Anxiety, Depression and the Surprising Role of Gut Bacteria

Mounting evidence is pointing to a powerful connection between the gut and the human brain, with the latest research coming from neurobiologists at Oxford University. Their findings are compelling and have promise for the management and future direction for treatments of depression and anxiety.

Inside the human body are trillions of microbes, collectively knows as the microbiome. When taken together, they are estimated to weigh about twice the weight of the average human brain. Think about that.

They live in the gut and their job is to digest food, synthesize vitamins and fight infection. What we are discovering is that their reach extends far beyond the gut, and all the way to the brain.

Studies over the last decade have identified the role of gut microbiome in maintaining certain brain functions such as mood, emotion and appetite. Research is increasingly pointing to the role it plays in psychiatric and neurological disorders such as anxiety, depression and autism. 

Researchers at the University of Oxford have found that taking probiotics has an effect on anxiety and depression by influencing the neuroendocrine stress response and by altering the way people process emotional information. 


The Study – What They Did

45 women between the ages of 18 to 45 took either a prebiotic or a placebo every day for three weeks.

(Probiotics consist of strains of good bacteria. They use prebiotics – carbohydrates they break down for nourishment – to multiply.)

At the end of the three weeks, the participants performed a number of tests involving positive and negative words, to measure how they processed emotional information. 

What They Found

Those who took the prebiotic paid less attention to negative information and more attention to positive information compared with those who took the placebo.

This effect is similar to that facilitated by antidepressants or anti-anxiety medication.

The prebiotic group also had lower levels of cortisol (the stress hormone) compared with the placebo group. High cortisol levels have been linked with anxiety and depression.


 Adding to the promise of the findings is research out of France that found that people who took probiotics for 30 days had reduced levels of somatisation (physical symptoms such as pain and tightness that are brought on by psychological distress), depression, anger-hostility and anxiety.

Early evidence for a gut-brain connection came from a study led by Dr Kirsten Tillisch of UCLA’s School of Medicine.

In their study, women who ate probiotic yoghurt (containing containing probiotic strains such as Bifidobacterium animalis, Streptococcus thermophiles, and Lactobacillus bulgaricus) twice a day for a month showed alterations in brain function, particularly in the brain’s response to the environment.

This was compared to women who ate a dairy product without any living bacteria and another group who ate no dairy products.

Brain scans revealed that those who took the probiotics had reduced activity in the area of the  brain involved in processing emotions.

Tillisch explains, ‘When we consider the implications of the work, the old sayings, ‘you are what you eat’ and ‘gut feelings’ take on new meaning.’

‘Time and time again, we hear from patients that they never felt depressed or anxious until they started experiencing problems with the gut.

Though probiotic cocktails aren’t likely to replace conventional treatments any time soon, there is compelling evidence to suggest great potential in using them as part of a treatment or management plan for anxiety or depression. 

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We don’t need to protect kids from the discomfort of anxiety.

We’ll want to, but as long as they’re safe (including in their bodies with sensory and physiological needs met), we don’t need to - any more than we need to protect them from the discomfort of seatbelts, bike helmets, boundaries, brushing their teeth.

Courage isn’t an absence of anxiety. It’s the anxiety that makes something brave. Courage is about handling the discomfort of anxiety.

When we hold them back from anxiety, we hold them back - from growth, from discovery, and from building their bravery muscles.

The distress and discomfort that come with anxiety won’t hurt them. What hurts them is the same thing that hurts all of us - feeling alone in distress. So this is what we will protect them from - not the anxiety, but feeling alone in it.

To do this, speak to the anxiety AND the courage. 

This will also help them feel safer with their anxiety. It puts a story of brave to it rather than a story of deficiency (‘I feel like this because there’s something wrong with me,’) or a story of disaster (‘I feel like this because something bad is about to happen.’).

Normalise, see them, and let them feel you with them. This might sound something like:

‘This feels big doesn’t it. Of course you feel anxious. You’re doing something big/ brave/ important, and that’s how brave feels. It feels scary, stressful, big. It feels like anxiety. It feels like you feel right now. I know you can handle this. We’ll handle it together.’

It doesn’t matter how well they handle it and it doesn’t matter how big the brave thing is. The edges are where the edges are, and anxiety means they are expanding those edges.

We don’t get strong by lifting toothpicks. We get strong by lifting as much as we can, and then a little bit more for a little bit longer. And we do this again and again, until that feels okay. Then we go a little bit further. Brave builds the same way - one brave step after another.

It doesn’t matter how long it takes and it doesn’t matter how big the steps are. If they’ve handled the discomfort of anxiety for a teeny while today, then they’ve been brave today. And tomorrow we’ll go again again.♥️
Feeling seen, safe, and cared for is a biological need. It’s not a choice and it’s not pandering. It’s a biological need.

Children - all of us - will prioritise relational safety over everything. 

