Ward talks with Shelyn Somani about her own experience with anxiety and the work she does with others. She describes her shift from family medicine, her personal practices, and her way of understanding anxiety through stressful thoughts and the stories attached to them. Ward also shares some of his own experience. The discussion reflects Shelynâs perspective.
Shelyn says her own panic attacks, anxiety and depression during residency led her to explore approaches beyond the medication-centred care she had been trained to provide. She talks about meditation, self-inquiry and the womenâs groups she hosts, and shares her view that daily practices can help reduce anxiety.
Shelyn presents anxiety as connected to fear and the stories people attach to it, and questions how diagnostic labels can shape a personâs identity. Ward shares his experience of persistent anxiety and talks about social media and music. Their discussion reflects Shelynâs personal perspective, not medical guidance.
Transcribed from the recording and lightly edited for readability. Unclear words are marked in brackets. The conversation reflects the speakers’ own experiences and views.
All right. Welcome to the Mental Health Podcast. We are here today with Shelyn Somani. How are you?
Good, thank you. How are you?
Excellent, thank you. Weâre going to be talking about anxiety today. I donât know you personally, but my sister recommended that I talk to you. She lives in Grande Prairie, and I was told youâre quite famous there. Anyway, I looked you up and thought, weâve got to get you in here for a podcast. Maybe you can tell us a little bit about yourself.
Sure. I trained in family medicine. I graduated when I was 26. Iâm 45 now. I practiced for two or three years and very quickly discovered it wasnât my passion, especially when it came to how we treated mental health. In medical school, I was trained to treat mental health solely through pharmaceuticals.
Iâm not against them, but writing prescriptions started to feel more and more uncomfortable for me.
In a nutshell, I went through a lot of my own stuff. I had panic attacks, anxiety, depression, a whole bunch of things during my residency, and learned a lot of techniques to heal it within myself. That became my new job. I didnât anticipate that happening. I did a bunch of work on myself, and I continue to work on myself. Being in that intimate a relationship with emotional pain, and finding ways to heal it, is what propelled me to do the work I do now.
I think thatâs one of the things that attracted me to you and your profile online. You also do a retreat for women. Unfortunately, Jasper was cancelled this year. Can you tell me a little more about that?
I tried to do one in Maui, and then there were fires. Then I tried to do one in Jasper, and there were fires. The retreat hasnât happened yet, but I really want to do some in the future. For now, Iâve been holding groups at home twice a week, and Iâm narrowing them down to once a week.
Every Wednesday evening, I have a womenâs group at home, usually eight to ten people. Itâs really wonderful. We do meditation and self-inquiry. One way of looking at self-inquiry is questioning stressful thoughts that seem to take over our minds and physiology, creating anxiety and depression, and finding ways to question them to loosen their grip.
Iâm a big proponent of preventative medicine. I think daily practices like that really can prevent anxiety, or at least reduce how much people experience. Iâm a big fan of that.
I hear what youâre saying, because if you look up anxiety in the dictionary, youâll see my picture. It just seems to be 24/7.
Okay, what are some of the causes of anxiety?
I think itâs a few things, and they all tie together. Iâve still not met a person on this planet who hasnât had some kind of trauma growing up. Our parents did their best, but things get passed down from generation to generation: how they were parented and how we were parented. In my experience so far, there are aspects of ourselves left not feeling loved or worthy of love. As clichĂ© as it might sound, to me the medicine is coming back to ourselves as love.
Itâs freaking challenging sometimes, but if I can do it, anyone else can, because this mind has been very stubborn.
One of the challenges with the bodyâs physiology, in my view, is that most people are actually addicted to their pain and donât realize it. Itâs not like anyoneâs walking around trying to be anxious. But if you donât know another way, there are biochemical cascades in the body during the fight-or-flight response. Adrenaline, cortisol, these hormones of stress, are actually addictive. Itâs almost like coming out of a compulsion or addiction that most people have had for most of their lives.
Unfortunately, I think a lot of people still go to their graves with it. But if someone is interested in breaking that pattern, they can look at what theyâre thinking and believing thatâs creating it. In my experience, there has to be a thought, like âSomething terrible is going to happen,â âIâm going to run out of money,â or âThat person doesnât love meâ or âThey donât like me.â These are really simple, innocent thoughts, but once theyâre believed, they seem to take over.
There are some universal ones that it seems like everybody has. Those are some of them. Others are things like âI have too much to doâ and âI donât have enough time.â I donât know if any of these are familiar to everyone.
Especially in the West, we all have the same ones. Theyâre not unique. I think thatâs part of it. Another challenge I see is that this isnât talked about enough in our society, in my opinion. If youâre having anxiety and judging or shaming yourself for it, and feel like you canât talk to anyone, of course that amplifies the experience. I think thatâs also a big issue.
Physically, lots of screen time. Iâm not against social media. I think it can be useful, but when people are on their phones a lot, that can be an addiction and create those hormones again, adrenaline, trying to get the hit, the dopamine. Thatâs how Iâd sum it up. I could talk about this for hours.
Exactly. Thatâs why I wanted to talk to you. Iâve been dealing with it forever, and youâre right about social media, even though it helps get the word out about Mental Health Radio. I call it âcrack bookâ myself, because I find the stuff on there negative. With Mental Health Radio, and music being the ultimate for me, music is everywhere. It means every mood, every feeling, everything. And talking about mental health is what weâre doing here.
All right, now I have to go to my cheat sheet, so excuse me for a second. Weâve covered a lot of the common anxiety symptoms. What about some of the disorders?
