Simple, Yet Powerful Ways to Manage Worry & Anxiety

This article is about four simple, yet powerful ways to manage worry and anxiety. Are you worried about how things are going to go for you? Do you fear that you won’t be able to handle potential problems? How can you make a tough decision not having all of the details? Here’s what you CAN do. You can take control of your mind by shifting what you focus on. You can choose to focus on your strengths and the things that you have control over. You can also challenge irrational thoughts of uncertainty and worry.

Handling being worried over how things are going to go for you.

Ask yourself:

Who do I want to be?

What quality of presence do I want to bring to any challenges I face?

Note the shift that occurs when you go from focusing on what will go wrong today to the person you want to be.

Challenge your fear that you won’t be able to handle potential problems.

One way to address this fear is to imagine yourself coping. Whenever you are worried about a problem that could happen, envision yourself skillfully coping with it.

What does that look like?

Recall a strength that you have demonstrated multiple times when you’ve risen to meet a challenge. Then, expect yourself to rise, bringing that same strength, resourcefulness, and determination to the problem that might challenge you today.

Pause & notice whether this time is different.

When a familiar worry or fear crosses your mind, this can be about failing or that something horrible will happen, notice that it has never actually happened.

It’s likely that your mind is ignoring all of the times that those worries and fears didn’t come true and that this time is different.

If this sounds like your experiences, then consider that the worry or fear is a false alarm, like the other times.

Make decisions even when there is uncertainty.

When you’re making a tough decision, all you can do is make the best choice for what you know right then and there.

Embrace the reality of not having all of the information and details today, not knowing exactly what the outcome will be.

Allow yourself to be free from the assumption that you’re responsible for knowing the unknown.

By choosing to focus on what is helpful, you can better manage your worries and anxiety. Always draw from your strengths and know that you will overcome any stressful situations that lay ahead because you have overcome things in the past. Challenge irrational and distorted thoughts, acknowledging and then reframing them. Notice the shift in thinking and how you feel afterwards. Practice these tips so that they stick to your mind and alter how your mind works. Have power over worry and anxiety.

Source:
Seth J. Gillian, PhD.

Glacier Ridge Trail, Moraine State Park, PA

How to Get Through the Day When the World Seems to be Falling Apart

These 12 tips are specific to living through a pandemic (COVID-19) where there are multiple tragic events and crisis occurring at once on a worldwide scale.

A brief overview of the destruction that COVID-19 has caused

• People are ill and dying from a virus.

• People are socially isolated from family and friends.

• People are restricted in where they can go and what they can do.

• People have lost jobs and are financially unstable.

– Connected to all of this is the person’s identity because people identify themselves through going out and participating.

• Political issues, finger pointing and name calling are a big part of this pandemic.

• People wear face masks to reduce spread of the virus, but the mask also hides smiles.

• Anxiety, depression and suicide is on the rise.

• People are silently hurting.

The benefits of these tips are (but not limited to)

• Increased happiness

• Connection to others

• Raising awareness

• Fostering positivity

• Finding value and meaning in life

• Learning coping strategies

• Finding help

Keep in mind that this article isn’t telling you to ignore, dismiss, or minimize what’s going on around us. It is important to sit with the difficult emotions and thoughts, to process, and personally grow from what’s occurring in our lives. We can’t run, there needs to be a resolution to do something about it, but there needs to be a balance and healthy approach.

Let’s cover the tips on getting through

1) Limit your time on social media and watching the news. Be informed and have proper understanding about what’s going on around the world, but don’t allow the information to overwhelm and carry you away. The information on social media and the news shouldn’t occupy a good portion of your day.

2) Mute or unfollow people on social platforms such as Facebook, Twitter and Instagram if they are posting unhelpful information on the pandemic or are posting frequently on the pandemic. Always check the resource of what they post to make sure it is true and accurate. There is a lot of information being shared that is inaccurate or highly one-sided. Be your own researcher, fact-checker, and it is beneficial to try to see from both sides of an issue. Widening perspective allows us to have a more open mind and gives us a little more breathing room.

3) Use social media and technology to your advantage. Since we have to limit being around others or can’t be around people at all, use social media to connect and to lift up others. Post something kind or funny. Post a beautiful picture. Have an engaging conversation, but leave out the pandemic and political issues surrounding it. You can lift someone’s spirit and your own!

