Ways of Coping with Anxiety  

By Matthew Tull, PhD   

Try any one of these, or try them all. Click on each technique to learn more.   

1. Deep Breathing

2. Progressive Muscle Relaxation 

3. Using Mindfulness to Cope with Anxiety

4. Self-Monitoring

5. Using Social Support for Anxiety

6. Self-Soothing Exercises for Anxiety

7. Using Expressive Writing for Anxiety

8. Using Distraction to Cope with Anxiety

9. Behavioral Activation for Anxiety

1. Deep Breathing

Deep breathing can be an important coping skill to learn. It may sound silly, but many people do not breathe properly. Natural breathing involves your diaphragm, a large muscle in your abdomen. When you breathe in, your belly should expand. When you breathe out, your belly should fall. Overtime, people forget how to breathe this way and instead use their chest and shoulders. This causes short and shallow breaths, which can increase stress and anxiety.

Fortunately, it is not too late to "re-learn" how to breathe and help protect yourself from stress. Practice the simple exercise below to improve your breathing.

Difficulty: Easy

Time Required: 10 minutes

Here's how:

1. Find a comfortable position either lying on your back or sitting. If you are sitting down, make sure that you keep your    back straight and release the tension in your shoulders. Let them drop.

2. Close your eyes.

3.  Place one hand on your stomach and the other on your chest.

4. Take a few breaths as you normally would. Does your belly rise and fall with every inbreath and outbreath? If you can answer "yes," that is good. This is the natural way of breathing. If your belly stays still but your chest rises and falls with every breath, practice breathing by only allowing your belly to rise and fall when you breathe in and out.

5. Continue to take deep breaths, concentrating on only moving your belly.

6. Continue as long as you would like!

Tips:

1. It can take some time to re-learn how to breathe. The more you practice, the easier it becomes. Take some time each day to practice this exercise. You can do it anywhere.

2. Try to practice this exercise at a time when you are already relaxed. This will make it easier to take deeper breaths.

3.  If you are having trouble taking deep breaths, try breathing in through your nose and exhaling through your mouth. Also, slowly count to five in your head as you breathe in and out.

2.  Progressive Muscle Relaxation

Using relaxation exercises can be an effective way to reduce your stress and anxiety. One relaxation exercise called progressive muscle relaxation focuses on a person alternating between tensing and relaxing different muscle groups throughout the body.In this way, relaxation is viewed like a pendulum. More complete relaxation of your muscles can be obtained by first going to the other extreme (that is, by tensing your muscles). In addition, by tensing your muscles (a common symptom of anxiety) and immediately relaxing them, the symptom of muscle tension may become a signal to relax over time.

Difficulty: Easy

Time Required: At least 30 minutes

Here's How:

1. Sit in a comfortable chair and bring your attention to your left hand. Clench your left hand to make a fist. Pay attention to these feelings of tension. Then, let go of your fist, letting your hand rest against your side or the arm of the chair. Be aware of how different your hand feels in a state of relaxation as compared to tension. Then, make a fist with your left hand again, then relax it, continuing to pay attention to how your hand feels in states of tension and relaxation. Repeat this procedure with your right hand.

2. After you have finished tensing and relaxing your hands, bend both hands back at the wrists in order to tense the muscles in the back of your hand and in your forearms. As before, pay attention to what this muscle tension feels like. After you have tensed these muscles, relax them, also paying attention to what this state of relaxation feels like. Repeat.

3. Make a tight fist with both hands, and pull your hands toward your shoulders. This will bring tension to your biceps. Be aware of this tension and then relax, allowing your arms to drop loosely to your sides. Pay attention to how your arms now feel. Repeat.

4.  Shrug your shoulders as high as you can. Pay attention to the tension as you do this. Hold it, then relax your shoulders. Let your shoulders drop. Notice how different this state of relaxation feels compared to when your shoulders were tense. Repeat.

5. Now, bring attention to your face. Wrinkle your forehead. Tense those muscles and hold this state. Notice the feelings of tension. Then, relax those muscles completely, being aware of these feelings of relaxation. Repeat.

6. Close your eyes as tightly as you can. You should feel tension all around your eyes. After holding this state, relax. Recognize differences in how relaxation feels as compared to tension. Repeat.

