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

Calming Through Your Senses By Using Self-Soothe Skills

Self-soothe skills

Self-Soothe is about calming through the senses, and the goal is to engage your senses in behaviors that are relaxing.

As you practice self-soothe, allow judgements, stress, worries, and unhelpful thoughts to slide through your mind, and just be in the moment. This process will rejuvenate you and help regulate your body.

Commit to adding self-soothing strategies into your daily schedule.

Self-soothe skills (vision, hearing, smell, taste, touch)

Vision

What kind of things do you enjoy seeing? Seek out these visually pleasing things. Gaze at sunsets, nature, cityscape, aquarium, whatever is visually relaxing to you. You can also create your own artwork or take photos.

Take a few minutes to fully appreciate something, it can be as simple as leaves on a tree. Connect with it and take it in.

Hearing

Listen to soft music or go outside and soak up the sounds of nature.

Hear with your eyes closed and allow yourself to become immersed in the experience.

Smell

Choose household cleaners, perfumes, lotions, aromatherapy, essential oils, and candles that have pleasant smells.

Baking your favorite dish or dessert will fill your home with that smell.

Taste

A tip for taste is to eat a small amount of food one-mindfully, engaging all five senses.

Savor a piece of dark chocolate, a bite of a juicy apple, a spoonful of ice cream melting in your mouth, or the tanginess of a salsa.

Timing yourself to see how long you can draw out the experience is helpful for becoming immersed.

Touch

Ask a loved one for a hug or to hold hands. Snuggle with your cat or dog. Give yourself a facial, neck, or hand massage. Wear your most comfortable clothes and fuzzy, thick socks or wrap up in a warm blanket. Take a mindful bubble bath or a longer shower.

Resource

Lane Pederson, Psy.D., LP, DBTC

Connoquenessing Valley Heritage Trail, 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

Distress Tolerance (DBT)

Distress Tolerance (Dialectical Behavior Therapy)

When people “cope” with stress and crisis, they find out ways (behaviors) that relieve stress, however, some of these ways come with heavy consequences. Examples of ineffective behaviors are drug and alcohol use, self-injury, gambling, spending money, and overeating.

We can learn distress tolerance skills to effectively manage the stress and crisis. These skills are more helpful than dealing with the consequences of the ineffective behaviors that make life worse.

Try it out

Make two lists, one is your ineffective coping behaviors, and the second is your healthy coping behaviors. If you’re struggling coming up with the healthy ones, keep thinking, because everyone has at least a few.

The goal is to work on eliminating the ineffective coping behaviors on the first list while developing the behaviors on the second.

This process is “doing more of what works”, replacing the ineffective with the healthy and effective.

Guidelines to improve distress tolerance skills

1. Practice the skills daily, even when you’re not feeling distressed. The skills tend to be enjoyable, so practicing shouldn’t feel like work.

2. Diversify the skills, try new ones, and practice every skill more than once because you don’t know which ones will “click” for you.

3. Organize a distress tolerance plan for when you’re in crisis and choose to follow the plan. It will keep you focused. Write down your organized plan on an index card. This would be your coping behaviors and any people who can provide support. Keep this card with you.

This index card plan works well for children while they’re away from home. Example: at school.

Distress tolerance skills to learn

• Wise Mind: ACCEPTS acronym
• IMPROVE acronym
• Self-Soothe skills: vision, hearing, smell, taste, and touch.
• Radical Acceptance
• Everyday Acceptance
• Willingness
• Bridge-Burning
• Ride the Wave: Urge-Surfing
• Grounding
• Pros and Cons

This is general information on distress tolerance and the skills to learn to better cope with stress and crisis, the next step is to learn the skills themselves, practice applying them, watch for improvements, and make necessary adjustments.

Wise Mind: ACCEPTS

https://finishstrongercounseling.com/2020/08/12/wise-mind-accepts-skill-distress-tolerance-from-dbt/

Resource

Lane Pederson, PsyD, LP, DBTC

Connequenessing Valley Heritage Trail, PA

MINDFULNESS 5, 4, 3, 2, 1 GROUNDING TECHNIQUE

This is a popular grounding technique, and it is for everyone.

This technique engages all 5 senses, which reminds you of the present moment, and builds awareness. This is a calming technique that can help you get through tough or stressful situations. Taking a deep belly breath at the beginning and end of this activity can feel calming and will help prepare you for the next thing that occurs. As you do this activity, saying the things that you sense out loud will reinforce your present state of being and awareness because you are hearing in your own voice what your brain is telling you and what your body is actually experiencing.

Take a deep belly breath to begin.

5 – LOOK: Look around for 5 things that you can see and say them out loud.

Example: “I see a dog, a chair, a lamp, a window, and a cup.”

4 – FEEL: Pay attention to your body and think of 4 things that you can feel. Say them out loud.

Example: “I feel the dog, the cushion that I’m sitting on, the sun coming in through the window on my skin, and the carpet beneath my feet.”

3 – LISTEN: Listen for 3 sounds and say them out loud.

Example: “I hear the dog snoring, the air conditioner running, and the birds outside singing.”

2 – SMELL: Say 2 things that you can smell. If you can’t smell anything from where you are, you may move to go smell something or say your favorite scent.