We use video platforms on almost a daily basis now, continue to use it to connect. Talk to a good friend who you haven’t seen in a while. Use video platforms to check-in with a person’s mental health, you don’t know who is suffering in silence.

Are you feeling unsure about how to check-in? This link will lead you to check-in questions:

https://finishstrongercounseling.com/2020/05/29/just-checking-in/

Do you have a favorite hobby or interest? Join and follow social media groups and pages to motivate and fuel your interests.

4) Virtual tours, adventures and visits. If you are looking for something new and interesting to do without leaving your house, take a virtual trip to a National Park, zoo, museum, etc. Think of somewhere that you’ve never been and would like to go. Read about it, look at pictures, watch videos, and take a virtual tour. This is fun activity to do with kids and it’s educational.

If you’re religious or spiritual, consider attending a virtual service or practice.

5) Teach someone about your hobby or trade. Write, blog, create social media content, and make a video to do so. Engage with people, answer their questions, and provide them with credible resources so they can learn more.

5) Increase your self-care. Do more of what you enjoy and try new things, even if you don’t feel like it. Take care of your body and mind. Try to keep to a normal schedule, this includes proper exercise, diet, and staying hydrated. If you’re overwhelmed with work, schedule in self-care. Slow down, read a book, take a bath, watch a movie, call someone you care about.

6) Make a vision board to stay focused on your long-term goals. Read how here:

https://finishstrongercounseling.com/2020/04/02/vision-board/

7) Journal. Read about journaling here if it interests you:

https://finishstrongercounseling.com/2020/04/10/the-benefits-of-keeping-a-journal-and-journal-prompts/

8) Practice mindfulness, breathing and or meditation. Find someone who provides these services online if you need help getting started. Create a YouTube playlist of relaxing music and sounds that you can practice to. Don’t give up if these exercises don’t immediately benefit you in an impactful way, it takes time to learn them. It’s a process.

9) Use online presence to raise awareness or funds for a cause that you’re passionate about. Help people learn more, support people who need it the most, connect to others who care about the same thing as you. Feel good!

10) Use positive affirmations and practice them regularly. Read more and find examples here:

https://finishstrongercounseling.com/2020/05/05/positive-affirmations-to-get-through-a-crisis-or-difficult-time/

11) Have a safety plan and an emergency plan. For the safety plan:

• Write down what triggers maladaptive behaviors.

• Write coping strategies for each trigger that you can participate in right away.

• Write down three positive affirmations or favorite quotes.

• List three people whom you can trust to call and talk to and receive support from (Do ahead of time: make sure that they know they are on your safety plan list and tell them how they can best support you if you contact them.) (Ideas on how they can help: this can range from a phone call to recall favorite memories or to meet up for coffee.).

• If your situation turns into an emergency, call 911 or the National Suicide Prevention Lifeline 1-800-273-8255 or your local mental health crisis lifeline. Add these emergency phone numbers to your safety plan.

Here’s a simple example of a safety plan:

https://finishstrongercounseling.com/2020/02/11/safety-plan-on-an-index-card/

12) Speak with a professional counselor. They can teach you several coping strategies and powerful tools like cognitive reframing. They are someone who will be present with you, be non-judgmental, listen, and provide feedback. They will support you and give you space for you to process your strongest emotions and thoughts.

Check out these other benefits to seeing a counselor:

https://finishstrongercounseling.com/2020/07/27/the-value-of-seeing-a-therapist-what-does-your-therapist-do-when-theyre-not-in-session/

Give teletherapy a try, it is convenient and you receive the same mental health benefits as you would during an in-office session.

If you’re not sure where to find a counselor, use a directory like Psychology Today or TherapyDen. There are several other counselor directories out there.

These are only a dozen tips on getting through a pandemic and crisis. Share your ideas and tips below. Please share this article to reach others.

Be well!

Baker Trail, Cook Forest State Park, PA

IMPROVE Skill (Distress Tolerance from DBT)

IMPROVE

IMPROVE the Moment is the next skill. The acronym IMPROVE makes life a little bit better when it is not going so well.

