Twelve Ways to Manage Anxiety

If your mind were a diesel engine, anxiety would be the leaded gas that was accidentally poured in and responsible for all the burps and stutters. Even more so than depression, I think, anxiety is the big disabler in my life, with a capital D, which is why I try to nip it in its early symptoms. That doesn’t always happen, of course, but here are some techniques I try.

1. Recognize the Reptilian Brain
My therapist friend Elvira Aletta gives a brilliant neuropsychology lesson in one of her posts where she explains the two parts of our brain. The first is the primitive part, containing the amygdala, which is responsible for generating and processing our fear and other primal emotions. The second part is our frontal lobes, the neocortex, or the newest part of our brain, which is sophisticated, educated, and is able to apply a bit of logic to the message of raw fear that our reptilian brain generates.

Why is this helpful? When I feel that knot in my stomach that comes with a message that I am unloved by the world, I try to envision a Harvard professor, or some intellectual creature whacking a reptile on the head with a book, saying something like “Would you please just evolve, you overly dramatic creature?”

2. Exaggerate Your Greatest Fear
I know this doesn’t seem like a good idea, but truly it works. I learned it from a fellow Beyond Blue reader who explained on a combox: “Tell your fear to someone else and make sure to be as dramatic as possible, with very descriptive words and emotions. Then, when you’ve told every detail you can think of, start over again. Tell the entire, dramatic story, again with very elaborate descriptions. By the third or fourth time, it becomes a bit silly.”

My friend Mike and I do this all the time. He will tell me how he is afraid he has diabetes and that his leg will have to be amputated, and then he won’t be able to drive a car with one leg, and because of that his wife with leave him, and he will be a single, lonely old man with one leg. Funny stuff, right?

3. Distract, Distract, Distract
For the last two months I have been under the very clear direction of my doctor to “distract, don’t think.” My thinking—even though I thought I was doing the right thing by using cognitive-behavioral techniques—was making things worse. So she told me to stay away from the self-help books and to work on a word puzzle or watch a movie instead, and to surround myself with people as much as possible. Don’t get me wrong, there is a place for cognitive-behavioral techniques and mindfulness. But when I reach a point of disabling anxiety, it’s more beneficial for me to try to get out of my head as much as possible.

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05.27.2010
Alicia Carr
I try to get my exercise by furiously grooming the yard, then during a cooling-off period, I can relax and enjoy the clouds. Bonus: the yard looks a lot better, too. Thanks for all the tips!
01.28.2010
Julia
Well put! I also really like the idea of exaggerating fears to put them in perspective and remembering that the human experience is rarely a life or death (fight or flight) type of scenario. I find that meditative techniques from Yoga are really helpful for quieting my mind. Especially at night when everything seems to become more dire as my head hits the pillow. My personal favorite is imagining your thoughts as clouds floating by; you can acknowledge them, but you do not have to dwell on any one idea. In that way you never have the opportunity to let your imagination blow things out of proportion.
I try to exercise or focus on deep breathing whenever I feel anxiety coming on. It's helped tremendously.
I think these are all fine for occasional bouts of anxiety, but anxiety that is permanent or disruptive should always be evaluated by a professional.
01.27.2010
Rebecca Brown
I also love the idea of exaggerating my biggest fear - will have to try that. Also, I think telling the story a few times with the worst details possible is a great suggestion ... after a few times, you likely realize things couldn't be near as bad as your story!
It feels good to write.

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