Review: The Anxiety Field Guide

The Anxiety Field Guide, Jason Cusick. Downers Grove: InterVarsity Press, 2022.

Summary: A practical guide with daily exercises to help face anxieties and reduce feelings of anxiety integrating clinical practices and biblical insights.

We all know what it is to be anxious and we live in anxious times. The question is, how will we respond? Will we make healthy choices that face and normalize our anxiety? Or will we avoid situations that make us anxious or escape into unhealthy coping behaviors when we feel anxious? Will we step into anxiety-producing opportunities for growth and advancement, or will we choose the safe route?

Jason Cusick is an anxious person from an anxious family. Stepping into larger responsibilities, he experienced panic attacks. And it led to a season of therapy in which he learned about anxiety and about himself. He realized that anxiety is a gift of God for our safety, but can be awakened at the wrong time. He learned that healthy responses to anxiety are rooted in four principles;

  1. Normalization. Learning that anxiety is natural but can become unhealthy.
  2. Exposure. Learning to understand and face our fears rather than avoiding them.
  3. Habituation. Learning new skills that desensitize us to our fears.
  4. Care. Learning healthy ways to experience God’s love for us and others.

With this introduction, the remainder of the book consists of thirty short chapters. The idea is to read one a day and to practice the exercises at the end of the chapter which focus on the four principles above. Here’s one example from the early part of the book. It is to “Practice Pit Stops.” Noticing how good pit stops in a race occur in 10 seconds or less, Cusick advises 10 second pit stops when we are experiencing anxious thoughts. It begins with recognizing our need for help–that we are having an anxious moment, pausing what we are doing, allowing ourselves ten seconds, calling it what it is, noticing how it is affecting us, and using one of the other skills in the book to make a healthy response (e.g. put our anxiety in our “worry box”). He concludes with these three action steps: 1) When anxious, give yourself ten seconds; 2) Give yourself more than ten seconds if needed; and 3) Create a mood log to track our anxious moments.

Cusick’s practical helps include not only psychologically sound practices but also spiritual insights involving God’s care for us, practical prayer practices including lament prayers, practice resting with God, and choosing joy. He helps us learn to receive anxiety as God’s gift rather than something to be suppressed. Throughout, he shares instances where he struggled with anxiety, how he has practiced these ideas, and how he has been less than perfect. Perfection is anxiety-producing, and Cusick helps us see that progress can even be found in attempting and failing rather than avoiding what we fear.

We might be thinking of a particularly anxious friend to share this book with. It might not be a bad thing to get two and do it together. I suspect we all need an anxiety tune-up, or at least an anxiety pit stop!


Disclosure of Material Connection: I received a complimentary review copy of this book from the publisher.

Review: The Courage to Be

The Courage to Be, Paul Tillich. New Haven: Yale University Press, 1952 (Link is to the third edition, published in 2014).

Summary: A philosophical discussion of being or ontology, the crisis of anxiety, and the nature of the courage to be, the affirmation of our being in the face of nonbeing, accepting our acceptance by the God above God despite our unacceptability.

This book has been around all my life (plus a couple years) on certainly on the edge of my awareness. I read, more or less uncomprehendingly (this is a dense read), an excerpt from this in my Intro to Philosophy course. Tillich was one of the giants of Twentieth century theology. In my Jesus Movement evangelical days of the early ’70s, I just dismissed him as one of “those” theological liberals.

Consequently, I ignored him in my reading. Until now. The Courage to Be, based on the Terry Lectures given at Yale in the early 1950’s, strikes me as an attempt to do at Yale something like another Paul did on the Areopagus.

Tillich writes in what has been describe as “The Age of Anxiety,” memorialized in a poem of W. H. Auden by that name. One of the most significant contributions of this book is an analysis of our anxiety, which he describes as coming in three forms: ontological, concerned with death (non-being) and our ultimate fate, spiritual, concerned with despair and loss of meaning, and moral, concerned with guilt and condemnation. The “courage to be” is the honest facing of this anxiety and choosing to affirm one’s being.

He traces the expression of this “courage” in the history of thought, discussing collectivist thought under the head of “courage and participation,” from feudal societies to Nietzsche, Marx, and the rise of communism and fascism. Under the head of “courage and individualization, he looks at the concept of selfhood both in religious contexts and the rise of Romanticism and naturalism, culminating in Existentialism, a radical courage in the face of life without inherent meaning.

The concluding chapter is the most “Christian” as he describes courage as the ultimate faith that accepts our acceptance despite our guilt and unacceptability, finding its source in “the God above God” the ground of our being. Tillich concludes with this italicized peroration:

“The courage to be is rooted in the God who appears when God has disappeared in the anxiety of doubts.”

