Anxiety: All You Need to Know

Anxiety: All You Need to Know

Kerstin Holtzhausen

Psychometrist

Johannesburg, South Africa

Medically reviewed by TherapyRoute
How anxiety effects daily life. How to manage it. The therapies available. And a guide to selecting the ideal anxiety therapist for you.

Anxiety is a mental health condition that affects millions of people worldwide. It can significantly impact daily life, making even simple tasks seem overwhelming. Living with anxiety can be challenging, as it affects different aspects of daily life, including work, relationships, and self-esteem. Fortunately, therapy can play a crucial role in managing anxiety and improving overall mental well-being.

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What is Anxiety?

Anxiety is a natural response to stress or perceived threats. An anxiety disorder is a psychological condition (click for diagnostic criteria) characterised by excessive worry, fear, unease, and physical symptoms such as rapid heartbeat and sweating.

While anxiety is normal, it becomes a problem when it becomes chronic and starts interfering with daily life,i.e., when it is exaggerated, disproportionate, or inappropriate. People with anxiety disorder may experience difficulty concentrating, making decisions, or completing tasks. They may also avoid certain situations or activities, limiting their lifestyle.

Several factors, such as genetics, brain chemistry, and traumatic experiences, can contribute to the development of anxiety.

What are the Symptoms of Anxiety?

Symptoms of anxiety can vary from person to person, but some common symptoms include excessive worrying, sweaty palms, restlessness, irritability, and physical symptoms like muscle tension, headaches, and stomachaches.

Fatigue and sleep disturbances are also common symptoms of anxiety.

What are Panic Attacks?

Panic attacks (panic disorder) are sudden, intense episodes of fear, anxiety, and physical symptoms. During a panic attack, people may experience a rapid heartbeat, chest pain, shortness of breath, and a fear of losing control or impending doom.

Panic attacks can occur unexpectedly or be triggered by specific situations or thoughts.

What are Phobias?

Phobias, often depicted in films, are intense, irrational fears that significantly exceed normal worries or discomforts. These fears are directed towards a specific event, object, situation, or activity and are often so overpowering that they disrupt daily functioning, provoke severe anxiety and prompt avoidance behaviours.

The fear is disproportionate to the danger posed, and exposure to the feared object or situation usually triggers an immediate anxiety response, e.g., rapid heartbeat, shortness of breath, trembling, and a strong desire to escape the situation.

Tips for Managing Anxiety

Managing anxiety can be a challenging task, but several strategies can help alleviate its symptoms.


Talk to someone

  • When you're dealing with anxiety, it's important to talk to someone who can provide support and understanding. Whether it's a trusted friend, family member, or a mental health professional, reaching out and opening up about your thoughts and emotions can be incredibly helpful.
  • Regular conversations can provide comfort and a safe space to discuss your anxieties.

Practice mindfulness

  • Practising mindfulness is a powerful technique for reducing anxiety symptoms. You can bring your attention to the present moment through mindfulness meditation and let go of anxious thoughts. This practice allows you to cultivate self-awareness and develop a nonjudgmental acceptance of your anxiety.
  • Mindfulness exercises can be incorporated into your daily routines, helping you maintain a sense of calm and focus.

Keep a diary

  • One effective strategy for managing anxiety is to keep a diary. By maintaining a journal, you can track your anxious thoughts, triggers, and symptoms. Regularly documenting your experiences allows you to identify patterns and triggers of anxiety, gaining valuable insights into the specific situations that cause your distress.
  • Additionally, your diary can be valuable during therapy sessions and treatment planning, providing a comprehensive overview of your experiences. Over time, you can monitor your progress and make any necessary adjustments to your coping strategies. Keeping a diary empowers you to participate actively in your mental health journey.

Focus on your breathing

  • One effective way to manage anxiety is by focusing on your breathing. During moments of anxiety, practising deep, slow, and intentional breathing exercises can help calm the mind and body. These techniques are especially helpful in alleviating physical symptoms of anxiety, such as a rapid heartbeat.
  • Including breathing exercises in your daily relaxation routines can be valuable for managing anxiety and promoting overall well-being. Remember, the way you breathe has a profound impact on your mood and physiological state.

Stay active and eat healthily

  • Taking care of your physical and mental well-being is crucial when dealing with anxiety. Engaging in regular physical activity can help reduce anxiety symptoms. Choose activities you enjoy, such as walking, swimming, or yoga, as these can positively impact your mental health.
  • Maintaining a balanced diet is important. Eating nutritious foods supports both your physical and mental well-being. It's also important to be mindful of what you consume. Avoid excessive caffeine, alcohol, and processed foods, as they can worsen anxiety symptoms.

Stimulate your vagus nerve

  • One way to alleviate anxiety symptoms is to stimulate your vagus nerve. The vagus nerve regulates the parasympathetic nervous system, which is responsible for our relaxation response.
  • Engaging in techniques like deep breathing, meditation, and yoga can activate the vagus nerve, promote calmness and tranquility, and lower stress levels.

Join a support group

  • Consider joining a support group if you're dealing with anxiety. Support groups create a safe space for individuals to share their experiences and find solace in knowing they're not alone. Connecting with others who are going through similar challenges can be incredibly comforting and reassuring.
  • Being part of a support group fosters a sense of community, reducing feelings of isolation that often accompany anxiety. Moreover, support groups can provide a wealth of additional resources and information about managing anxiety, allowing you to explore different strategies and gain valuable insights.

