How to Overcome Your Anxiety Disorder

Anxiety disorders can range from post-traumatic stress disorder to panic disorder, but there is one common thread in these conditions: fear. While everyone struggles with fears daily, in the case of anxiety, these fears significantly affect a person's ability to function at work, in school, or in relationships. Having an anxiety disorder can feel hopeless, but there are ways to help.

Part 1

Part 1 of 4:

Using the Four "A"s

For most situations that cause anxiety, there are four ways to deal with them: Avoid, Alter, Adapt, or Accept. The first two focus on changing the situation. The second two focus on changing your own reaction. Try out a combination of these approaches and see what works best for you, keeping in mind that what works in one situation may not work for another.^{[1]XTrustworthy SourceHelpGuideNonprofit organization dedicated to providing free, evidence-based mental health and wellness resources.Go to source}
2
Avoid stressors when possible. The first A stands for "Avoiding unnecessary stress." Take a look at what's causing stress in your life. Keeping a journal of when you feel stressed and what's going on in your environment and relationships when you feel that way can help you identify triggers for your anxiety.^{[2]XTrustworthy SourceCleveland ClinicEducational website from one of the world's leading hospitalsGo to source}
- One source of anxiety may be feeling like you are stretched too thin. Learning to say "no" when you need to can help remove that unnecessary stress.^{[3]XResearch source}
- Dealing with unpleasant people or situations can also trigger anxiety. If that happens, try talking to them about it, or limit how much time you spend with that person.
- Certain issues, such as politics or religion, can also trigger feelings of anxiety. Try to avoid discussions about those things if they cause you anxiety.
3
Alter the stressor. In some cases, you can't just avoid a situation that produces anxiety. However, you may be able to alter the situation so that it doesn't cause as much anxiety. Often, this means taking a new approach to it, or trying out new communication tactics.^{[4]XTrustworthy SourceNational Alliance on Mental IllnessGrassroots mental health-focused organization providing resources, support, and education for those affected by mental illnessGo to source}
- For example, if your daily commute to work makes you feel anxious, see if you can take a bus or other type of public transit instead.
- Try to alter stressful dynamics in your relationships by being assertive so you can communicate your feelings and needs in a clear, direct, and respectful manner.^{[5]XResearch source}
- For example, if you feel anxious because your mom calls you every day, you might say, "Mom, these daily calls are a lot of pressure. Let's chat on the weekends, okay?"
- If time management causes you anxiety, use a calendar or scheduling app to keep track of your responsibilities and plan ahead for projects or events.^{[6]XTrustworthy SourceNational Health Service (UK)Public healthcare system of the UKGo to source}
4
Adapt when you need to. In some cases, you can't do anything about the stressor. Maybe you can't change your job right now, even though you don't like it. Maybe you get stuck in a traffic jam that's simply going to make you late to work that day. In these cases, focus on changing your own response to the situation by adapting to it.^{[7]XTrustworthy SourceAmerican Psychological AssociationLeading scientific and professional organization of licensed psychologistsGo to source}
- Reframe problems and anxiety triggers. If the customers at your job stress you out, think, "This experience dealing with difficult people will serve me well in the future!"
- Look at the big picture. The next time you feel anxious, put things in perspective by asking yourself: "Will this matter in a month? A year?"
- If unrealistic standards have you feeling anxious, remind yourself that allowing yourself to make mistakes and adapt to them will make you more successful in the long run.^{[8]XTrustworthy SourceAmerican Psychological AssociationLeading scientific and professional organization of licensed psychologistsGo to source}
5
Accept what you can't control. The illusion of control motivates a lot of people to place pressure on themselves through "should" statements: I "should" get over a loss, I "should" enjoy my job, I "should" have a great relationship. However, you cannot control others' actions and responses, only your own. Remind yourself that there are things beyond your control, and work on letting go of what you can't change.^{[9]XResearch source}
- For instance, instead of becoming anxious because you can't get your partner to do what you want, focus on how you communicate with them.
- Research suggests that looking for the "silver lining" of stressful or negative events can actually reduce feelings of anxiety and depression.^{[10]XResearch sourceSergeant, S., & Mongrain, M. (2014). An online optimism intervention reduces depression in pessimistic individuals. Journal of Consulting and Clinical Psychology, 82(2), 263-274.}
- Try to see mistakes not as "failures" but as opportunities for growth and learning. Even reframing daily experiences like missing the bus can help you feel less anxious and upset.^{[11]XTrustworthy SourceGreater Good in ActionAn initiative by UC Berkeley's Greater Good Science Center promoting science-based practices for a meaningful lifeGo to source}
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Part 2

Part 2 of 4:

