How anxiety became society's prevailing condition

Last winter Sarah Fader, a 37-year-old social media consultant in Brooklyn who has generalised anxiety disorder, sent a text to a friend in Oregon about an impending visit.

When a quick response failed to materialise, she posted on Twitter to her 16,000-plus followers. “I don’t hear from my friend for a day – my thought, they don’t want to be my friend anymore,” she wrote, appending the hashtag #ThisIsWhatAnxietyFeelsLike.

Thousands of people were soon offering up their own examples under the hashtag; some were retweeted more than 1,000 times. You might say Fader struck a nerve. “If you’re a human being living in 2017 and you’re not anxious,” she says, “there’s something wrong with you”.

It was 70 years ago that poet WH Auden published The Age of Anxiety, a six-part verse framing modern humankind’s condition over the course of more than 100 pages, and now it seems we are too rattled to even sit down and read something that long (or, as the internet would say, TL;DR – “too long; didn't read”).

Anxiety has become our everyday argot, our thrumming lifeblood: not just on Twitter (the ur-anxious medium, with its constant updates), but also in blogger diaries, celebrity confessionals (Et tu, Beyoncé?), a hit Broadway show (Dear Evan Hansen), a magazine startup (Anxy, a mental-health publication based in Berkeley, California), buzzed-about television series (like Maniac, a coming Netflix series by Cary Fukunaga, the lauded True Detective director) and, defying our abbreviated attention spans, on bookshelves.

With two new volumes analysing the condition (On Edge: A Journey Through Anxiety, by Andrea Petersen, and Hi, Anxiety by Kat Kinsman) following recent best-sellers by Scott Stossel (My Age of Anxiety) and Daniel Smith (Monkey Mind), the anxiety memoir has become a literary subgenre to rival the depression memoir, firmly established since William Styron’s Darkness Visible and Elizabeth Wurtzel’s Prozac Nation in the 1990s and continuing today with Daphne Merkin’s This Close to Happy.

While to epidemiologists both disorders are medical conditions, anxiety is starting to seem like a sociological condition, too: a shared cultural experience that feeds on alarmist CNN graphics and metastasises through social media.

As depression was to the 1990s – summoned forth by Kurt Cobain, Listening to Prozac, Seattle fog and Temple of the Dog dirges on MTV – so it seems we have entered a new Age of Anxiety. Monitoring our heart rates. Swiping ceaselessly at our iPhones. Filling meditation studios in an effort to calm our racing thoughts.

Consider the fidget spinner: endlessly whirring between the fingertips of Generation Alpha, annoying teachers and baffling parents.

Originally marketed as a therapeutic device to chill out children with anxiety, attention deficit hyperactivity disorder or autism, these colourful daisy-shaped gizmos have suddenly found an unlikely off-label use as perhaps an explosively popular toy: this generation’s Rubik’s Cube.

But the cube was fundamentally a cerebral, calm pursuit, perfect for the latchkey children of the 1980s to while away their lonely, Xbox-free hours. The fidget spinner is nothing but nervous energy rendered in plastic and steel, a perfect metaphor for the overscheduled, overstimulated children of today as they search for a way to unplug between jujitsu lessons, clarinet practice and Advanced Placement tutoring.

According to data from the National Institute of Mental Health, some 38 per cent of girls aged 13 to 17, and 26 per cent of boys, have an anxiety disorder.

On college campuses, anxiety is running well ahead of depression as the most common mental health concern, according to a 2016 national study of more than 150,000 students by the Centre for Collegiate Mental Health at Pennsylvania State University.

Meanwhile, the number of web searches involving the term has nearly doubled over the past five years, according to Google Trends. The trend line for “depression” was relatively flat.

To Kai Wright, host of the politically themed podcast The United States of Anxiety from radio station WNYC, such numbers are all too explicable. “We’ve been at war since 2003, we’ve seen two recessions,” Wright says.