During a crisis, you have two options. You can sink into the distress or invest in behaviors that might improve how you feel in the moment.

The acronym

I: Imagery
M: Meaning
P: Prayer
R: Relaxation
O: One thing (or moment) at a time
V: Vacation
E: Encouragement

Imagery

Imagery is powerful because your mind can convince your body that you are elsewhere. A good example is being at the beach. When you’re actually sitting on the beach, your muscles are relaxed. When you imagine yourself at the beach (and you’re elsewhere), you can still get your muscles to relax, you convince your body that you are sitting there.

Ideas for imagery

Use an app or purchase a recorded guided imagery. You can also just use your own mind and create a guided imagery.

• Forest path
• Walk on the beach
• Favorite place
• Safe place
• Sunflower field
• Stroll by a stream
• Waterfall
• Garden of butterflies
• Sunset
• Star gazing
• Mountain summit hike
• Sitting by a campfire

Practice and enjoy the benefits! Also, imagine yourself doing well and practicing your skills.

Meaning

Viktor Frankl (1905-1997), one of the founders of existential therapy, once said “If there is a why, then a person can figure out the how.” [Look him up, his life was remarkable. He wrote the book “A Man’s Search for Meaning,” which is about being a psychologist in a concentration camp. He is well-known for this book, but he has several other accomplishments.]

List and contemplate your “whys” for working on any problem.

Examples: Why stay safe?; why practice your skills?; why improve your self-care?

Having meaning motivates you; your whys will motivate you to act.

Prayer

Prayer is a calming ritual, it also provides connection, guidance, and peace.

Pray where you are at, or go to your place of connectedness or worship. This skill is useful anywhere and at anytime. Connect to your spirituality.

Relaxation

Everyone needs relaxation. What do you do to relax? What do you think could be relaxing that you would like to try?

Schedule in some of those relaxing behaviors every day. Keep in mind that relaxing also takes practice.

Tips for practice: Be mindful of your breathing; be mindful of tense muscles and release the tension; sit in a quiet place.

One thing (or moment) at a time

Take on only one thing in the moment. When we try to juggle or do too many things at once, we become overwhelmed and or shut down completely.

Example: You don’t know how to make it through your day, but you know that you can make it through the next hour, or through the next 5 minutes. Focus on what is manageable.

Vacation

Take a break from your stressors or crisis. These breaks need to be planned, like scheduling a walk in the park in the evening, or watching your favorite movie before bedtime. Taking quiet time to reflect, meditate, or do deep breathing exercises are also good ideas.

Allow yourself to take a break when you feel that you need it.

Encouragement

You need encouragement during those tough times. The things that you say to yourself matter, they influence how you feel.

During your self-talk, say affirmations, coach, and cheer for yourself.

Write down 10 affirmations you can repeat to yourself throughout difficult times.

• This crisis will pass.
• I can do this!
• I have everything that I need to get through this.

Download affirmations to help get through a crisis here

https://finishstrongercounseling.com/2020/05/05/positive-affirmations-to-get-through-a-crisis-or-difficult-time/

Connoquenessing Valley Heritage Trail, PA

Wise Mind: ACCEPTS Skill (Distress Tolerance from DBT)

Wise Mind: ACCEPTS

The ACCEPTS acronym has skills that helps keep you busy and distracted when you would typically be preoccupied by a crisis. It is easy to dwell on what is going wrong, by focusing on the ACCEPTS behaviors, you can get yourself through hard times.

The acronym

A: Activities
C: Contributing
C: Comparisons
E: Emotions
P: Pushing Away
T: Thoughts
S: Sensations

Activities

Activities keep you busy and your mind off of problems and behaviors. The behaviors that you are focused on are healthy and helpful.

To start practicing this skill, write a list of activities you enjoy when life feels better. If you’re unsure or need ideas, go online and search for activity lists.

Add the pleasant activities into your schedule and mindfully do them.

Choose an activity and enjoy it now!

Contributing

Contribute to others. It is a way to take your mind off of your own problems, to feel connected and useful, and to create positive feelings.

Examples

Do a favor; acts of kindness; write a thank you note; bake brownies to share; volunteer locally.

Create a list of ways to contribute to others and begin right away.

Afterwards, journal about the experience, reflecting on your thoughts and feelings.