Example: “I smell the candle burning and the fabric softener on the chair throw.”

1 – TASTE: Say 1 thing that you can taste. If you can’t taste anything, then you can say your favorite thing to taste.

Example: “I taste the toothpaste mint from when I brushed my teeth.”

Take another deep belly breath to end and notice how you feel.

Download this technique below to store on your device or to print it out and share!

Great Falls Park, McLean, Virginia

Mindfulness (DBT)

What is mindfulness?

Mindfulness is choosing to be aware of the present moment, on purpose, and in a non-judgmental way. When being mindful, our attention and focus is on whatever we choose to observe or do.In this moment, choose to focus your mind wherever you’d like it to be.

Practice

Maybe you focus on your emotions, thoughts and physical sensations as you experience the environment around you.

Hold your attention there, focusing on being in the moment.

States of mind

We have three states of mind:

• Emotion Mind
• Reason Mind
• Wise Mind

Wise Mind

Wise Mind is the balance between emotion and reason. We acknowledge and validate our feelings and use reason to problem-solve, think about consequences, and choose effective behaviors.

In Wise Mind, we act in ways that reflect our goals, values, and who we want to be.

Ask yourself, in any moment, “What is my Wise Mind telling me?” Then act.

Getting into Wise Mind, Step One

• Observe and describe what and how you behave, think, feel, and your surroundings in a non-judgmental way. Stay focused one-mindfully.

To observe means just noticing how things are, without adding or taking away.

To describe means to put words to your observations.

Step Two

• What you do is participate and how you do that is effectively.

• Take what you observed (step one) and choose what you want to participate in. Participate in it fully, immerse yourself in the experience.

• How to choose what to participate in: base it off of what will work or be effective.

Once you are participating effectively, you’re in Wise Mind. Notice what this feels like.

Let Go of Judgments

We all have judgments. Whenever you notice yourself judging, let the judgment pass through and drift off, don’t allow it to stick around. Judgments should come and go like clouds and ocean waves.

Practicing Mindfulness in the Moment

Be present in the “small moments.”

Example

Take 10 minutes and clean part of your home, fully immersing yourself in the process.

When you find yourself distracted, this could be a judgmental thought, refocus on what you’re doing. Full focus and attention, non-judgmentally.

Meditation

A thought on meditation. Meditation can be considered anything if you are present, being non-judgmental, and have an open heart.

Practice

Meditate on your life experiences, starting with the moment you are currently in. Stay present for some time, connecting to the moment, then, when you’re ready, shift your focus to another moment.

Teflon Mind

Let potentially stressful situations, criticisms, or anything else that might “stick” to you, causing needless suffering, roll off your mind. Allow these experiences to slide through your awareness.

Distractions, distractions, distractions

Distractions don’t go away, they are a part of this world. Do not get frustrated with distractions, they are reminders to go back to what you’re working on. They’re natural.

When you become distracted, bring yourself back to the present moment. Do this over, and over, and over again, if you need to.

Taking hold of your mind


Direct your mind where you want it. There are many thoughts, emotions, and physical sensations to direct your attention towards. Choose one of those, opening up your mind to it and closing your attention off from the other options.

If your mind drifts towards a closed off option, gently re-close it and return to the option of choice.

Resources

Lane Pederson, Psy.D., LP, DBTC

Anza-Borrego Desert State Park, CA

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

Just Checking In

10 questions to check in on someone’s mental well-being

1. How are you feeling, really? (Mental and physical)
2. What’s taking up your headspace right now?
3. What was your last full meal and have you been drinking enough water?
4. Have you been sleeping?
5. What have you been doing for exercise?
6. What did you do today that made you feel good?
7. What’s something you can do today that would be good for you?
8. What’s something that you’re looking forward to in the next couple of days?
9. What’s something we can do together this week, even if we’re apart?
10. What are you grateful for right now?

Resource:

idontmind.com

Mindfulness Walk Activity

Mindfulness and walking are highly beneficial to your mental health, especially when you do them routinely. Try combining them! Go on a walk. You can walk inside (yes, it still works) or outside, done alone, while walking the dog, or with another person. – just don’t have a conversation with the other person while doing this activity because it takes away the point. No headphones with music or audiobooks. Engage your mindfulness skills and enjoy!

A little about mindfulness

To put mindfulness into action

BE AWARE of what is going on around you physically. Increase your awareness of experience.

PAY ATTENTION by watching, listening and considering the environment. This is what is naturally occurring.

What you see, hear, smell; feeling the ground with your feet as you walk; noticing your breathing; listening to your dog pant; noticing the shadows on the ground; watching the clouds slowly reshape; noticing the texture of the floor; noticing shades of lighting; smell of a candle; ticking of a clock.

REMAIN IN THE PRESENT MOMENT. If you become distracted by thoughts or emotions, accept that you have them, don’t use judgment, and then release them to return to the present moment. You may try to visualize releasing thoughts and emotions. – like the wind blowing them away.

CONSIDER AND BE CURIOUS about the moment and environment in a non-judgmental manner.

Are you “mind full” or “mindful”?

Let me know if you have any questions.

Happy walking!