7. Clench your jaw, biting your teeth together. Hold this tension and then relax. Repeat.

8. To finish relaxing the muscles of your face, press your lips together as tightly as you can. You should feel tension all around your mouth. Examine how this tension feels. Now relax your lips, and in doing so, let go of that tension. Be aware of how this feels. Repeat.

9. Move your awareness down from your face to your neck. Put your head back and press the back of your head against the back of the chair you are sitting in. Feel the tension in your neck and then bring your head back to relax it. Repeat.

10. Now bring your head forward. Push your chin against the top of your chest. Feel the tension in the back of your neck. Hold it, then relax. Notice how different tension and relaxation feel. Repeat.

11.  Direct your attention to your upper back. Arch your back, sticking out your chest and stomach. Notice the tension in your back. Recognize what that tension feels like. Then, let go of that tension, bringing about deep relaxation. Allow those muscles to become loose. Be aware of what that relaxation feels like. Repeat.

12. Take a deep breath. Breath in as much as you can. Fill your chest with air until you can feel tension throughout your chest. Hold it and then release. Repeat. Notice your muscles in your chest getting more and more relaxed.

13. Then, tense your stomach muscles. Notice how that tension feels and then relax those muscles, again paying attention to that state of relaxation and how different it feels from tension. Repeat.

14. Now move your awareness to your legs. Lift your legs up and stretch them out. Feel how tense the muscles in your thighs are. Then, let your legs drop, relaxing your thigh muscles. Pay attention to the different sensations of relaxation and tension. Repeat.

15. Tense both of your calf muscles. You can do this by pointing your toes upward. You should feel the pull of your calf muscles as they tense. Notice that feeling. Then, let them relax. Let your feet fall, bringing about relaxation in your calf muscles. Notice that feeling, too. Repeat.

16.  You are now done tensing and relaxing all muscles in your body. Scan the different muscles groups covered, and bring attention to any lingering muscle tension. If you find any, bring relaxation to those muscle groups, continuing to notice how different your body feels in a state of relaxation.

Tips:

1. Initially, until you become familiar with the exercise, it may be best to have someone read this exercise to you while you close your eyes and sit in a comfortable chair. Alternatively, if you would like to do it alone, you can record the exercise and play it back to yourself.

2.  When you tense your muscles, you should hold that tension (as comfortably as you can) for around 5 to 10 seconds. Then, stay in the relaxed state for at least 10 seconds.

3. A very important piece of this exercise is bringing awareness to the feelings of tension and relaxation. Therefore, throughout the exercise, make sure you are paying attention to these feelings and noticing how different your muscles feel when you move from tension to relaxation.

4. Practice regularly. The more you practice, the more it will become a habit, and the quicker you will be able to bring about relaxation when you are tense.

5. Make sure you do at least two cycles of tension-relaxation for each muscle group.

_{Source: 
Goldfried, M.R., & Davison, G.C. (1994). Clinical behavior therapy. New York: John Wiley & Sons, Inc}

3.  Using Mindfulness to Cope with Anxiety

Using mindfulness for anxiety can be very helpful. Mindfulness has been around for ages. However, mental health professionals are beginning to recognize that mindfulness can have many benefits for people suffering from difficulties such as anxiety and depression. In a nutshell, mindfulness is about being in-touch with and aware of the present moment. So often in our lives, we are stuck in our heads, caught up in the anxiety and worries of daily life. This exercise will introduce you to mindfulness and may be helpful getting you "out of your head" and in touch with the present moment.

Using mindfulness for PTSD may be a good way of coping. Mindfulness has been around for ages. However, mental health professionals are beginning to recognize that mindfulness can have many benefits for people suffering from difficulties such as anxiety and depression.

In a nutshell, mindfulness is about being completely in-touch with the present moment. So often in our lives, we are stuck in our heads, caught up in the anxiety and worries of daily life. This exercise will introduce you to mindfulness and may be helpful getting you "out of your head" and in touch with the present moment.

Difficulty: Easy

Time Required: 10 minutes

Source: 
Linehan, M.M. (1993). Skills training manual for treating borderline personality disorder. New York: Guilford Press.