Coping Skills for Anxiety

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Deep Breathing

Deep breathing is a simple technique that’s excellent for managing emotions. Not only is deep breathing effective, it’s also discreet and easy to use at any time or place.

Sit comfortably and place one hand on your abdomen. Breath in through your nose, deeply enough that the hand on your abdomen rises. Hold the air in your lungs, and then exhale slowly through your mouth, with your lips puckered as if you are blowing through a straw. The secret is to go slow: Time the inhalation (4s), pause (4s), and exhalation (6s). Practice for 3 to 5 minutes.

Progressive Muscle Relaxation

By tensing and relaxing the muscles throughout your body, you can achieve a powerful feeling of relaxation. Additionally, progressive muscle relaxation will help you spot anxiety by teaching you to recognize feelings of muscle tension.

Sit back or lie down in a comfortable position. For each area of the body listed below, you will tense your muscles tightly, but not to the point of strain. Hold the tension for 10 seconds, and pay close attention to how it feels. Then, release the tension, and notice how the feeling of relaxation differs from the feeling of tension.

step
Feet Curl your toes tightly into your feet, then release them.
Calves Point or flex your feet, then let them relax.
Thighs Squeeze your thighs together tightly, then let them relax.
Torso Suck in your abdomen, then release the tension and let it fall.
Back Squeeze your shoulder blades together, then release them.
Arms Make fists and squeeze them toward your shoulders, then let them drop.
Hands Make a fist by curling your fingers into your palm, then relax your fingers.
Face Scrunch your facial features to the center of your face, then relax.
Full Body Squeeze all muscles together, then release all tension.

Challenging Irrational Thoughts

Anxiety can be magnified by irrational thoughts. For example, the thoughts that “something bad will happen” or “I will make a mistake” might lack evidence, but still have an impact on how you feel. By examining the evidence and challenging these thoughts, you can reduce anxiety.


Put thoughts on trial. Choose a thought that has contributed to your anxiety. Gather evidence in support of your thought (verifiable facts only), and against your thought. Compare the evidence and determine whether your thought is accurate or not.

Use Socratic questioning. Question the thoughts that contribute to your anxiety. Ask yourself:
“Is my thought based on facts or feelings?”
“How would my best friend see this situation?”
“How likely is it that my fear will come true?”
“What’s most likely to happen?”
“If my fear comes true, will it still matter in a week? A month? A year?”

Imagery

Your thoughts have the power to change how you feel. If you think of something sad, it’s likely you’ll start to feel sad. The opposite is also true: When you think of something positive and calming, you feel relaxed. The imagery technique harnesses this power to reduce anxiety.
Think of a place that you find comforting. It could be a secluded beach, your bedroom, a quiet mountaintop, or even a loud concert. For 5 to 10 minutes, use all your senses to imagine this setting in great detail. Don’t just think fleetingly about this place–really imagine it.

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What do you see around you? What do you notice in the distance?

Look all around to take in all your surroundings. Look for small details you would usually miss.

What can you feel? What is the temperature like?

Think of how the air feels on your skin, and how your clothes feel on your body. Soak in all these sensations.

What sounds can you hear? Are they soft or loud?

Listen closely to everything around you. Keep listening to see if you notice any distant sounds.

What scents are present? Are they strong or faint? What does the air smell like?

Take some time to appreciate the scents.

Are you eating or drinking something enjoyable? What is the flavor like? How does it taste?

Savor all the tastes of the food or drink.



    Anger Management Skills

    Recognize Your Anger Early
    If you’re yelling, it’s probably too late. Learn the warning signs that you’re getting angry so you can change the situation quickly. Some common signs are feeling hot, raising voices, balling of fists, shaking, and arguing.


    Take a Timeout
    Temporarily leave the situation that is making you angry. If other people are involved, explain to them that you need a few minutes alone to calm down. Problems usually aren’t solved when one or more people are angry.


    Deep Breathing
    Take a minute to just breathe. Count your breaths: four seconds inhaling, four seconds holding your breath, and four seconds exhaling. Really keep track of time, or you might cheat yourself! The counting helps take your mind off the situation as well.

