Why Anxiety Starts in the Body, Not the Mind | Dr. Merlin
You feel the racing heart, the tight chest, the knot in your stomach. Long before you even think the word “anxiety,” your body has already sounded the alarm. Most people believe anxiety begins in the mind, with thoughts, worries, or beliefs. The truth is that anxiety actually starts in the body. If you have ever tried to think your way out of an anxious moment only to feel the panic come back, you already know this.
In the traditional model of care, anxiety is often viewed as a mental health issue. The focus is on your thoughts, your behaviors, and the ways you cope. Talk therapy, journaling, affirmations, and mindset tools can all be valuable. They help you process your experience and create new ways of thinking. But if you have found yourself doing all of these things and still experiencing racing thoughts, panic, or physical symptoms, you are not alone. These methods target the mind, when the real driver of anxiety is in the body.
Your body is designed with an alarm system called the autonomic nervous system. When it senses danger, whether real or imagined, it flips into fight-or-flight mode. Your heart rate jumps, your breathing gets shallow, and your muscles tense before you are even aware of what is happening. It is like a smoke alarm that goes off before you smell the smoke. The body moves first, and the mind scrambles to catch up. That is why you cannot always reason with yourself in the middle of a panic attack. The body has already made its move.
Classical Chinese Medicine has recognized this for thousands of years. In this system, emotions are not isolated in the head. They live in the organs. The Heart is tied to panic, restlessness, and palpitations. The Liver shows up in tension, frustration, or irritability. The Spleen governs worry and overthinking, often paired with digestive upset. The Kidneys reflect fear and insecurity, especially when the system is depleted. Anxiety is not just in your mind. It is a pattern woven through the entire body, influencing how your organs function and how your energy circulates.
This is why mind-only approaches fall short. You can spend years in therapy or repeat every affirmation you can think of, but if your body is still firing off its fear signal, the cycle continues. You cannot talk your way out of a survival response. Until the body feels safe, the mind will always be pulled back into the loop.
A body-first approach changes the game. Instead of only trying to manage thoughts, we begin by calming the nervous system and shifting the organ patterns that drive anxiety. Breathwork and Qi Gong exercises help regulate the body’s energy and teach it to relax. Gentle acupressure or essential oils can calm specific points that tell the heart to settle, the liver to release tension, or the kidneys to feel supported. Nutrition and lifestyle practices give the body what it needs to restore balance, while movement practices like Tai Chi encourage flow instead of stagnation. When the body learns safety again, the mind naturally follows into peace and clarity.
I have seen this time and again. People who have struggled for years, tried medications and therapy, and still lived with daily anxiety finally began to feel lasting relief when they worked with their body. Once their nervous system was reset, the panic stopped spiraling, and their thoughts no longer had the same grip. They were able to reclaim calm, confidence, and connection with themselves in a way that felt natural instead of forced.
The important thing to remember is that anxiety does not start in your thoughts. It starts in your system. When you calm the body first, the mind can finally rest. That is the foundation of the work I do and the reason I created my process to help people move out of the anxiety cycle. If you are tired of struggling and ready for a new way forward, I invite you to explore what a body-first approach can do for you. Peace is possible when we address the root, and it all begins in the body.