Problem-Solving in Your Head

1
Strategize ways to manage stress. Anxiety can build up as a result of too much stress in your daily life. Adequate problem-solving and stress-management is required to help you overcome these stressors and minimize feelings of anxiety. With people who have a natural tendency towards anxiety, the need is strong to try to control the environment even when that is not possible. Focus on what you can control.^{[12]XTrustworthy SourceHelpGuideNonprofit organization dedicated to providing free, evidence-based mental health and wellness resources.Go to source}
- Grab a notepad and write down all the things that are worrying you at the moment. Brainstorm how you can fix the issues or prepare for them more appropriately.^{[13]XTrustworthy SourceUniversity of Rochester Medical CenterLeading academic medical center in the U.S. focused on clinical care and researchGo to source}
- For example, if you are worried about an upcoming speech, make a plan to practice the speech nightly and, at some point, deliver it in front of a mock audience.
2
Challenge anxious thoughts.^{[14]XResearch source} People with anxiety often increase their feelings of worry with unhelpful or irrational thought patterns. Perhaps you are worried about your sibling who is traveling across country. You may develop intense, anxious feelings if you miss hearing from your sister or brother even by a few minutes. It may be helpful to challenge your worries with realism.
- For instance, instead of assuming your sister has been hurt, you might think something like, "Maybe she's in traffic," or "She might not be able to reach her phone."
- You could even look up traffic reports along her travel route.
3
Remind yourself that you are not in danger. If you suffer from an extreme form of anxiety such as regular panic attacks, your body goes into "flight or fight" mode even when you may not be in danger. People who experience panic attacks may feel as though their lives are being threatened and a feeling of doom may come over them. Rational thinking can also help with such scenarios.^{[15]XResearch source}
- Unless you're being threatened in some way, repeat this phrase over and over again until you begin to feel calm: "I am not in danger. I am safe."
- It may even help to sit or stand in a corner so that you can see all around you to verify that you are safe.
4
Refrain from pushing away your feelings. Feelings of anxiety may be heightened when you try to ignore them or push them away. In some cases, fear of anxiety causes more anxiety. When when you start to feel anxious, soak up the feeling with a long deep breath. Notice what you are thinking and how you are feeling, but try not to react to these feelings, just mindfully take stock of your mental and physical state.^{[16]XResearch source}
- You may even use light humor when you sense anxiousness approaching. Say things to yourself like, "Bring it on!" or "Give me what you've got!"
- Acting fearless in the face of anxiety and simply accepting that you are feeling anxious may help the feelings to pass more quickly.
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Part 3

Part 3 of 4:

Taking Care of Yourself

1
Practice deep breathing. Imagine your stomach as a balloon. Inhale fully and deeply through your nose, feeling your stomach expanding. Then, exhale, gradually allowing your stomach to collapse.^{[17]XTrustworthy SourceNational Health Service (UK)Public healthcare system of the UKGo to source}
- Breathe deeply during a panic attack and throughout the day to reduce stress and anxiety.^{[18]XTrustworthy SourceAmerican Institute of StressNon-profit organization providing resources on stress-management in education, research, clinical care, and the workplace.Go to source}
- Aim to spend 20-30 minutes each day practicing deep breathing.
- Reciting a script in your head like "I am safe." or "I am perfectly calm." may help, as well.
2
Train yourself to be calm with meditation or yoga. Daily engagement in calming activities can help you rid yourself of anxiety or keep these feelings under control. Meditation involves mindfully clearing your mind of fears or worries and focusing on cleansing, relaxing breaths. Yoga incorporates stretching and body positions called asanas with meditation and breathing techniques for a full-body calm.^{[19]XTrustworthy SourceAmerican Psychological AssociationLeading scientific and professional organization of licensed psychologistsGo to source}
- Look up meditation for beginners or online or sign up for a yoga class at a fitness studio near you.
3
Eat several balanced meals per day. Anxiety can be exacerbated by not taking care of your body. Have a healthy, balanced meal of lean protein, fruits and vegetables, whole grains, and low-fat dairy several times a day (i.e. between 3 and 5 meals daily) Plus, keep energizing snacks like fresh veggies, fruit, and nuts on hand to fuel your body in between meals.^{[20]XTrustworthy SourceCleveland ClinicEducational website from one of the world's leading hospitalsGo to source}
- Eat foods high in healthy fatty acids like salmon and avocado in addition to complex carbohydrates such as whole grain oats and brown rice to manage anxiety naturally.
- Avoid caffeine and alcohol. These substances can actually make anxiety worse. Both alcohol and caffeine can make you edgy and interfere with your sleep cycle.
4
Engage in regular physical activity that matches your abilities. This can include walking your dog through the park or a more vigorous exercise regimen such as high-intensity interval training.^{[21]XResearch source}Research shows that regular exercise provides mood-enhancing endorphins that not only help build self-esteem but take your mind off what's making you anxious.^{[22]XResearch source}
- Try rotating between several different activities, which can help you stick to a regular routine.
- For example, you might like participating in group sports most. However, you might also really enjoy swimming. Try to make time for both!
- Always speak to your doctor before starting a new fitness regimen.
5
Strive to get enough good quality sleep. Most adults need approximately 8 to 9 hours of sleep a night. Both stress and anxiety can interfere with sleep and keep you up at night. If you have all your worries running on a loop through your mind, it can be hard to settle down for sleep. However, being sleep deprived can worsen anxiety. If you are a chronic worrier, you are at risk of getting insufficient sleep.^{[23]XResearch source}
- Wind down your evening with relaxing activities to help you fall asleep. Take a soothing bath, listen to a mindfulness meditation recording, or read a book.
- Try to avoid excess stimuli from electronic devices, as the blue light can keep your brain wired and prevent sleep.
- Avoid drinking coffee, caffeinated drinks, or eating chocolate before bedtime.
- Reserve your bedroom for sleeping and relaxing only. Refrain from watching TV in bed or doing work.
^{[24]XResearch source} A terrific way to fight an anxiety disorder is to frequently do things that take your mind off your worries and leave you feeling peaceful or happy. These activities depend on your personal preferences, but may include: sewing or knitting, reading a good book, praying or other spiritual practices, talking on the phone to a friend, listening to music, or playing with a pet.
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Part 4

