“All of us at anxietycentre.com have experienced debilitating anxiety. But we’ve also overcome it and returned to normal and lasting health. Because we know the hardship anxiety unwellness can cause, we are committed to helping others, with over 30 years of service.” - Jim Folk, President, anxietycentre.com

Yes, We Can Extinguish Unwanted Fears

Jim Folk author
Written by: Jim Folk.
Last updated: January 15, 2020


we can overcome our fears and anxiety disorder

Many anxiety disorder sufferers fear they will never overcome a struggle with anxiety disorder and its symptoms because they believe they will always be afraid of the things they've become afraid of.

Their rationale is, "How can I overcome my anxiety if I'll always be afraid of the things that scare me?"

Since anxiety is fear-based, that would be a real problem if we couldn't extinguish our fears.

When we become afraid, the brain instantly remembers details about the threat and stores them as a memory (fear establishment). It does this so that it can alert us the next time we encounter a similar situation and circumstance, which is a normal part of the body’s survival mechanism.

Once a fear becomes “established,” it will trigger every time a similar situation and circumstance is detected.

Anxiety disorder develops for many reasons, such as growing up in an environment where there is a lot to be afraid of (abuse, uncertainty, relationship upheaval, separation, etc.). Once we established fears in these situations and circumstances, they are triggered every time we encounter them…and throughout life.

Of course, the more fears we establish, the more often they fire. Anxiety disorder often occurs when we establish many fears as we grow up.

Fortunately, we can extinguish (eliminate) unwanted fears, keeping in mind, some fears are necessary for our survival.

Memory reconsolidation – rewriting fear memories so that they are no longer perceived as dangerous – through cognitive behavioral therapy is just one example of how we can effectively extinguish fear.

Once we extinguish a fear, the brain no longer alerts us when in similar situations and circumstances. There are many ways to extinguish fear.

Recent research has once again confirmed we are able to extinguish fear since the brain is capable of extinguishing fear. Consequently, no one has to live with fear and anxiety.

Overcoming anxiety disorder and unwanted fear can be attained with the right information, help, and support. Working with an experienced anxiety disorder therapist is the most effective way to extinguish fears and overcome anxiety disorder.

We explain fear establishment and how to extinguish fears in great detail in Chapter 6 in the Recovery Support area.

You can read the recent research below:


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With these neurons, extinguishing fear is its own reward

PICOWER INSTITUTE AT MIT

When you expect a really bad experience to happen and then it doesn't, it's a distinctly positive feeling. A new study of fear extinction training in mice may suggest why: The findings not only identify the exact population of brain cells that are key for learning not to feel afraid anymore, but also show these neurons are the same ones that help encode feelings of reward.

The study, published Jan. 14 in Neuron by scientists at MIT's Picower Institute for Learning and Memory, specifically shows that fear extinction memories and feelings of reward alike are stored by neurons that express the gene Ppp1r1b in the posterior of the basolateral amygdala (pBLA), a region known to assign associations of aversive or rewarding feelings, or "valence," with memories. The study was conducted by Xiangyu Zhang, a graduate student, Joshua Kim, a former graduate student, and Susumu Tonegawa, Professor of Biology and Neuroscience at RIKEN-MIT Laboratory of Neural Circuit Genetics at the Picower Institute for Learning and Memory at MIT and Howard Hughes Medical Institute.

"We constantly live at the balance of positive and negative emotion," Tonegawa said. "We need to have very strong memories of dangerous circumstances in order to avoid similar circumstances to recur. But if we are constantly feeling threatened we can become depressed. You need a way to bring your emotional state back to something more positive."

Overriding fear with reward

In a prior study, Kim showed that Ppp1r1b-expressing neurons encode rewarding valence and compete with distinct Rspo2-expressing neurons in the BLA that encode negative valence. In the new study, Zhang, Kim and Tonegawa set out to determine whether this competitive balance also underlies fear and its extinction.

