Elisa Nebolsine

View Original

Anxiety as a Metabolic Disorder: Exploring Lisa Feldman Barrett's Theory

Anxiety is often thought of as a mental health issue that resides solely in the mind. However, a renowned psychologist, Lisa Feldman Barrett, has an intriguing theory that challenges this conventional wisdom. According to Barrett, anxiety is not just a mental condition; it's also a metabolic disorder. This means it has as much to do with the body's energy management as it does with thought patterns and emotions. Understanding this shift in perspective can offer new ways to address anxiety and its impact on our lives.

What is Metabolism?

Before diving into the theory, let's clarify what metabolism is. In simple terms, metabolism refers to the body's process of converting food into energy. The energy is then used to do everything from moving your muscles to keeping your heart beating.

The Core Idea: Anxiety and Energy Management

Barrett posits that anxiety is fundamentally linked to how well our bodies manage energy. Specifically, she believes that when our metabolic process is disrupted or inefficient, it may result in heightened anxiety levels. In other words, anxiety can indicate that your body is having difficulty processing and using the energy it gets from food.

How Does This Happen?

Here's how the logic works:

  1. Inefficient Metabolism: When the body's metabolic process is not working properly, it can imbalance energy levels.

  2. Brain's Role: As a major energy consumer, the brain signals the imbalance. It sends out alarm bells in the form of feelings we recognize as anxiety.

  3. Feedback Loop: The more anxious you become, the worse your metabolism performs, creating a vicious cycle.

Evidence and Research

Barrett’s theory is based on historical and new research, which points to a strong correlation between metabolic and mental health. Studies have shown that people with metabolic syndrome—a condition that affects how the body converts food into energy—are more likely to experience high anxiety levels.

Implications

For Treatment

Understanding anxiety as a metabolic disorder opens up new avenues for treatment. While cognitive behavioral therapies like CBT (Cognitive Behavioral Therapy) effectively treat anxiety from a mental perspective, considering metabolism allows for additional approaches. These might include dietary changes, physical exercise, and medications to enhance metabolic efficiency.

For Everyday Life

If you're prone to anxiety, being mindful of your diet and exercise routine can have a more significant impact than you might think. Consuming foods that are easier for your body to convert into energy could potentially reduce anxiety levels.

For Future Research

This theory also opens doors for future scientific research, potentially leading to better-targeted treatments for anxiety disorders. It may also pave the way for integrated treatment plans that address anxiety's mental and metabolic aspects.

Skepticism and Counterarguments

It's worth mentioning that not everyone in the scientific community agrees with Barrett's theory. Critics argue that while there may be a link between metabolic health and anxiety, that doesn't necessarily mean one causes the other. However, even skeptics agree that the connection warrants further study.


Short-chain fatty acids (SCFAs) are a specific type of fatty acids that are crucial for gut health. They are primarily produced when dietary fiber is fermented in the colon. Given that the gut is often called the "second brain" due to its influence on mood and mental health, SCFAs could be a key player in managing anxiety through metabolic regulation.

Sources of Short-Chain Fatty Acids

Foods high in dietary fiber are excellent for promoting the production of SCFAs. These foods include:

  1. Legumes: Lentils, chickpeas, and other legumes are rich in fiber.

  2. Whole Grains: Opt for whole grains like barley, oats, and whole-wheat pasta.

  3. Vegetables: Leafy greens, bell peppers, and carrots are great options.

  4. Fruits: Apples, bananas, berries and oranges

How SCFAs Might Help With Anxiety

Here's the interesting part: SCFAs like butyrate, propionate, and acetate play a role in reducing inflammation, improving gut health, and regulating energy metabolism. This aligns well with Lisa Feldman Barrett's theory that links metabolic health to anxiety levels.

  1. Reducing Inflammation: Chronic inflammation is known to contribute to anxiety disorders. SCFAs have anti-inflammatory properties that could help in reducing systemic inflammation.

  2. Gut-Brain Axis: SCFAs help maintain a healthy gut, and a balanced gut microbiota has been shown to positively affect mental health through the gut-brain axis.

  3. Energy Regulation: Since SCFAs are involved in energy homeostasis, higher levels of these fatty acids might help the body better manage its energy, potentially reducing feelings of anxiety.

Practical Dietary Changes

To incorporate more SCFAs into your diet, consider making the following changes:

  1. Increase Fiber Intake: Gradually add more high-fiber foods to your daily meals.

  2. Limit Processed Foods: Processed foods can negatively impact your gut flora, reducing SCFA production.

  3. Diversify Your Diet: A varied diet helps promote a more balanced gut, leading to better SCFA production.

  4. Consider Prebiotics: These non-digestible food ingredients promote the growth of beneficial gut bacteria that produce SCFAs.

Dietary Recommendations in Light of Anxiety as a Metabolic Disorder

Building on Lisa Feldman Barrett's theory that anxiety is not just a mental condition but also a metabolic disorder, it's crucial to explore the dietary implications of this perspective. Diet plays a significant role in metabolism, so if anxiety is related to metabolic health, what you eat might directly affect your anxiety levels. Here’s a closer look at some dietary recommendations that could be beneficial.

Final Thoughts

If Barrett's theory that anxiety is a metabolic disorder holds water, then SCFAs could be a significant dietary element to consider in managing anxiety. By promoting gut health, reducing inflammation, and aiding in energy regulation, SCFAs offer a promising avenue for a more holistic treatment of anxiety disorders. So, paying attention to your diet—specifically your intake of foods rich in SCFAs—might improve your metabolic health and contribute to better mental well-being.