“Just digital life alone has been a massive change. Work life has changed. Everything we consider to be normal has changed. And nobody seems to trust the people in charge to tell them where they fit into the future.”

For On Edge, Petersen, a longtime reporter for The Wall Street Journal, travelled back to her alma mater, the University of Michigan, to talk to students about stress.

One student, who has ADHD, anxiety and depression, said the pressure began building in middle school when she realised she had to be at the top of her class to get into high school honours classes, which she needed to get into advanced placement classes, which she needed to get into college.

“In sixth grade,” she told Petersen, “kids were freaking out.”

This was not the stereotypical experience of Generation X.

Urban Dictionary defines a slacker as “someone who, while being intelligent, doesn’t really feel like doing anything,” and that certainly captures the ripped-jean torpor of 1990s X-ers. Their sense of tragic superiority was portrayed by Ethan Hawke’s sullen, ironic Troy in Reality Bites, who asserted that life is a “a random lottery of meaningless tragedy and a series of near escapes”, so one must take pleasure in the little things: a quarter pounder with cheese, a pack of Camel straights.

For these youths of the 1990s, Nirvana’s “Lithium” was an anthem; coffee was a constant and Wurtzel’s Prozac Nation: Young and Depressed in America, about an anhedonic Harvard graduate from a broken home who dressed as if she could have played bass in Hole, was a bible.

The millennial equivalent of Wurtzel is, of course, Lena Dunham, who recently told an audience at the 92nd Street Y in Manhattan: “I don’t remember a time not being anxious.” Having suffered debilitating anxiety since the age of four, the creator, writer and star of the anxiety-ridden Girls recalled how she “missed 74 days of 10th grade” because she was afraid to leave her house.

This was around the time that the largest act of terrorism in United States history unfolded near the Tribeca loft where she grew up.

(“Are you anxious because you feel like the world is ending?” the hosts of Generation Anxiety, a podcast aimed at millennials, ask in a recent episode called “So You’ve Inherited the Apocalypse?” They continue: “Well the good news is you aren’t crazy and it definitely is.”)

But monitored by helicopter parents, showered with participation awards and then smacked with the Great Recession, Generation Y has also suffered from the low-level anxiety that comes from failing to meet expectations. Thus the invention of terms like “quarter-life crisis” and “FOMO” (“fear of missing out”) as it is fuelled by social media apps like Instagram. Thus cannabis, the quintessential chill-out drug, is turned into a $6.7bn (£5.3bn) industry.

Sexual hedonism no longer offers escape; it’s now filtered through the stress of Tinder. “If someone rejects you, there’s no, ‘Well, maybe there just wasn’t chemistry,’” says Jacob Geers, a 22-year-old in New York who works in digital sales. “It’s like you’re afraid that through the app you’ll finally look into the mirror and realise that you’re butt ugly.”

If anxiety is the melody of the moment, President Donald Trump is a fitting maestro. Unlike his predecessor, Barack Obama, a low-key ironist from the mellow shores of Oahu, the incumbent is a fast-talking agitator from New York, a city of 8.5 million people and, seemingly, three million shrinks.

In its more benign form, only a few beats from ambition, there’s anxiety, which is in part what made Trump as a businessman. In his real estate career, enough was never enough. “Controlled neurosis” is the common characteristic of most “highly successful entrepreneurs,” according to Trump (or Tony Schwartz, his ghostwriter) in the 1987 book The Art of the Deal. “I don’t say that this trait leads to a happier life, or a better life,” he adds, “but it’s great when it comes to getting what you want.”

Everything had to be bigger, bolder, gold-er. And it made him as a politician, spinning nightmare tales on the stump about an America under siege from Mexican immigrants and Muslim terrorists.

But if Trump became President because voters were anxious, as a recent Atlantic article would have readers believe, other voters have become more anxious because he became president. Even those not distressed by the content of his messages might find the manner in which they are dispensed jarring.