    Exercise
    Exercise serves as an emotional release. Chemicals released in your brain during the course of exercise create a sense of relaxation and happiness.


    Express your Anger
    Once you’ve calmed down, express your frustration. Try to be assertive, but not confrontational. Expressing your anger will help avoid the same problems in the future.
    Think of the Consequences
    What will be the outcome of your next anger-fueled action? Will arguing convince the other person that you’re right? Will you be happier after the fight?


    Visualization
    Imagine a relaxing experience. What do you see, smell, hear, feel, and taste? Maybe you’re on a beach with sand between your toes and waves crashing in the distance. Spend a few minutes imagining every detail of your relaxing scene.



      Anger Strategies

      Anger can be a healthy and useful expression of emotion that is a natural response to unmet needs. Anger becomes a problem when it is expressed with aggression, is felt too frequently, or is not expressed appropriately. Many times, we were taught that anger may have been the only way to get our needs met and we formed a habit of getting angry. Ask your therapist more about communication styles and, specifically, how being assertive can help.




        Anger Warning Signs

        Sometimes anger can affect what you say or do before you even recognize how you’re feeling. You may become so used to the feeling of anger that you don’t notice it, sort of like how you can hear the sound of an air condition, or the humming of a refrigerator, but block it from your mind.

        Even if you aren’t aware of your anger, it influences how you behave. The first step to managing anger is learning to recognize your personal warning signs that will tip you off about how you’re feeling.

        How do you react when you feel angry? Some of these warning signs might start when you are only a little irritated, and others might start when you are very angry.

        Check off the warning signs that apply to you.

        1. Mind goes blank
        2. Insult the other person
        3. Face turns red
        4. Body or hands shake
        5. Start sweating
        6. Throw things
        7. Heavy or fast breathing
        8. Stare at the other person
        9. aggressively
        10. Scowl or make an angry face
        11. Scream, raise voice, or yell
        12. Clench fists
        13. Feel sick to the stomach
        14. Punch walls
        15. Feel hot
        16. Become aggressive
        17. Become argumentative
        18. Go quiet and “shut down”
        19. Crying
        20. Pace around the room
        21. Headaches
        22. Cannot stop thinking about the problem
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        Common Reactions to Trauma

        Re-experiencing the Trauma

        Trauma survivors may re-experience their trauma through thoughts, feelings, memories, and other means. Re-experiencing a trauma can be very distressing, and may trigger uncomfortable emotions such as fear, anger, or sadness.

        • Nightmares.
        • Flashbacks (uncontrollable vivid images and memories of the trauma).
        • Distressing thoughts and feelings about the trauma.
        • Emotional distress or physical responses after experiencing a trauma reminder.

        Avoidance of Trauma Reminders

        Because reminders of a trauma can be so distressing, it is common for trauma survivors to use avoidance to control these reactions.

        • Using drugs or alcohol to suppress uncomfortable thoughts and emotions
        • Avoidance of activities related to the trauma
        • Avoidance of people, places, or things related to the trauma
        • Suppressing thoughts related to the trauma
        • Avoidance of conversations about the trauma

        Negative Thoughts or Feelings

        Negative thoughts or feelings may begin or worsen after experiencing a trauma. Some of these thoughts and feelings might not seem to relate directly to the trauma.

        • Excessive blame toward oneself or others related to the trauma
        • Loss of interest in activities
        • Feelings of isolation or disconnection from surroundings
        • Difficulty experiencing positive feelings
        • Loss of memory related to the trauma
        • Excessive negative thoughts about oneself or the world

        Hyperarousal

        Reactivity, or a feeling of being “on edge”, may begin or worsen after experiencing a trauma. This category includes a broad range of physical and psychological symptoms.

        • Becoming irritable, quick to anger, or aggressive
        • Heightened startle reaction
        • Difficulty concentrating
        • Frequently scanning the environment or watching for trauma reminders
        • Difficulty sleeping
        • Feelings of anxiety, and related symptoms such as a racing heart, upset stomach, or headaches
        • Risky or impulsive behaviors