Comparisons

Draw healthy comparisons between yourself and others. There are people living without necessities, who have gone through tragedies, or who have tremendous obstacles to overcome. Remembering that other people are also suffering, often in worse ways, allows for you to gain perspective of what you’re going through. This perspective also increases your feelings of gratefulness.

Emotions

Emotions arise from the things we do. You can change your emotion by changing your behavior.

When you’re depressed, do behaviors that lift your spirits. When you’re anxious, do ones that are relaxing. When angry, do ones that are calming.

Check-in with your emotions in the moment, and if you find that you want change, then choose to participate in a healthy behavior to change your emotion.

Pushing away

Pushing away means that you decide to revisit the problem at another time. Imagine putting the problem in a box, locking the box, and placing it on a shelf for later.

Thoughts

You cannot think about two things at once, so choose to direct your attention to the most helpful thought.

Some ideas to try, crossword puzzles, read an interesting book, have an intriguing conversation, watch an action movie.

Do something to occupy your thoughts away from depressive thoughts, worries, and problems.

Practice in the moment.

Sensations

Direct yourself with healthy sensations.

Things to try, dance to loud music, eat a sour lemon slice, take a hot or cold bath, smell a strong scent, like peppermint.

These things wake up your senses in an invigorating way. Notice any changes in your experience.

Another idea, create a sensations toolkit, using your favorite ways to wake up your sensations. Use your tools.

Resource

Lane Pederson, PsyD, LP, DBTC

Occoquan Trail, Bull Run Regional Park, Fairfax County, VA

Dialects (DBT)

What are dialects?

Dialects relate to our theories and ideas, in terms of the OPPOSITE way we think. Here are some thinking patterns that we all experience, and get caught up in, it does us no favors to become stuck!:

▪︎ “All-or-nothing” thoughts.
▪︎ “Either-or” thoughts.
▪︎ “Black-and-white terms.”

Instead of thinking this way, we should think in terms of seeing the shades of gray, between black-and-white thinking. Practice being flexible and find middle-ground options in your behavior. Trying to see the opposing side.

Examples

▪︎ When in conflict, find something to agree about in the other person’s perspective.
▪︎ Instead of procrastinating on a task, break the ice with one or two small steps.
▪︎ Make a list of at least five positive qualities you (or someone else you are down on) have.

If you’re stuck in the above thought patterns, try the opposite.

Look at the other side of things. We often default to the negative side of situations or ourselves. We can be critical and harsh. Look at the opposite side of the dialect.

Ask yourself

▪︎ Is there a silver lining or hidden opportunity in the problem that you are facing?
▪︎ What strengths, skills, resiliencies, and resources do you have? Play to your strengths.

A favorite quote of mine by Arthur Ashe, which is relatable, “Start where you are. Use what you have. Do what you can.”

▪︎ What skills can you improve to better manage a crisis? Aim to be more skillful, trying a new skill can be helpful, too!

See other perspectives

There is no position in existence that accounts for every perspective. Think about other people’s perspectives and ideas that are the opposite of yours. Look for the pebble of truth in those perspectives and ideas. Where is the middle ground between the opposite perspectives?

Make gradual changes

Changes are often more gradual than dramatic, life changes slowly overtime. Reflect on a problem. If the problem were less severe or resolved, what are some behaviors that others would notice you doing?

To begin making gradual changes, practice those behaviors.

Examples

• If you’re feeling depressed, add daily exercise.
• When struggling with social anxiety, initiate a conversation with someone.
• When isolated, reach out to friends and family to talk.

Exception rule

This dialectical technique supports positive change. Think about your history and the times when helpful and healthy behaviors were prominent. Do more of those helpful and healthy behaviors now. Do more of what works!

Examples

• Keeping a planner or journal.
• Make self-care a priority.
• Engage more actively in your social support.

Embrace the things that are not problems

We’re easily preoccupied with our problems. You could write a “Gratefulness List,” or you could write a fun list including hilarious and dramatic problems that you don’t have.

“Not a problem” list examples

• I am not kidnapped and being examined by aliens.
• I don’t have smallpox.
• I am not lost in the desert.

Having compassion

It’s easy to feel powerful emotions, such as anger and disgust towards people, especially if we don’t like them because of mean, rude, and unskillful behavior.