Part 4 of 4:

Getting Outside Help

1
Seek professional help. If anxiety still holds you back after trying the recommendations listed above, seek professional help such as a mental health counselor or psychologist. This professional can evaluate you to determine which type of anxiety disorder you are suffering from and suggest treatment options for managing the symptoms. Common treatment options for anxiety are:^{[25]XTrustworthy SourceNational Institute of Mental HealthInformational website from U.S. government focused on the understanding and treatment of mental illness.Go to source}
- Psychotherapy. A trained counselor or psychologist will help you come up with strategies to overcome your worries, like challenging irrational thoughts and coping with stress.
- Medications. Your psychiatrist may prescribe a medication typically prescribed to treat anxiety, such as anti-depressants, anti-anxiety meds, and beta blockers.
- In some situations, an individual will require both psychotherapy and medications to manage anxiety. Regardless, with proper intervention, anxiety is a curable disorder.
Have someone to talk to. It doesn't matter how much they understand about your disorder; just having the ability to discuss your worries with a friend or family member can really help.
3
Journal. Your mental health provider may suggest that you start journaling or keeping a thought diary in order to target in on some of your common fears and figure out the triggers. Doing so can help you to have more insight into the roots of your anxiety and possibly develop strategies to avoid these triggers.^{[26]XTrustworthy SourceUniversity of Rochester Medical CenterLeading academic medical center in the U.S. focused on clinical care and researchGo to source}
- Your journal can be a great place to unload anxious thoughts or worries. However, be careful that you do not use it to ruminate and end up making your anxiety worse.
- Each day, write an entry that describes your current mood and any details about the day. Include any concerns you might have, like an upcoming test or a first date.
- Use your journal to strategize ways to relieve these stressors.
- After you have conducted a short brainstorming session, close your journal and make an effort to leave those worries on the page.
Alternative treatment approaches like acupuncture have been shown to be effective in managing stress and anxiety. Chinese healers believed that when the body's 'chi' is unbalanced people may suffer from conditions like anxiety or depression. Needles are inserted at key places on the body to relieve any obstructions of the chi and reclaim overall health and wellness. Talk to your mental health provider or primary care physician to see if acupuncture is a viable option for treating your anxiety.
Approximately 40 million Americans struggle with anxiety every day. However, only one-third of those get treatment.^{[27]XResearch source} Take the necessary steps to get outside help if you cannot manage your anxiety alone.
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Expert Q&A

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Question
Do anxiety disorders get worse with age?
Rebecca Ward, LMFT, SEP, PCC, MA
Licensed Therapist
Rebecca A. Ward, LMFT, SEP, PCC is the Founder of the Iris Institute, a San Francisco, California-based business focusing on using somatic expertise to teach individuals and groups the skills to deal with dilemmas using interventions, including her own Original Blueprint® method. Ms. Ward specializes in treating stress, anxiety, depression, and trauma. She is a Licensed Marriage and Family Therapist (LMFT), a Somatic Experiencing® Practitioner (SEP), and a Professional Certified Coach (PCC) accredited by the International Coach Federation (ICF). Rebecca holds an MA in Clinical Mental Health Counseling from Marymount University and an MA in Organizational Leadership from The George Washington University.
Rebecca Ward, LMFT, SEP, PCC, MA
Licensed Therapist
Expert Answer
It depends. It may or it may not. There's this idea out there that anxiety is all in your head, and that's not true. It's the nervous system's response to a perceived threat. Some people may naturally adjust to feelings of anxiety over time while other people are likely going to benefit from therapy and mindfulness practices.
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Tips

Take it one day at a time. Know that your anxiety will not disappear overnight. Follow the strategies suggested above, and try to celebrate the good days and accept that there will be bad ones as well.
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Warnings

Seek treatment early on. Trying to "suck it up" and push through it by yourself without proper treatment may severely worsen your symptoms and/or cause depression. It may also make the recovery process longer and more difficult.
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If you ever feel depressed or suicidal, immediately seek help.
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