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Preventive Interventions In Mental Health: A Discussion On Anxiety

In contemporary medicine, many diseases can be prevented before they even emerge. Vaccinations administered during childhood have rendered numerous once-fatal illnesses nearly invisible. By training the immune system, the body is prepared for potential threats in advance.

But what if the same were possible for psychological processes? What if, through an intervention administered in early childhood, anxiety could be prevented altogether?

Imagine waking up one morning. Before anything has happened, your heart does not race. That familiar knot does not settle in your stomach before a meeting. When you lie down at night, your mind does not occupy itself with past embarrassments or catastrophic projections about the future. Years ago, perhaps in childhood, you received a vaccine. And anxiety has been entirely eliminated from your life.

At first glance, this appears to be a flawless world.

The Paradox Of Perfection and Protection

However, upon closer examination, the notion of such “perfection” begins to reveal its complexity. Anxiety is not merely a distressing symptom; it also functions as an alarm system. It enables us to detect potential threats, prepares us for action, and reminds us of our boundaries.

If this system could be completely silenced, would we truly become freer, or rather more vulnerable? Perhaps we would take more risks. We might procrastinate less and attempt more. We could feel more at ease in social contexts and be less preoccupied with the possibility of failure. Yet, might we also remain longer in maladaptive relationships? Would we recognize dangerous situations later than we should? After all, are not certain forms of anxiety inherently protective?

Distinguishing Normative From Clinical Anxiety

At the same time, it is important to distinguish between normative and clinical levels of anxiety. For individuals experiencing clinical anxiety, the issue is not a “functional alarm system,” but rather one that is persistently activated and cannot be silenced. Even in the absence of a real threat, this system remains engaged, maintaining the body and mind in a state of heightened arousal, much like a siren that continues to sound despite the absence of a fire.

If an “anxiety vaccine” truly existed, it might, for the first time, allow some individuals to experience a profound mental quietness. This possibility is far too significant to dismiss. Yet, it also raises another critical question: If emotions could be eliminated before they even emerge, would we also lose the opportunity to learn from them?

Anxiety As A Tool For Orientation

Anxiety often communicates something meaningful. The situations we avoid, the relationships in which we struggle, the decisions we postpone, are these not indicators of what truly matters to us? In this sense, anxiety is not merely an obstacle, but also a tool for orientation. Perhaps the issue is not to eradicate anxiety entirely, but to transform our relationship with it: not to silence it, but to understand it, to discern when it is protective and when it becomes limiting.

Whether such a vaccine will ever be developed remains uncertain. Science continues to advance, with new molecules and therapeutic approaches emerging. However, one point remains clear: the human mind is not merely a system to be corrected, but also an experience to be understood. And some emotions, no matter how challenging, are indispensable components of that experience.

The Threshold Of Intervention

In reflecting on these considerations, perhaps the fundamental question we should ask is this: At what point does an emotion cease to be “protective” and become a condition that requires intervention?

In psychology, this distinction is often central. When an emotion becomes persistent, when its intensity significantly impairs an individual’s daily functioning, relationships, and overall quality of life, it is no longer merely a “human experience,” but also a condition that warrants attention. Anxiety, for instance, ceases to be a mild tension that prepares us for an exam and instead becomes a cycle of avoidance that prevents us from taking the exam; or it shifts from fostering caution in social settings to causing complete withdrawal. At this stage, seeking support is no longer optional, it becomes necessary.

Establishing A Functional Relationship

At this point, the aim is not to eliminate the emotion, but to establish a more functional relationship with it. Psychotherapy, therefore, does not seek emotional numbness; rather, it aims to enhance the capacity to live with emotions in an adaptive and meaningful way.

Perhaps the question of the future will be: Which emotions should be eliminated? (Even though such a perspective may itself be misguided.) Yet, the more realistic question of today remains unchanged: How can we learn to live with our emotions, and in what ways can we do so more effectively?

Ayça Keleş
Ayça Keleş
The depth of the human mind, the complexity of emotions, and the invisible dynamics of relationships have been elements that both challenged and transformed me at every step of my professional journey. Working as a psychologist, I came to believe that understanding individuals' inner worlds is not just a profession—it is a language, a stance, and a responsibility. I did more than just listen; I observed, reflected, felt, and wrote. Over time, I realized that psychology isn’t confined to the therapy room; it reveals itself in people’s everyday relationships, behavioral patterns, and unspoken emotions. Psychology cannot be boxed into a single space—it lives in every attempt to understand one another, in the connections we form, and sometimes, in what remains unsaid. In my columns, we will explore ways to make sense of emotions rather than suppress them, to cultivate awareness in relationships, to uncover the dynamics of attachment in close connections, and to address psychological concepts in a language grounded in everyday life. If you, too, are seeking a space to pause and reflect in your journey of understanding people, deciphering relationships, and discovering your own inner world, our paths may cross within these lines. Sometimes, a text opens a new door in the mind unexpectedly; and sometimes, a simple sentence marks the quiet yet powerful beginning of transformation.

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