Anxiety Taken Over??? A Prescription for Change & Control


Anxiety Management Strategies--
The first step in managing anxiety is to identify the specific situations that are making you stressed or anxious.  One way to do this is to keep a daily journal of symptoms and what is happening when anxiety occurs.  It is also helpful to identify any worrying thoughts as this can lead to finding solutions to solve the specific event that is of concern. Recent studies have shown that writing about your worries, reduces anxiety significantly.
People tend to have a greater ability to manage stressful events than they sometimes realize.  Once you have identified a specific situation that is causing the anxiety, problem solving is a useful technique to help resolve anxiety by addressing the problem.  Structured problem solving involves the following steps:
(1) Identify the problem.  When you have identified the situations that are contributing to your anxiety, write down the problem and be very specific in your description, including what is happening, where, how, with whom, why, and what you would like to change.
(2) Come up with as many options as possible for solving the problem, and consider the likely chances that these will help you overcome your problem.
(3) Select your preferred option.
(4) Develop a plan for how to try out the option selected and then carry it out.
(5) If this option does not solve the problem, remember that there are other options to try.
(6) Go back to the list and select your next preferred option.
Breathing Exercises:
When people feel anxious they often breathe more rapidly.  This rapid breathing can lead to many of the unpleasant feelings such as light-headedness and confusion that may be experienced when anxious.  Learning a breathing technique to slow down breathing can often relieve symptoms and help a person to think more clearly. Using slow, rhythmic breaths on a slow, metered count is the most helpful type of breathing exercise. For example, inhale for an 8 count, hold for 2, exhale for an 8 count, hold for 2 and then repeat 3-5 times. Relaxation from this type of breathing is inevitable.
Relaxation Techniques:
People who feel anxious most of the time report that they have trouble relaxing.  Knowing how to release muscle tension is an important anxiety treatment.  Relaxing can bring about a general feeling of calm, both physically and mentally.  Learning a relaxation technique and practicing it regularly can help a person to maintain a manageable level of anxiety. One of the better practice type of relaxation exercise is progressive muscle relaxation. This process works through all muscle groups of your body from head to toe with a tension relaxation format. This process is VERY relaxing. Of course, you may also want to engage in Yoga, Tai Chi, or other relaxation systems.
Thought Management
Thought management exercises are useful when a person is troubled by ongoing or recurring distressing thoughts. This is called, Cognitive Behavioral Therapy or CBT. Our thoughts create emotions and subsequent behaviors. The goal is to transform the negative thoughts and emotions to positive one. This is called “Reframing.” There is a range of thought management techniques.  For instance, gentle distraction using pleasant thoughts can help take attention away from unpleasant thoughts.  Alternatively, one can learn "mindfulness techniques" to redirect attention from negative thinking.  A simple technique is "thought replacement" or using coping statements.  Develop a set of statements that will counteract worrying thoughts (e.g. "This is difficult but I have been through it before and have got through it okay," Hang in there, this will not last much longer").  Substitute one of the reassuring or coping statements for the troubling thought.  The choice of thought management technique will depend on the type of anxiety problem. We work on a “Positive Thoughts Log” to teach how to reframe negative thoughts into positive ones to change the emotion.
Lifestyle Changes: (The more difficult ones to implement)
Plan to take part in a pleasant activity each day. - This does not have to be something big or expensive as long as it is enjoyable and provides something to look forward to that will take your mind off your worries. Incremental, evolutionary change requires time, a commitment, focus and proper support and accountability. Coaching can help keep you on track.
  • Increase exercise. - Regular exercise will help to reduce anxiety by providing an outlet to let off stress that has been built up in your body.
  • Reduce Caffeine intake. - Caffeine is a stimulant and one of its side-effects is to keep you feeling alert and awake.  It also produces the same physiological arousal response that is triggered when we are subjected to stress.
  • Reduce alcohol intake. - Alcohol is frequently used to help deal with stress, anxiety and depression.  However, too much alcohol leaves us more vulnerable to anxiety and depression. 
  • Improve time-management skills - Having a busy lifestyle can add daily pressure to your life and serve to increase stress and anxiety.  Plan and schedule time throughout the day but be prepared to be flexible.  Ensure to plan some rest time and some leisure activities, and be realistic about time limitations, not scheduling too much into the day.

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