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Saturday, April 23, 2011

How to Stop Worrying: Self-Help Strategies for Anxiety Relief

Worrying can be helpful when it spurs you to take action and solve a problem. But if you're preoccupied with "what ifs" and worst-case scenarios, worry becomes a problem of its own. Unrelenting doubts and fears are paralyzing, not motivating or productive. They sap your emotional energy, send your anxiety levels soaring, and interfere with your day-to-day life - all this with no positive payoff! The good news is that chronic worrying is a mental habit you can learn how to break. You can train your brain to stay calm and collected and to look at life from a more positive perspective.

Why is it so hard to stop worrying?

Constant worrying takes a heavy toll. It keeps you up at night and makes you tense and edgy during the day. You hate feeling like a nervous wreck. So why is it so difficult to stop worrying?

For most chronic worriers, the anxious thoughts are fueled by the beliefs - both negative and positive - they hold about worrying. On the negative side, you may believe that your constant worrying is harmful, that it's going to drive you crazy or affect your physical health. Or you may worry that you're going to lose all control over your worrying - that it will take over and never stop.

On the positive side, you may believe that your worrying helps you avoid bad things, prevents problems, prepares you for the worst, or leads to solutions.

Negative beliefs, or worrying about worrying, add to your anxiety and keep worrying going. But positive beliefs about worrying can be even more damaging. It's tough to break the worry habit if you believe that your worrying protects you. In order to stop worry and anxiety for good, you must give up your belief that worrying serves a positive purpose. Once you realize that worrying is the problem, not the solution, you can regain control of your worried mind.

Self-help tip #1: Accept uncertainty

The inability to tolerate uncertainty plays a huge role in anxiety and worry. Chronic worriers can't stand doubt or unpredictability. They need to know with 100% certainty what's going to happen. Worrying is seen as a way to predict what the future has in store, a way to prevent unpleasant surprises and control the outcome. The problem is, it doesn't work.

Thinking about all the things that could go wrong doesn't make life any more predictable. You may feel safer when you're worrying, but it's just an illusion. Focusing on worst-case scenarios won't keep bad things from happening. It will only keep you from enjoying the good things you have in the present. So if you want to stop worrying, start by tackling your need for certainty and immediate answers.

Self-help tip #2: Create a worry period

It's tough to be productive in your daily life when anxiety and worry are dominating your thoughts. Trying to stop worrying doesn't work - at least not for long. You can distract yourself for a moment, but you can't banish your anxious thoughts for good. Trying to do so often makes them stronger. But that doesn't mean there's nothing you can do to control your worry. You just need to try a different approach. Rather than trying to totally suppress an anxious thought, develop the habit of postponing worrying.

Learning to postpone worrying:

  • Create a "worry period." Choose a set time and place for worrying. It should be the same every day and early enough that it won't make you anxious right before bedtime. During your worry period, you're allowed to worry about whatever's on your mind. The rest of the day, however, is a worry-free zone.
  • Postpone your worry. If an anxious thought or worry comes into your head during the day, make a brief note of it on paper and postpone it to your worry period. Remind yourself that you'll have time to think about it later, so there's no need to worry about it right now. Save it for later and continue to go about your day.
  • Go over your "worry list" during the worry period. Reflect on the worries you wrote down during the day. If the thoughts are still bothering you, allow yourself to worry about them, but only for the amount of time you've specified for your worry period. If the worries don't seem important any more, cut your worry period short and enjoy the rest of your day.
Postponing worrying is effective because it breaks the habit of dwelling on worries in the present moment. As you develop the ability to postpone your anxious thoughts, you'll experience a greater sense of control.

Self-help tip #3: Challenge negative thoughts

If you suffer from chronic anxiety and worries, chances are you look at the world in ways that make it seem more dangerous than it really is. For example, you may overestimate the possibility that things will turn out badly, jump immediately to worst-case scenarios, or treat every negative thought as if it were fact. You may also discredit your own ability to handle life's problems, assuming you'll fall apart at the first sign of trouble. These irrational, pessimistic attitudes are known as cognitive distortions.

Although cognitive distortions aren't based on reality, they're not easy to give up. Often, they're part of a lifelong pattern of thinking that's become so automatic you're not even completely aware of it. In order to break these bad thinking habits and top the worry and anxiety they bring - you must retrain your brain.

Start by identifying the frightening thought, being as detailed as possible about what scares or worries you. Then, instead of viewing your thoughts as facts, treat them as hypotheses you're testing out. As you examine and challenge your worries and fears, you'll develop a more balanced perspective.

Stop worry by questioning the worried thought:
  • What's the evidence that the thought is true? That it's not true?
  • Is there a more positive, realistic way of looking at the situation?
  • What's the probability that what I'm scared of will actually happen?
  • If the probability is low, what are some more likely outcomes?
  • Is the thought helpful? How will worrying about it help me and how will it hurt me?
  • What would I say to a friend who had this worry?
Self-help tip #4: Learn how to relax

Anxiety is more than just a feeling. It's the body's physical "fight or flight' reaction to a perceived threat. Your heart pounds, you breathe faster, your muscles tense up, and you feel light-headed. When you're relaxed, the complete opposite happens. Your heart rate slows down, you breathe slower and more deeply, your muscles relax, and your blood pressure stabilizes. Since it's impossible to be anxious and relaxed at the same time, strengthening your body's relaxation response is a powerful anxiety-relieving tactic.

If you're a chronic worrier, relaxation techniques such as progressive muscle relaxation, deep breathing, and meditation can teach you how to relax. The key is regular practice. Try to set aside at least 30 minutes a day. Over time, the relaxation response will come easier and easier, until it feels natural.

  • Progressive muscle relaxation. When anxiety takes hold, progressive muscle relaxation can help you release muscle tension and take a "time out" from your worries. The technique involves systematically tensing and then releasing different muscle groups in your body. As your body relaxes, your mind will follow.
  • Deep breathing. When you're anxious, you breathe faster. This hyperventilation causes symptoms such as dizziness, breathlessness, lightheadedness, and tingly hands and feet. These physical symptoms are frightening, leading to further anxiety and panic. But by breathing deeply from the diaphragm, you can reverse these symptoms and calm yourself down.
  • Meditation. Many types of meditation have been shown to reduce anxiety. Mindfulness meditation, in particular, shows promise for anxiety relief. Research shows that mindfulness meditation can actually change your brain. With regular practice, meditation boosts activity on the left side of the prefrontal cortex, the area of the brain responsible for feelings of serenity and joy.
Self-help tip #5: Take care of yourself

A healthy, balanced lifestyle plays a big role in keeping anxiety, fears and worry at bay. Read on for a number of ways you can stop anxiety and worry by taking care of yourself.
  • Reach out for support
  • Adopt healthy eating habits
  • Limit caffeine and sugar
  • Exercise regularly
  • Avoid alcohol and nicotine
  • Get enough sleep
Taken from helpguide.org  Written by Melinda Smith, Robert Segal and Jeanne Segal


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