When children feel seen, safe, and a sense of belonging they will spend less resources in fight, flight, or withdrawal, and will be free to divert those resources into learning, making thoughtful choices, engaging in ways that can grow them.

They will also be more likely to spend resources seeking out those people (their trusted adults at school) or places (school) that make them feel good about themselves, rather than avoiding the people of spaces that make them feel rubbish or inadequate.

Behaviour support and learning support is about felt safety support first. 

The schools and educators who know this and practice it are making a profound difference, not just for young people but for all of us. They are actively engaging in crime prevention, mental illness prevention, and nurturing strong, beautiful little people into strong, beautiful big ones.♥️
Emotion is e-motion. Energy in motion.

When emotions happen, we have two options: express or depress. That’s it. They’re the options.

When your young person (or you) is being swamped by big feelings, let the feelings come.

Hold the boundary around behaviour - keep them physically safe and let them feel their relationship with you is safe, but you don’t need to fix their feelings.

They aren’t a sign of breakage. They’re a sign your child is catalysing the energy. Our job over the next many years is to help them do this respectfully.

When emotional energy is shut down, it doesn’t disappear. It gets held in the body and will come out sideways in response to seemingly benign things, or it will drive distraction behaviours (such as addiction, numbness).

Sometimes there’ll be a need for them to control that energy so they can do what they need to do - go to school, take the sports field, do the exam - but the more we can make way for expression either in the moment or later, the safer and softer they’ll feel in their minds and bodies.

Expression is the most important part of moving through any feeling. This might look like talking, moving, crying, writing, yelling.

This is why you might see big feelings after school. It’s often a sign that they’ve been controlling themselves all day - through the feelings that come with learning new things, being quiet and still, trying to get along with everyone, not having the power and influence they need (that we all need). When they get into the car at pickup, finally those feelings they’ve been holding on to have a safe place to show up and move through them and out of them.

It can be so messy! It takes time to learn how to lasso feelings and words into something unmessy.

In the meantime, our job is to hold a tender, strong, safe place for that emotional energy to move out of them.

Hold the boundary around behaviour where you can, add warmth where you can, and when they are calm talk about what happened and how they might do things differently next time. And be patient. Just because someone tells us how to swing a racket, doesn’t mean we’ll win Wimbledon tomorrow. Good things take time, and loads of practice.♥️
Thank you Adelaide! Thank you for your stories, your warmth, for laughing with me, spaghetti bodying with me (when you know, you know), for letting me scribble on your books, and most of all, for letting me be a part of your world today.

So proud to share the stage with Steve Biddulph, @matt.runnalls ,
@michellemitchell.author, and @nathandubsywant. To @sharonwittauthor - thank you for creating this beautiful, brave space for families to come together and grow stronger.

And to the parents, carers, grandparents - you are extraordinary and it’s a privilege to share the space with you. 

Parenting is big work. Tender, gritty, beautiful, hard. It asks everything of us - our strength, our softness, our growth. We’re raising beautiful little people into beautiful big people, and at the same time, we’re growing ourselves. 

Sometimes that growth feels impatient and demanding - like we’re being wrenched forward before we’re ready, before our feet have found the ground. 

But that’s the nature of growth isn’t it. It rarely waits for permission. It asks only that we keep moving.

And that’s okay. 

There’s no rush. You have time. We have time.

In the meantime they will keep growing us, these little humans of ours. Quietly, daily, deeply. They will grow us in the most profound ways if we let them. And we must let them - for their sake, for our own, and for the ancestral threads that tie us to the generations that came before us, and those that will come because of us. We will grow for them and because of them.♥️
Their words might be messy, angry, sad. They might sound bigger than the issue, or as though they aren’t about the issue at all. 

The words are the warning lights on the dashboard. They’re the signal that something is wrong, but they won’t always tell us exactly what that ‘something’ is. Responding only to the words is like noticing the light without noticing the problem.

Our job isn’t to respond to their words, but to respond to the feelings and the need behind the words.

First though, we need to understand what the words are signalling. This won’t always be obvious and it certainly won’t always be easy. 

At first the signal might be blurry, or too bright, or too loud, or not obvious.

Unless we really understand the problem behind signal - the why behind words - we might inadvertently respond to what we think the problem is, not what the problem actually is. 

Words can be hard and messy, and when they are fuelled by big feelings that can jet from us with full force. It is this way for all of us. 

Talking helps catalyse the emotion, and (eventually) bring the problem into a clearer view.

But someone needs to listen to the talking. You won’t always be able to do this - you’re human too - but when you can, it will be one of the most powerful ways to love them through their storms.

If the words are disrespectful, try:

‘I want to hear you but I love you too much to let you think it’s okay to speak like that. Do you want to try it a different way?’ 

Expectations, with support. Leadership, with warmth. Then, let them talk.

Our job isn’t to fix them - they aren’t broken. Our job is to understand them so we can help them feel seen, safe, and supported through the big of it all. When we do this, we give them what they need to find their way through.♥️

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