The next time you’re in this situation, it can help to practice compassion by imagining what circumstances lead that person to be unkind and unskillful.

What unhappiness exists for such people?

Try practicing compassion the next time you feel hurt, upset, and wronged by somebody.

Being flexible

Our thoughts and feelings are often too rigid, causing us misery. Learning to be flexible and to “go with the flow,” will bend and not break those thoughts and feelings.

Consider other perspectives and practice being more flexible in situations, flowing with reality rather than imposing your will against it.

Resources

Lane Pederson, Psy.D., LP, DBTC

Positive Affirmations to Get Through a Crisis or Difficult Time

The types of thoughts that we have can make a big difference in the way that we handle going through a crisis or difficult time. An affirmation is a short and simple statement that is used to bring subconscious thoughts conscious. As thoughts become conscious, we can begin to take control of our way of thinking.

By adopting positive affirmations, we can build a more resilient brain, allowing us to better cope through tough times. Over time and with repetition, our thoughts can change our brains, and even our cells and genes. This process of the brain changing is called neuroplasticity. Affirmations activate the brain’s reward center. – I’ll include a link to an easy to read article that explains the science at the end.

Choose a few affirmations that you feel are most relevant to the crisis or difficult time. You may also create your own. You can download and print out this sheet and place it somewhere in your home or at your workplace. If the affirmations are visible to others, maybe they will benefit? Another idea is to write them on a sticky note or index card. Since sticky notes don’t take up a lot of space, good spots to place them are, on a mirror, refrigerator, or work computer.

Repeat the affirmations a couple times per day to yourself and read them out loud. Reading them out loud is effective because you’re hearing them in your own voice. Neuroplasticity occurs overtime, so give the process time to unfold before you give up on it. The best time to practice the affirmations is when you feel

Let me know if you have any questions.

Affirmations

  • I remain calm in a crisis.
  • I am slowly becoming the kind of person who can survive this storm.
  • I am free of anxiety and am living a calm life.
  • When circumstances change, I will feel all the more grateful for what I have.
  • I am replacing my negative thoughts with positive thoughts.
  • I am attracting positive energy into my body.
  • I am safe and in control.
  • I’m not going to be struggling my whole life.
  • I’m not alone in this world.
  • The situation I’m currently dealing with is only going to make me stronger, wiser and powerful.
  • The feelings of panic are leaving my body.
  • My mind is clearing and I am in control.
  • My body is calm.
  • I find joy in moving forward.
  • I choose to shine, not to suffer.
  • I have what I need to get through this.
  • Problems are opportunities for growth.
  • I am able to see what needs to be handled first move through the rest after that.
  • Living according to my values is what really matters.
  • I acknowledge all the good in my life because I know that this is the foundation for all abundance.
  • I move through life with easy and grace.
  • Life is as good as I make it.
  • I have the power to change the world in a positive way by being myself.
  • Failure is part of the road to success.
  • Good things are going to happen.
  • I am confident that I will get through this.
  • I will always remember how far I have come, not just how far I have to go.
  • I will start where I am, use what I have and do what I can.
  • I know that I can do it.
  • I make wise decisions.
  • Everything will be okay.
  • I’m human and I can learn from my mistakes.
  • I face problems bravely.
  • I am strong.
  • All I can do is my best.
  • Everything that I have gone through has helped me grow.
  • This life is mine to live and I’m going to make the most of it.
  • I’m not going to quit.
  • Things always get better with time.
  • Happiness begins with me.
  • I am resilient and capable.
  • I’m grateful for everything that I have.
  • My mental health is improving.
  • I can deal with it.
  • I feel free and happy.
  • I have abundant energy, vitality and well-being.
  • Five years from now, this won’t matter as much as I think it will.
  • Everything will be okay.
  • I inhale confidence and exhale fears.
  • I’m thriving and make the most of every moment.
  • I’m in a safe space.
  • I’m letting go of my stress.
  • I’m not getting discouraged.
  • I have a positive mindset.
  • Things in my life will start to be better.
  • I am holding my head up high.
  • I breathe in relaxation, I breathe out tension.
  • I can get through anything.
  • I welcome challenges into my life.
  • Challenges are opportunities to learn and grow.
  • I’m stronger than I think.
  • I am getting stronger everyday.
  • I am a strong and capable person.
  • I can handle feeling uncomfortable.
  • I am in control of how I think, feel and behave.
  • Hard times do not get the best of me.
  • I have the ability to overcome every obstacle.
  • I will not let fear take control of me.
  • I release all negativity from my life.
  • When I have done all I know how to do, I choose to let my mind rest.
  • I’ve been knocked down before and I can get back up again.
  • I welcome fear as a sign to be careful, but choose to let go of it when it no longer serves me.
  • I have faith in myself and my future.
  • I have confidence in my skills and knowledge.

