Confront Conflict
Do not allow interpersonal
conflicts to fester; learn assertive-
ness and other communication
skills and address conflict
proactively and
diplomatically.
Treat Physical Illness
Scientific research shows a connection
between physical health, mood, and anxiety.
Learn about your family medical history,
go to the doctor as needed, and take
prescribed medications.
Sleep
Research has shown that most
people need an average of about 7 hours
of sleep per night. Sleeping well is an
important aspect of managing anxiety. Talk to
your doctor or therapist about a referral
for a consultation with a sleep expert if
you suffer from insomnia or
sleep apnea.
Diet
Eating a balanced diet
helps us maintain health,
improves energy, and contributes
to good mood. Be aware of the
quality of your food, as well as how
much you eat; eating either too
much or too little can affect
how you feel on a
daily basis.
Avoid or limit
use of “mind altering
drugs”
Be aware that all drugs that alter state of
mind such as alcohol, caffeine, nicotine, mari-
juana, other illicit drugs, can exacerbate an-
xiety in both the short and long term. Discuss
your use of these substances openly with a
prescribing clinician to understand
better your own risk factors.
Social Support
When we feel supported
by others, we feel more safe,
secure, and happy. One important
approach to treating anxiety is to
reduce symptoms; another way is
to increase positive experiences,
especially with people that help
us feel good about
ourselves.
Exercise
Regular exercise has been
shown to be as good as
antidepressant medication for treating
depression and increases our resistance to
debilitating anxiety. Try to get a minimum
of 20 minutes of vigorous cardiovascular
exercise at least three times a week. Of
course, be sure to ask your doctor
if you are healthy enough for
more intensive exercise.
“Slow down”
Ask yourself: “Has
there been a day this week
in which I did not “rush” at
all? Keeping a constant fast
pace in activity, whether walking,
working, or even planning leisure
activities, communicates a sense of
urgency to the brain, raising blood
pressure and tension in the body.
This has an impact on our anxiety
from day-to-day. Practice
“slowing down” your pace of
life consciously to reduce
this sense of
urgency.
Goal Setting
Set realistic goals in line with your
life aims. Strive for balance of
meaningful work, interpersonal (family
and friends), and enjoyment-oriented
goals. Remember to take one small
step at a time to reach larger
goals.
Treat Mental Illness
Learn to manage anxiety using
CBT skills. Treat other forms of
mental illness if they interfere with your
life. If the therapy you try does not seem
to be working, try another therapy style
or therapist. Consider a “combination
therapy,” which combines a assort-
ment of therapy skills, medi-
cation, and self-care.
Time Management
Set realistic goals about what can be
accomplished in a certain amount of time.
Avoid multi-tasking excessively. Plan your day
with enough time left over to sleep enough,
exercise, and enjoy a leisure activity. If you feel
that you have trouble managing your
time, discuss it with a therapist
or life coach.
As we have discussed throughout this manual, battling anxiety requires a multifaceted strategy; we have to “unite our forces” to keep
anxiety from interfering with our life aims. CBT supplies us with some of the ammunition to wage this battle, but other lifestyle factors are
important. as well. Below we discuss some of these factors; consider them when assessing your challenges with anxiety and consider trying
out some changes to see if they help.
Moderate and Balance Coping Skills
Address anxiety from a variety of different angles by confronting fear, problem solving,
accepting that which cannot be controlled, and modifying thinking when necessary. Take care of the body and
mind, addressing the important elements of self-care listed below. Remember that “diversity” is the cardinal
rule when it comes to coping with challenges; the more skills and coping methods we have,
the more flexible we can be when challenges arise.
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