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How to Deal with Anxiety

This post discusses self-help strategies to help you deal with anxiety – strategies that work! As discussed in yesterday’s blog post, anxiety can be a debilitating condition. Sufferers may need to take medication to manage their anxiety, but there are many ways you can help yourself. Like many others, I’ve experienced anxiety at times in my life. This blog post gives practial, self-help ways you can deal with anxiety – all strategies I have used to manage my own anxiety. I hope it might be helpful for you or an adult or young person you know.

Practical ways to deal with anxiety

Belly Breathing
If you’re in the middle of feeling anxious, or indeed at any time you just want to feel a little calmer, belly breathing really helps to calm you down. Here’s what to do:

  • Sit or lie down and relax your body
  • Close your eyes
  • Start to focus on your breathing, breathing in through your nose and out through your mouth.
  • Gradually start to take deeper breaths, focussing on filling up your belly then chest as you breathe in and them fully deflating as you breathe out.
  • Try to breath in for count of five and out for a count of 7 (or 3 in and 5 out whichever works for you – make the out breath longer).
  • Carry on for as long as you want / need (3 – 5 minutes works well).

Meditation
I first discovered meditation when having a period of anxiety after a friend had died from suicide. It helped tremendously and numerous studies have shown it can help with anxiety. The Meditation I do is really just an extension of the big belly breathing. I get up 15 minutes earlier than I used to, put on the brilliant Headspace app and go through one of the guided meditations. Headspace ‘teaches’ you how to meditate through a series of guided meditations (the first 10 are free). Learning to stand back and observe thoughts and emotions is a powerful technique. It’s a great way to start the day and I usually feel focussed, calm and ready for anything afterwards. If I don’t ‘Wake up with Andy’ (Puddicome who talks you through the meditations) I feel a bit ‘off’. I’ll write more about meditation in the future, but if you haven’t already, I really recommend giving it a go.

Sleep
While anxiety can sometimes interfere with sleep, getting adequate, good quality sleep is helpful in managing the condition. Adults need around 8 hours per night and children at least 10 hours (there’s a great sleep table here). If that’s not happening, trying to find acceptance of the situation can help (see meditation above) alongside implementing good ‘sleep hygiene’. This ‘Ultimate Routine for Optimal Sleep‘ infographic from Huffington Post has some good recommendations.

Nutrition
There is some food and drink that can help with anxiety and some that can make it worse. I’ll be writing about what nutrition help the brain in another post, so I’ll focus on what to avoid here. I’m sorry to say but caffeine and alcohol are top of the list. While alcohol can often be used by people with anxiety to relieve the feelings, it can cause symptoms of anxiety to worsen and dangerous patterns can emerge which lead people further down the spiral.

Caffeine is another stimulant and the ‘wired’ state it gives can create problems for people who are anxious, exacerbating some symptoms. Best to go decaf or avoid if you suffer from anxiety. I’ve not really bothered with alcohol for some years now and drink one or two decaf coffees a day at the most. Peppermint tea is my tipple of choice these days – my 20-year-old self would find that terribly dull, but it’s how my 40-year-old self rolls (and I like it that way!).

Exercise
More messages you’ve heard before here, but yep, exercise has been shown to have a plethora of benefits for mental health, including anxiety. This leaflet from the Royal College of Psychiatrists is helpful. They recommend 30 minutes of moderate physical exercise on at least 5 days of every week – either in one session or broken up into shorter 10 or 15 minute sessions. That’s pretty do-able for most people. My dog walks are some of my favourite activities of the day – and the dogs quite like it too!

Avoid Avoidance
As I mentioned in yesterday’s blog post on anxiety, sufferers may naturally want to avoid the source of their perceived danger and enter into avoidance strategies. This causes patterns to become ingrained and fears to loom larger in the mind. Helping someone to overcome and confront their fears in a supportive, kind, managed way is a great way to help. Depending on how bad the avoidance behaviours are, it may need professional intervention or just someone to be there in an understanding way. Which leads me to…

Relationships
One of the themes of Mental Health Awareness Week is nurturing good relationships. Good relationships are the cornerstone of good mental health. As I discussed in Monday’s post on Child Mental Health, having people to talk to can significantly reduce feelings of anxiety and other mental health issues before they become mental health disorders. I’m incredibly lucky to have a wonderful network of friends and family that I can talk to, and laugh with, about anything and support each other through life’s ups and downs. On the other hand, as many of us also know, having difficult relationships which bring added stress, can contribute greatly to feelings of anxiety. Having mutually supportive, kind people in your life is a great benefit for dealing with anxiety and mental health in general and Mental Health Awareness Week is encouraging us to pledge that we will nurture the good relationships we have. It’s sometimes a challenge with busy lives, but important that we do. This is a great free guide worth reading on relationships and mental wellbeing.

Herbal remedies
Some herbal remedies have been shown to help with anxiety, such as St. John’s Wort, Valerian and Passionflower. Others include Rhodiola and 5HTP. Each of them works differently and trials are often mixed, however they might be worth a go if you are struggling and want to avoid conventional medication.

Cognitive Behavioural Therapy
Although not really a self-help strategy, as you would usually to a practioner to learn CBT techniques, there are some excellent books that will give you the ideas of the basics which really involves amending our ‘faulty thinking’ to help to see things in a more realistic way. If you would like to find out more I can recommend Change Your Thinking with CBT by Dr Sarah Edelman. There is also an online course used by the NHS called Beat the Blues which is based on CBT and offers 8 self-help sessions for £49.99 which is a pretty good investment as NHS waiting lists can be long for CBT.

Further Help for Anxiety
So, there are some self-help strategies that you can use to manage anxiety, or maybe pass on to someone who could use some help. There are plenty more and some of these may not work for all people, but they work for me. It’s important to find your own way. If you are trying to help someone else, one of the best things you can do is to find out more. There’s good advice available from Anxiety UK if anxiety affects you. Their advice for young people is particularly helpful for teachers or anyone working with children or adolescents. The Young Minds and Mind websites also have practical tips and helpsheets.

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