Resources

https://thebestbrainpossible.com/affirmations-brain-depression-anxiety/

Download this list of positive affirmations below. There are two pages.

Theodore Roosevelt Island, Washington, D.C.

Free Positive Thoughts, Take One!

Print out and place this positive thoughts worksheet on your fridge, a bulletin board, work / office common area, etc… where ever you would like to choose a positive thought for the day. Share with your family, friends, and coworkers.

You can tear off the positive thought that you would like to carry with you throughout the day or week. – or stick it somewhere where you can frequently see it. Reflect on the positive thought and apply it, pay attention to how it can change your day and way of thinking.

Instructions

Download below.

Gerard Hiking Trail, Oil Creek State Park, PA

The Benefits of Keeping a Journal and Journal Prompts

Choosing a Journal

When choosing what to write in, consider all of your options and what best suits your needs. A journal can be a spiral-bound notebook, which is an easy to find and cheap option. Combination code or lock and key journals can provide privacy and are usually well-made. A journal can be kept electronically in a secure computer. It is convenient to access and saves your hand from becoming cramped in writing position.

Benefits

  • Relaxing and stress relieving.
  • A coping tool.
  • A way to vent or express emotions and thoughts.
  • Makes your thoughts more apprehensible.
  • Improve and train your writing.
  • Sharpens skills.
  • Set and achieve goals.
  • A way to become more organized.
  • Develop improved understanding of yourself and situations occurring in your life.
  • Allows for creativity.
  • Provides you with a way to reflect and consider new ideas.
  • Record new ideas on-the-go.
  • Allows self-reflection.
  • A place to keep memories.
  • Boosts memory.
  • Provides you with a record of events, thoughts, feelings, and behaviors. You can use this record to track patterns over time, which can lead to problem solving.
  • Can help you feel a sense of accomplishment.
  • You will learn new things.
  • Can provide you motivation and inspiration.
  • And many, many MORE!

Instructions

Use your journal however you’d like! Decorate it and add pictures. Slip a photo of a favorite memory, person or pet inside. Write in different colors or use black ink. When you start a new journal entry, include the date, so that you have that information if you ever need it. Write about your day freely or choose a prompt. It might take you a little time to get used to writing, you might encounter writer’s block, and you may struggle to find what time to write. Don’t stress, it’s okay! Writing should become easier overtime and this isn’t meant to be stressful, it is meant to be therapeutic and enjoyable! Aim to write everyday because it will help develop a habit and really reap those benefits. If you end up writing most days of the week, that is still good, just keep in mind that you might get out of habit of keeping your journal if you don’t write frequent enough.

Download the journal prompts below.

Reflect More On Everything That You Are

Sometimes we spend too much time wishing we were at a different place in our lives or wishing we were more like somebody else. We’re not content with how things are going or with who we are. We long for things to come, instead of living in the present. Setting goals, chasing dreams, having high hopes, and working on self-improvement are healthy habits, but our focus can too heavily be on thinking about everything we are not.

It is easy to fall into a negative thinking pattern. When stuck in that negative-like pattern, “I’m not good enough,” we usually become bogged down. We may even struggle with low self-esteem or depression if self-defeating thoughts take hold. Take time to reflect on everything that you are. There are great things about yourself to reflect upon, like personality, characteristics and things that you have already accomplished. When we spend time reflecting on everything that we are, we feel and function better, we are happier, and maybe in less of a hurry to get to where we’re going. Live in the present and be thankful.

Reflect on everything that you are, instead of obsessively thinking about everything that you are not.

Mount Vernon Trail, Arlington County, VA