Skip to main content

Verified by Psychology Today

Hal Mathew
Hal Mathew
Fear

Don't Forget to Remember and Remember to Forget

"Fear extinction" is a problem for agoraphobes.

Forgetting is as important as remembering in our lifelong effort to be or become “normal.” Remember when you were a teensy little baby in a general state of learning, of absorbing in your brand new memory unit everything going on in your new world. You didn’t know what it all meant, but you had 3 distinct feelings: pleasure (food, warmth, touch), discomfort (hunger, pain, angst) and fear (startle).

When we emerge, everything is new and potentially dangerous. We’re leery of everything because we’ve never experienced it before. As time passes, we learn that we don’t have to fear certain things (food sources, warm caresses). In one very important way, our lives are reduced to the simplicity of two tasks: 1. learning to fear certain things, and 2. learning to stop fearing certain things. Learning to stop fearing things is called “fear extinction” by social and brain scientists. It’s verrrrry important, that stopping part, and it’s what agoraphobes aren’t good at.

I never really thought of getting over a fear in terms of “extinction,” but that’s in fact what has to happen, in a structural way, in a pact with your brain team - the amygdala, the hippocampus and the pre-frontal cortex (aka “Big” and “Brains”). In order for you stop fearing something, there has to be a committee meeting in your brain. I’ll set it up for you.

You are startled one morning as you’re on a walk you have to take. A dog in a yard leaps, snarling, as you pass. Your adrenaline alarm goes off, partly because you’ve been bitten by dogs, and partly because your fight or flight system works the way it’s supposed to. You were in danger and you froze, planning your next move. You understand the fence will probably protect you, so you circle widely and you pass to the diminishing sound of barking. Well, hell. Now what? Who knows who owns the dog in that big apartment building? The next morning, there’s no dog, but the day after your nearly serene walk is shattered once again by that #@!&%##!&! dog. Now each time you leave the house with anxious feelings, not knowing. This business has wrecked your mornings.

You watch a TV movie one night about a jewel thief who throws a big bloody steak to the estate guard dogs and the next morning you take along some dog treats, turning the barks to wags. You are not at all afraid of the neighborhood dog any longer. Why? The pre-frontal cortex created the notion of taking doggie treats and began to romanticize the positive outcome of it all, completely forgetting there’d been anything about fear.

The hippocampus had passed along the memory to Big after the first incident and kept the master mind informed. When “Brains” thought up the treat idea she had to then convince the hippocampus to eliminate the fear memory. Hippocampus isn’t as sophisticated as Big, but can understand that a smiling dog poses little risk. The amygdala started it all, of course, jumping back from the fear-provoking event and calling out the alarm to all systems. It’s sort of like that horn blasting chaos when everybody’s running around on the deck of a submerging submarine. WHOOP! WHOOP! WHOOP!

In mili-seconds everybody in the body knows there’s a lunging, barking dog and is ready to fight it – or whatever – thanks to the amygdala. Then the hippo had to tell amygdala that from now on no matter how many times the dog appears, nobody else in the brain is going to worry about it, so amygdala might as well not also. When the guard at the gate, the amygdala, cancels a fear memory, that baby is EXTINCT.

I’ve come across several medical journal articles about that very subject – the extinction of fears. I’m not a science type, but I enjoy reading brain science and will pass along to you links to articles, as well as a summary of what you’ll be reading. Science articles can be difficult to read, but by doing so you’ll increase your knowledge of what afflicts you and help you figure out how to overcome it.

This article from the “Biology of Mood & Anxiety Disorders” online journal reveals results from a study of the relationship between early, childhood abuse or trauma and structural changes in the brain. It was written by four medical researchers at Duke University and the University of North Carolina. It may reveal something to you about the roots of your anxiety; at least it will deepen your understanding of you.

http://www.biolmoodanxietydisord.com/content/4/1/12

advertisement
About the Author
Hal Mathew

Hal Mathew is a journalist and social worker. He began his writing and editing career at The Billings Gazette.

More from Hal Mathew
More from Psychology Today
More from Hal Mathew
More from Psychology Today