In his analysis of anxiety stemming from the human condition and his historical survey of forms of “the courage to be” in face of the inescapable realities of death, the loss of meaning, and our implicatedness, Tillich names our reality. His framing of justification by faith is an imaginative re-framing of this core Reformation idea that retains the “I-Thou” nature of faith. Yet it is a framing without the central figure of Jesus and the crucial events of cross and resurrection. Jesus only receives two passing references in this work. As such, this work is only prolegomenon, leaving me wondering what follows in Tillich’s thought.

Perhaps that was Tillich’s intent in these lectures and this book, to invite his hearers and readers to ask more about “the God who appears.”

Review: Under Pressure

under pressure

Under PressureLisa Damour, Ph.D. New York: Ballantine Books, 2019.

Summary: A book on responding constructively to stress and anxiety so that it stretches and builds resilience in girls, and empowers them to alleviate unhealthy stress and anxiety.

School age children are reporting more stress and anxiety than ever. This is especially true among girls. Between 2009 and 2014, the number of girls reporting stress and anxiety jumped by 55 percent. Lisa Damour, a psychologist who works both in private practice, and with the Laurel School for Girls in the Cleveland area, has had plenty of experience addressing the stress and anxiety girls face, and distills the insights from her practice in this highly readable book.

Damour begins by distinguishing between stress and anxiety, and between healthy and unhealthy stress and anxiety. This in itself is important because stress and anxiety often are necessary elements in stretching experiences that result in enhanced performance, the development of one’s capacities, and the building of resilience. Unhealthy levels of stress and anxiety, by the same token, impair one’s physical and emotional well-being, and can contribute to a decline in performance.

She explores stress and anxiety through the multiple relationships girls must negotiate: with parents, other girls, boys, their school, and the wider culture. Often with parents, the key is to show care and interest without over-reacting, which only intensifies the anxiety. She reminds parents that “snit happens” and talks about “glitter storms” (remember snow globes?) that need to settle. Beginning by offering a drink, a snack and time to settle can be vital. She suggests that the monitoring of girls digital lives can lead to knowing too much, and, while not discouraging the practice, says that this is at best an adjunct to a relationship where the communication lines are open.

In beginning to talk about girls with other girls, she observes that “anxious is the new shy,” and it may not be a bad thing for girls to have a few good friends, rather than many. In fact, sometimes the larger the friend network, the more the problems. Social media creates a number of these problems, from crafting an online identity to interfering with sleep, which only intensifies anxiety. It’s a good idea to agree on turning off social media in the pre-bedtime hours, and not having phones in the bedroom.

The issues with boys range from harassment to negotiating sexuality. Damour has some of her strongest words here about the double standards in sex ed, the problems with the language of consent, and the different ways one may need to say no in different social situations. Her aim is that girls become comfortable and able to take pleasure in their bodies and make decisions about sex on the basis of when they want this intimacy with men and can enjoy it. She observes that the coupling of much casual sex and alcohol indicates girls are denying something in themselves when they engage in sex on those terms.

As she turns to school, she emphasizes that school should be stressful, that the academic challenges build capacity, and that a critical piece is ensuring that students have good recovery strategies. Also, girls tend to take school more seriously. She argues that girls often study excessively and inefficiently and need to develop more effective study strategies, particularly using practice tests and working on gaps. At the same time, she concedes that for girls with ambitions to get into elite schools, demanding schedules are unavoidable because of high admission standards and low acceptance rates. Here, I might like to have seen her ask more questions about the college admissions racket which turns high school into nothing more than college prep. Perhaps the most critical issue is that the pursuit of admission to a college or set of colleges is rooted in healthy personal aspirations rather than reputational or parent and social pressure.

Two elements in her treatment of girls in the culture stood out to me. One was the issue of “speaking while female” and the different standards girls and women face from male peers when making the same communications. She is realistic about the “verbal tool kit” girls need, including the understanding when one can be transparent, and when you are on “front stage.” The other area was the culture’s obsession with the form of a woman’s body. She observes that compliments focused on physical attractiveness may reinforce the obsession with form, and that focusing on physical function, often cultivated in team sports, enables women to feel good about what their bodies can do.

In her conclusion she suggests two questions that may helpfully be asked:

  1. “What is the source of all this stress?”
  2. Why am I anxious?”

These questions presume that stress and anxiety are messengers, and understanding the message, including when something is a challenge, and when something is not right, gives girls greater agency in their lives.

