today, I have pretty much been anxious since the moment I woke up. I wonder if my anxiety medication dose is STILL too low, or if it was because I stayed up until 1am working on finances and rushed out of the door to work… every negative thought, feeling, or memory is congregating at the door of my mind, waiting to do what it is used to doing. My gut is screaming to let all the fearful thoughts in because “we gotta fix this somehow”. But, I won’t do that. Instead, I will acknowledge my old friends, wave at them through the gate, but say that I am busy right now and can’t entertain them. Instead, I think I’ll take a walk on this fine late winter, warm afternoon, read a good book, visit my parents, and listen to some live music.
-Bethany
Featured song below, a favorite of mine, aptly describes much of what I wrote about. “The Draw” Live String Version by Bastille:
I mainly speak of anxiety, depression, PTSD, or OCD here. If you have another condition that relates to something of an addiction, at least in the beginning stages, triggering people, places, or things should be avoided until you gain more control and heal.