“In addition to the normal chaos of being a human being, there is what almost feels like weaponised uncertainty thrown at us on a daily basis,” says Kat Kinsman, author of Hi, Anxiety. “It’s coming so quickly and messily, some of it straight from the President’s own fingers.”

Indeed, Trump is the first politician in world history whose preferred mode of communication is the 3am tweet – evidence of a sleepless body, a restless mind, a worrier.

Some have suggested Twitter is a sort of crowdsourced poetry, but how many millions of miles is it from Auden: a cacophony of voices, endlessly shouting over each other, splintering what’s left of a “national discussion” into millions of tiny shards.

“We live in a country where we can’t even agree on a basic set of facts,” says Dan Harris, ABC news correspondent and Nightline anchor who found a side career as an anti-anxiety guru with the publication of his 2014 best-seller 10% Happier.

Harris now also offers a meditation app, a weekly email newsletter and a podcast that has been downloaded some 3.5 million times in the past year.

The political mess has been “a topic of conversation and a source of anxiety in nearly every clinical case that I have worked with since the presidential election,” says Robert Duff, a psychologist in California. His 2014 book, Hardcore Self-Help, has a subtitle which proposes to conquer anxiety in the coarse language that has also defined a generation.

The Cold War, starring China, North Korea and Russia, is back, inspiring headline-induced visions of mushroom clouds not seen in our collective nightmares since that Sunday evening in 1983 when everyone watched The Day After on ABC.

And television was, as Marshall McLuhan famously wrote, a cool medium. Our devices are literally hot, warming our laps and our palms.

“In our always-on culture, checking your phone is the last thing you do before you go to sleep, and the first thing you do if you wake up in the middle of the night to go to the bathroom,” Harris says. “Just today, I got an alert on my phone about the collapsing Arctic ice shelf. That’s scary as hell.”

Push notifications. Apocalyptic headlines. Rancorous tweets. Countless studies have found links between online culture and anxiety. But if social media can lead to anxiety, it also might help relieve it.

The “we have no secrets here” ethos of online discourse has helped bring anxiety into the open, and allowed its clinical sufferers to band together in a virtual group-therapy setting. Hence the success of campaigns like #ThisIsWhatAnxietyFeelsLike, which helped turn anxiety – a disorder that afflicts some 40 million American adults – into a kind of rights movement.

“People with anxiety were previously labelled dramatic,” says Sarah Fader, the Brooklyn social media consultant who also runs a mental-health advocacy organisation called “Stigma Fighters”. “Now we are seen as human beings with a legitimate mental health challenge.”

And let’s remember that we survived previous heydays of anxiety without a 24-hour digital support system. Weren’t the Woody Allen Seventies the height of neurosis, with their five-days-a-week analysis sessions and encounter groups? What about the 1950s, with their duck-and-cover songs and backyard bomb shelters?

That era “was the high-water mark of Freudian psychoanalysis, and any symptom or personality trait was attributed to an anxiety neurosis,” says Peter D Kramer, the Brown University psychiatrist who wrote the landmark 1990s best-seller Listening to Prozac. “And then there were substantial social spurs to anxiety: the World Wars, the atom bomb. If you weren’t anxious, you were scarcely normal.”

Scott Stossel, editor of The Atlantic, whose My Age of Anxiety helped kick off the anxiety memoir boom three years ago, urges people to pause, not for deep cleansing breaths, but for historical perspective.

“Every generation, going back to Periclean Greece, to second century Rome, to the Enlightenment, to the Georgians and to the Victorians, believes itself to be the most anxious age ever,” Stossel says.

That said, the Americans of 2017 can make a pretty strong case that they are gold medalists in the Anxiety Olympics.

“There is widespread inequality of wealth and status, general confusion over gender roles and identities, and of course the fear, dormant for several decades, that ICBMs [intercontinental ballistic missiles] will rain nuclear fire on American cities,” says Stossel.

“The silver lining for those with nervous disorders is that we can welcome our previously non-neurotic fellow citizens into the anxious fold.”

© New York Times