Val gave a good description about the distinction between real fear and imagined fear.
I would like to elaborate on this using knowledge of biology as to what happens when we experience fear.
When we are faced with a tiger, or we encounter any kind of trauma, grief, rejection of a loved one and so forth, the body floods the system with adrenaline, the fear hormone. Adrenaline helps us to deal with the 'problem'.
Adrenaline activates the
Sympathetic Nervous System (SNS) which is a sub-branch of the
Autonomic Nervous System.
It controls specific bodily organs to prepare us for fight or flight. These reactions are beyond control of our consciousness.
The SNS dilates pupils of our eyes, shuts down the digestive organs, increases heart palpitations, relaxes the smooth muscles of bronchi and bronchioles, the smooth muscles of the digestive tract is inhibited, so peristalsis stops, sphincter of the bladder also contracts and the bladder wall relaxes. Blood vessels supply to the skeletal muscles are dilated. It is obvious that these reactions helps to prepare the body for strenuous and quick actions in the face of environmental danger.
Please note that in anxieties we see many symptoms - such as heart palpitations, stomach upsets and so forth - that are the works of the SNS.
The
Parasystematic Nervous System (PSNS) on the other hand reverses the SNS and counteracts the SNS. This system is triggered by the neurotransmitter acetylcholine, which may be a important piece of information to people suffering from Bipolar Disorder.
Thus as Val has stated this fear reaction is an important survival mechanism in the face of real danger.
The question is how is this related to anxiety attacks or the irrational fears that can wreck people's lives.
The clue is adrenaline. The question is why should the body produce excess adrenaline out of the blue, without any trigger in the environment, causing us to have unexplainable anxiety attacks and phobias?
The function of adrenaline is to convert sugar stores in our body in the form of
glycogen into glucose.
The reason for this is that brain is very sensitive to glucose levels. Although the brain represents only 2 per cent of the body by weight it requires about 60-70 per cent of available glucose in the body to energize the biochemical machinery of brain cells. Glucose is the forerunner of
Biological Energy called (ATP), which is essential in the manufacture of the relaxing and feel good
neurotransmitter such as
serotonin.
Thus when the brain (in fact the
hypothalamus) senses a low blood sugar level it will send an hormonal message to the adrenal glands to pour adrenaline into the system. This raises blood sugar level and will feed the brain again, but it also causes us to feel fearful without an external object of fear. The fear is
irrational.
Adrenaline not only activates the SNS, but is also a focusing hormone, forcing us to
focus on any possible "danger" at the expense of anything else. It causes us to "ruminate". Thus excess adrenaline production also lies at the root of Obsessive Compulsive Disorder (OCD).
Thus now the question is why is the brain starved of energy causing it to trigger stress hormones??
There are many reasons for this, because there are many medical conditions that interfere with the proper absorption of glucose, such as the various digestive disorders, heavy metal intoxication replacing zinc substrates, coeliac disease, Crohn's Disease and Ulcerative Colitis, hypothyroidism and hyperthyroidism. The list is unending.
However the majority cases when the brain is starved of energy is due to
Insulin Resistance, which blocks the transfer of glucose (and other nutrients) across cell membranes. This can lead to the
hypoglycemic syndrome, with its multitude of psychological and physical symptoms.
This condition can be tested with the four hour
Medical Test for Hypoglycemia. It can also be tested with the
Nutrition Behavior Inventory Test (NBI) . If you score high you are likely to be hypoglycemic.
The non-drug treatment of this condition is going on
Hypoglycemic Diet.
This goes to show that the various forms of mental illnesses (really brain diseases) are due to a Nutritional Disorder.
See:
Depression is a Nutritional Disorder Depression: a Disease of Energy Production
for a fuller explanation.