> To me this is not necessarily dysfunctional.
If it wasn’t dysfunctional, it wouldn’t be a diagnosed with mental health condition to begin with.
I think this is a concept that is getting lost in mainstream mental health discourse: There is a big difference between anxiety the emotion and anxiety the mental health disorder. Similar story for depression and concentration struggles.
It’s normal to feel anxious at times. It’s not healthy when anxiety becomes so dominant as to interfere with normal activities of life, manifesting as the type of pervasive avoidance behavior described in this study.
This is becoming a huge problem among the young people I’ve mentored recently; They will go through phases where they become convinced, often by TikTok or Reddit, that they have ADHD, anxiety, and/or depression because they aren’t perfect robots who do marathon study sessions with a smile every day. I feel like I’m always explaining to them that it’s normal and healthy to feel some discomfort as they learn and grow. It’s not reasonable to expect everything in life to come easy. Of course, there are students who struggle with mental health issues as well, but the difference between someone struggling with lifelong ADHD and someone who just learned about ADHD through a serious of TikToks a few weeks ago and now thinks they have it is obvious when you’ve been working with them both for a long time.
> I take a more neutral approach on the finding and don’t yet assume this is something that is best medicated out of.
The study doesn’t say that this is “best medicated out of”. It specifically highlights exposure therapy as being effective in normalizing this in individuals who respond to it:
> and exposure therapy has been shown to restore frontopolar function in those PTSD patients that benefit from treatment.
I think this is another issue permeating pop culture discussion of mental health issues: The assumption that strong medications are the default response. Every medical professional I know prefers lifestyle interventions and therapy modalities to prescribing medications, but patients often arrive convinced that they need medication. If the provider recommends therapy or lifestyle interventions they often get angry that at the perception that the provider is being dismissive or not taking their problem seriously.