I thought this was a highly practical book that takes a thoughtful and nuanced approach to stress and anxiety–recognizing that it is a sign of something, and that one can grow when stress is at a healthy level, and needs to be heeded and addressed when unhealthy. Damour’s book lives in the tension of what is, and what ought to be, particularly in talking about issues like social media, sexuality, college admissions, and the double standards that persist in our culture. Purists who live in an “ought to be” world might not appreciate all her counsel.

I could see that this might be a book a parent and daughter might even read and talk about together to open up conversation about stress and anxiety. School staff, and those who work with youth in religious organizations will find this beneficial, especially in responding to the emotional storms that are an inevitable part of this season of life. Meeting the “rising tide” of stress and anxiety calmly and constructively is vital for this rising generation of girls.


Disclosure of Material Connection: I received this book free from the publisher via LibraryThing. I was not required to write a positive review. The opinions I have expressed are my own.

The Mystery of Growth

James Tissot [Public domain], via Wikimedia Commons

James Tissot [Public domain], via Wikimedia Commons

Pastor Rudy preached this past Sunday on one of my favorite parables. It is brief and so I will quote it in full:

He also said, “This is what the kingdom of God is like. A man scatters seed on the ground. Night and day, whether he sleeps or gets up, the seed sprouts and grows, though he does not know how.  All by itself the soil produces grain—first the stalk, then the head, then the full kernel in the head.  As soon as the grain is ripe, he puts the sickle to it, because the harvest has come.” (Mark 4:26-29, NIV)

One of the things Rudy observed was the unusual character of Jesus ministry. If he was going to introduce the “kingdom of God” into the world, he seemed to have an odd way of doing it. He calls a group of followers from the margins of life–working class guys, tax collectors, zealots–not the best and the brightest by worldly standards. Instead of marshaling political power or training a militia, Jesus preaches the fulfillment of God’s covenant law and promise to Israel in his person, and exemplifies it through healing the sick, liberating the demonized, and caring for those on the margins. He succeeds in forming a ragtag group of followers and so provokes the powers that be that they kill him. What kind of growth strategy is that?

It’s the strategy of someone who trusts in the mystery of growth, who knows that he is sowing good seed, and that it will result in a harvest. Jesus knew that the words that he had sown, his investment in the Twelve, and the sowing of his own life (cf. John 12:24) was good seed. As crazy as it seemed, as mysterious as the growth process might be, growth and a harvest were inevitable.

Rudy explored our anxieties about growth in the life of the church. At times we can be fearful where we see decline or nothing seems to  be happening. Sometimes we lose heart and just circle the wagons with the few and faithful. Equally, our anxieties can move us to driven and frenetic activity that assumes that if we do the right things, we can make the church grow. Neither is appropriate for people who have the good seed of the good news of the kingdom.

Rather, like good farmers, we keep sowing, and keep tending the farm. We understand what our part is and what is God’s part in this growth process. There is a place for both faith and faithfulness. Good farming involves hard work and yet no farmer considers a harvest guaranteed simply because of having done the hard work. Harvest comes through the mystery of growth. I’m struck with the phrase, “whether he sleeps or gets up.” Farmers know they have work to do in the day, and trust the process of growth as they sleep each night. And they are watchful. They expect a harvest and watch the crop for that moment when it reaches the proper ripeness.

This is a word I need in several ways:

1. I’m actually part of a “growth” initiative in the ministry I work with. I need to remember that the message of the kingdom of Jesus is good seed and that the strategies we pursue reflect faith and faithfulness in looking to God for growth. This frees us from the pressure of “making it happen” that releases us to the faithfulness of hard work and the trustfulness that rests in the mystery of growth.

2. Like the farmer, I need to remember that growth takes time. I’m struck that it is easy for me to be tempted to give up too soon when I don’t immediately see growth. Instead of faithfully tending the work, it can be tempting to try the latest “new thing.” Sometimes this is like plowing over a field just when seedlings are emerging. Similarly, the Word takes time to grow in people. It sure has in me!

3. Finally, this parable raises the question of expectancy. Am I looking for the growth of the kingdom, whether it is the ripening understanding of the gospel that results in a person coming to faith, or the growth of a community in the depth and breadth of its work as it listens to and enters into the words and life of Jesus?

We all live toward some vision of the good life. Rudy’s message encourages me to live toward the mysterious yet inevitable growth of the kingdom of Jesus that challenges me to the hard and expectant work and the carefree rest of someone who trusts the good and powerful King.

This blog also appears on my church’s Going Deeper blog.