Find a Therapist

Although self-help techniques can be helpful, therapy is often necessary to address the underlying causes of anxiety and develop coping mechanisms that lead to long-term recovery. Therapy is considered the primary treatment option for anxiety, with psychological treatments recommended before medication.

Anxiety therapists provide a safe and confidential space to discuss thoughts, emotions, and fears related to anxiety, helping individuals gain insight into their condition. They also provide support, validation, and understanding, reducing feelings of isolation often associated with anxiety. The benefits of therapy extend beyond anxiety treatment, enhancing resilience and personal growth.

Helpful Therapies for Anxiety

  • Cognitive Behavioural Therapy, or CBT, is a widely used therapy for anxiety. It focuses on thoughts, emotions, and behaviours, and sessions are typically structured, goal-oriented, and involve homework assignments. CBT aims to identify negative thought patterns and beliefs that contribute to anxiety symptoms, challenge and reframe anxious thoughts, and teach coping skills, relaxation techniques, and problem-solving strategies
  • Exposure therapy is another type of therapy commonly used for anxiety disorders, specific phobias, and PTSD. It involves gradually exposing individuals to fear-inducing situations, allowing them to confront and overcome their fears over time. By facing anxiety triggers in a safe and controlled environment, exposure therapy can help reduce fear and anxiety symptoms.
  • Systematic desensitisation is a form of exposure therapy that helps individuals overcome their fears and anxieties. This technique involves creating a fear hierarchy, identifying fear-inducing situations or objects and ranking them from least to most anxiety-provoking. By gradually exposing themselves to these situations or objects, individuals can learn to manage their anxiety responses effectively and is particularly effective in treating specific phobias, such as fear of flying or heights.

How to Find an Anxiety Therapist

  • Start by seeking recommendations from trusted friends, family members, or healthcare professionals with firsthand therapy experience. They can provide valuable insights and help you find a therapist who is a good fit for your needs.
  • Everyone's therapeutic needs are unique, so finding a therapist who aligns with your goals is important. While personal recommendations are a great starting point, consider other factors such as credentials, specialisation in anxiety treatment, and compatibility.
  • Utilise reputable online therapy directories that allow you to search for mental health professionals by location and speciality. Use filters to narrow down your search based on specific preferences. Read therapists' profiles and bios to get a sense of their qualifications, years of experience, and approach to therapy.
  • Look for therapists who specialise in anxiety treatment or have experience working with similar issues. Take the time to verify potential therapists' credentials and qualifications through professional licensing boards.

FAQs

What are some different types of therapy that can be effective for managing anxiety?

Effective therapy options for managing anxiety include Cognitive Behavioural Therapy (CBT), which focuses on changing negative thought patterns; Acceptance and Commitment Therapy (ACT), which emphasises mindfulness and acceptance of anxious thoughts; Eye Movement Desensitisation and Reprocessing (EMDR), which useful for trauma-related anxiety; and Dialectical Behaviour Therapy (DBT), combining CBT with mindfulness and emotion regulation techniques.

How can I find a therapist who specialises in treating anxiety?

Finding a therapist who specialises in treating anxiety is important for effective treatment. Consider therapists who list anxiety as their expertise, check with your insurance provider, seek evidence-based treatments like cognitive-behavioural therapy or exposure therapy, and ask for recommendations from friends or support groups.

What should I look for when choosing a therapist to work with?

When choosing a therapist for anxiety, consider their specialisation in anxiety treatment, licensing, and experience. Also, evaluate their therapy approach (e.g., cognitive-behavioural therapy). Lastly, schedule a consultation or intake session to ensure you feel comfortable and have a good rapport with the therapist.

Are there any alternative therapies or complementary treatments that can help manage anxiety?

Yes, there are various alternative therapies and complementary treatments that can be beneficial for managing anxiety. Practices such as meditation, yoga, acupuncture, aromatherapy, and massage therapy have shown promise in reducing anxiety symptoms and promoting relaxation. Consult with a licensed therapist or healthcare provider before exploring these options.

Sources

1. Cognitive-behavioural therapy for anxiety disorders: an update on the empirical evidence: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4610618/

2. What is EMDR: https://www.emdr.com/what-is-emdr/

Important: TherapyRoute does not provide medical advice. All content is for informational purposes and cannot replace consulting a healthcare professional. If you face an emergency, please contact a local emergency service. For immediate emotional support, consider contacting a local helpline.

About The Author

Kerstin

Kerstin Holtzhausen

Psychometrist

Johannesburg, South Africa

I am a Registered Psychometrist (Independent Practice) with experience in medico-legal report writing and a vast array of psychometric assessments.

Kerstin Holtzhausen is a qualified Psychometrist, based in Bedfrodview, Johannesburg, South Africa. With a commitment to mental health, Kerstin provides services in , including Child Psych & Diagnostic Assessment, Psych & Diagnostic Assessment, Intellectual Psych & Diagnostic Assessment, Medico-Legal, Psychometric Testing and Child Psych & Diagnostic Assessment. Kerstin has expertise in .

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