In fear extinction, an original fearful memory is thought to be essentially overwritten by a new memory that is not fearful. In the study, for instance, mice were exposed to little shocks in a chamber, making them freeze due to the formation of fearful memory. But the next day, when the mice were returned to the same chamber for a longer period of time without any further little shocks, freezing gradually dissipated and hence this treatment is called fear extinction training. The fundamental question then is whether the fearful memory is lost or just suppressed by the formation of a new memory during the fear extinction training.

While the mice underwent fear extinction training the scientists watched the activity of the different neural populations in the BLA. They saw that Ppp1r1b cells were more active and Rspo2 cells were less active in mice that experienced fear extinction. They also saw that while Rspo2 cells were mostly activated by the shocks and were inhibited during fear extinction, Ppp1r1b cells were mostly active during extinction memory training and retrieval, but were inhibited during the shocks.

These and other experiments suggested to the authors that the hypothetical fear extinction memory may be formed in the Ppp1r1b neuronal population and the team went on to demonstrate this vigorously. For this, they employed the technique previously pioneered in their lab for the identification and manipulation of the neuronal population that holds specific memory information, memory "engram" cells. Zhang labeled Ppp1r1b neurons that were activated during retrieval of fear extinction memory with the light-sensitive protein channelrhodopsin. When these neurons were activated by blue laser light during a second round of fear extinction training it enhanced and accelerated the extinction. Moreover, when the engram cells were inhibited by another optogenetic technique, fear extinction was impaired because the Ppp1r1b engram neurons could no longer suppress the Rspo2 fear neurons. That allowed the fear memory to regain primacy.

These data met the fundamental criteria for the existence of engram cells for fear extinction memory within the pBLA Ppp1r1b cell population: activation and reactivation by recall and enduring and off-line maintenance of the acquired extinction memory.

Because Kim had previously shown Ppp1r1b neurons are activated by rewards and drive appetitive behavior and memory, the team sequentially tracked Ppp1r1b cell activity in mice that eagerly received water reward followed by food reward followed by fear extinction training and fear extinction memory retrieval. The overlap of Ppp1r1b neurons activated by fear extinction vs. water reward was as high as the overlap of neurons activated by water vs. food reward. And finally, artificial optogenetic activation of Ppp1r1b extinction memory engram cells was as effective as optogenetic activation of Ppp1r1b water reward-activated neurons in driving appetitive behaviors. Reciprocally, artificial optogenetic activation of water-responding Ppp1r1b neurons enhanced fear extinction training as efficiently as optogenetic activation of fear extinction memory engram cells. These results demonstrate that fear extinction is equivalent to bona fide rewards and therefore provide the neuroscientific basis for the widely held experience in daily life: omission of expected punishment is a reward.

What next?

By establishing this intimate connection between fear extinction and reward and by identifying a genetically defined neuronal population (Ppp1r1b) that plays a crucial role in fear extinction this study provides potential therapeutic targets for treating fear disorders like PTSD and anxiety, Zhang said.

From the basic scientific point of view, Tonegawa said, how fear extinction training specifically activates Ppp1r1b neurons would be an important question to address. More imaginatively, results showing how Ppp1r1b neurons override Rspo2 neurons in fear extinction raises an intriguing question about whether a reciprocal dynamic might also occur in the brain and behavior. Investigating "joy extinction" via these mechanisms might be an interesting research topic.



The combination of good self-help information and working with an experienced anxiety disorder therapist is the most effective way to address anxiety disorder and its many symptoms. Until the core causes of anxiety are addressed - the underlying factors that motivate apprehensive behavior - a struggle with anxiety disorder can return again and again. Identifying and successfully addressing anxiety's underlying factors is the best way to overcome problematic anxiety.


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REFERENCES:

Zhang, Xiangyu, et al. "Amygdala Reward Neurons Form and Store Fear Extinction Memory." Neuron, 14 Jan 2020.