This is a tough one because I read through some of them. Iâll mention a couple, because there seem to be quite a lot. Everybody knows about panic disorder, social anxiety disorder, which is a really big one, and agoraphobia.
Thereâs also [anxiety-disorder term unclear], M-U-T-I-S-M. Itâs a constant failure of children to speak in certain situations.
Iâve never heard of that before. I was reading through this and thought, âOh my goodness.â I started wondering, do I actually have these? Except for the last one, probably all of them.
Do you want my perspective on that?
Yes, maâam.
When I went to medical school, I had to memorize all those names and the criteria to fit the diagnosis. I think there can be some usefulness in it. Fifteen years later, after what Iâve learned since med school and residency, and how Iâve healed things in myself and continue to, my perspective, including from working with other people, is to look at it all. The only cause of suffering in this whole world is confusion, believing a thought that doesnât match reality. Thatâs it.
One of the most influential teachers in my life is Byron Katie. Iâll pose this to you right now, if you want to test it for yourself. She asks: âIn this moment, other than what youâre thinking and believing, are you okay? Just for now?â I continue to discover itâs actually always like that.
Every moment, you can ask yourself. Not as denial about whatâs going on in your life, not as avoidance, but she also says the only cause of suffering on this planet is a confused, unquestioned mind. These thoughts run every day and create all these types of disorders. Itâs disordered thinking, disordered believing. I donât know. Itâs the relationship with the thoughts to look at. Itâs not about getting rid of thoughts. Thoughts happen, like breath happens, like the stomach digests, the mind thinks. Thatâs part of the human experience.
Itâs certainly not about denial, but I think that stuff is taken too far, for lack of better words. I donât know how else to put it. People get labeled that way. It brings tears, actually, how many people Iâve met over the years who are so identified with a diagnosis their psychiatrist gave them that they think it defines them. âIâm schizophrenic,â or âI have bipolar,â or âIâm manic depressive.â It takes over, and that is not true. That is just not true.
Thereâs thinking to be questioned, for sure. I have quite a strong belief or perspective on psychiatry right now.
I agree with you as well. I know people who rely on what they read on the internet.
I have that. âIâve got one of those, so I must have this.â I canât remember what they call it, but itâs another anxiety where people believe what they read without checking the facts. There is an actual term, but I canât remember it. Sorry.
My friend upstairs, my roommate, says he has a little bit of anxiety, and once the situation is over, itâs gone. Iâm like, âGreat. Can you take away all my anxiety for me?â I wake up in the morning and itâs anxiety until bed. Then thereâs the old going on in your own head, which helps you not sleep at night as well.
Do you notice that the thoughts that cause the anxiety are the same day after day, or are they different?
Iâd say 90 percent of the time they are. But thereâs always that one that speaks, just when you think, âOkay, I…â Some random thing will pop in there and youâll go, âOh yeah, right, I forgot about that,â and then youâll start over. Itâs something Iâve been working on for a long time, and Iâm getting better at it. Itâs not perfect, but Iâm not allowing it to control me as much as it used to. Moving back here and being with old friends and family has definitely helped.
Any other specific anxiety disorder you can think of, in terms of phobias?
Phobias, yeah. Generalized anxiety disorder is another one. There are all kinds of different ones. Again, I think it comes back to what the fear is. I suppose one way to look at anxiety, almost like a mathematical equation but with words, is fear plus story equals anxiety.
As Iâve studied so far, personally and in all the work Iâve done with other people, it seems to me that ultimately itâs the fear of death. If we go right there, the fear of being alone: why do people say, âI need a partnerâ? Thereâs nothing wrong with that. Why? Because I donât want to be alone. If youâre alone as an animal, you could die if youâre left out. Obviously weâre human, so we donât have to worry about that, but these fears, I donât know to what degree theyâre biological. Fear plus story equals anxiety. What happens if you question the story fueling the fear? The fear loses its power, if thatâs the right word. When you give it energy, it overtakes you. The nervous system gets out of whack, fight or flight, adrenaline, all that.
When those stories are questioned, and the reason I asked you before whether the thoughts are the same every day, you said 90 percent. I can relate. Looking back on however many decades of my life, there havenât been any new ones. Byron Katie, the speaker I was telling you about, says there are no new stressful thoughts. Theyâre all recycled. Day after day they recycle until theyâre met with love and understanding, until theyâre questioned. âCan I really know thatâs true?â To me, thatâs at the root of all disorders when it comes to mental health.
Iâve never met anyone who doesnât… I mean, you can work on it. Itâs very exciting to be alive right now. I think thereâs more focus on this now: events, retreats, workshops, awareness, books, especially with the internet. Itâs pretty awesome.
Thatâs another reason for Mental Health Radio, so more people can go out there and talk about it.
Yeah, thatâs why I said it has helped me, just by doing the website and the group. I have all these other things like Twitch and all that stuff. I have no idea how to operate all that, but itâs there in case. It has helped me immensely. I do my own show where I play music, and once again, music is the ultimate.
I want to thank you for coming on today. Iâd really like to do more, if youâre interested.
I would love to.
Great. I know youâre doing a little bit of healing in Maui, and youâve got to bring us all back a tan, though, because youâre getting the vitamin D. As you can see, Iâm not [unclear] here. Winter in Alberta, you know what itâs like.
I know.
I really appreciate you coming on, and I look forward to this. Weâre going to post it everywhere, and you can share it as well.
Okay. Yeah, weâre really looking forward to some of the stuff you may end up bringing to the group.
Awesome. Thank you, thank you, and have yourself a good day.
Okay, thanks, yâall. Yes.