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Coping With Anxiety

Tip: Change What You Can, Accept the Rest
By
WebMD Feature
Reviewed by Louise Chang, MD

Divorce, layoffs, threat of terrorism -- there's plenty of anxiety around for everyone these days. And very often, the source is something we can't change. How do you know when it's time to get help dealing with your anxieties?

To better understand the underpinnings of anxiety -- and how to better cope -- WebMD turned to two anxiety experts: Jerilyn Ross, MA, LICSW, director of The Ross Center for Anxiety and Related Disorders, Inc., and Linda Andrews, MD, assistant professor of psychiatry and behavioral sciences at Baylor College of Medicine in Houston.

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Normal vs. Harmful Anxiety

The cold sweat of anxiety is that "fight or flight" response that kept our early relatives safe from grizzly bears and other scary characters, says Andrews. "That adrenaline rush still serves us well under certain circumstances. Anxiety is a natural reaction to those very real stresses."

In today's world, "that reaction helps motivate us, prepares us for things we have to face, and sometimes give us energy to take action when we need to," adds Ross.

Big job interview is coming up, and it's got you in knots. So "you spend a little more time getting dressed or rehearsing what you're going to say," Ross says. "You've got an appointment with the divorce lawyer, so you do more homework. That kind of anxiety can motivate you to do better. It helps you protect yourself."

But as we know too well, sometimes it doesn't take a specific threat -- only the possibility of crisis -- to send humans into anxiety mode. "The difficulty comes in learning to tone down that automatic response -- to think, 'How serious is the danger? How likely is the threat?' "says Andrews.

"The thing about anxiety is, it can take on a life of its own," she adds. "Everything becomes a potential crisis. The unthinkable has happened. So around every corner, there's the next possible disaster."

The Anxiety Toll

When anxiety is taking a toll, your body knows it. You have trouble sleeping, eating, and concentrating. You get headaches; your stomach is upset. You might even have a panic attack -- the pounding heart, a feeling of lightheadedness.

Anxiety may also feel like depression. "The two sometimes overlap," Ross says.

When anxiety becomes so overwhelming that it interferes with day-to-day activities -- when it keeps you from going places, from doing things you need to do -- that's when you need help, says Ross.

Generalized anxiety disorder is a bigger syndrome -- "like a worry machine in your head," Ross says. "If it's not one thing, it's another. You're procrastinating to the point that you're almost afraid to take a step. You're so nervous about going to your child's school to talk to the teacher, you just don't go -- you miss the appointment."

In the case of such overwhelming anxiety, "people are not making good decisions," says Ross. "They're avoiding things, or they're unable to rise to the occasion because the anxiety is too much. They're procrastinating because they can't concentrate, can't stay focused. It's really interfering with their day-to-day life. At that point, they may have a more serious anxiety problem and need professional help."

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