Abridged from It’s Still the Age of Anxiety. Or Is It? (2.14.2012) by Daniel Smith.
Ours is an age in which an enormous and growing number of people suffer from anxiety. According to the National Institute of Mental Health, anxiety disorders now affect 18 percent of the adult population of the United States, or about 40 million people. By comparison, mood disorders — depression and bipolar illness, primarily — affect 9.5 percent. That makes anxiety the most common psychiatric complaint by a wide margin, and one for which we are increasingly well-medicated. (The anti-anxiety drug alprazolam — better known by its brand name, Xanax — was the top psychiatric drug on the list, clocking in at 46.3 million prescriptions in 2010.)
Despite the fact that our anxiety is heavily diagnosed and medicated, we are no more anxious than our forebears. We are simply more cognizant, as individuals and a culture, of the mind’s tendency to spin out of control. Fourteenth-century Europe, for example, experienced experienced mass convulsions and psychic torment as a result of the devastating famines, waves of pillaging mercenaries, peasant revolts, religious turmoil and a plague that wiped out as much as half the population in four years.
It’s hard to imagine that we have it even close to as bad as that. Yet there is clearly an aspect of anxiety that is new: self-awareness. While the inhabitants of earlier eras may have been wracked by nerves, none are as aware of, nor as fixated, on the condition as we are todayn. Indeed, none of our ancestors even considered anxiety a condition.
Anxiety did not emerge as a cohesive psychiatric concept until the early 20th century, when Freud highlighted it as “the nodal point at which the most various and important questions converge, a riddle whose solution would be bound to throw a flood of light upon our whole mental existence.” The number of thinkers and artists who sought to solve this riddle increased thereafter exponentially. By 1977, the psychoanalyst Rollo May was noting an explosion in papers, books and studies on the subject. “Anxiety,” he wrote, “has certainly come out of the dimness of the professional office into the bright light of the marketplace.”
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Daniel Smith is the author of the forthcoming book Monkey Mind: A Memoir of Anxiety (Simon & Schuster, July 2012). His work has appeared in The Atlantic, Granta, n+1, New York, and The New York Times Magazine.