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Anxiety & Panic Disorders Health Center

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Coping With Anxiety

Tip: Change What You Can, Accept the Rest

The Anxiety Toll continued...

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."

How Do You Cope?

To cope with plain-vanilla anxiety, "get real," as they say. "Separate out the real risks and dangers that a situation presents and those your imagination is making worse," advises Ross. It's a twist on the old adage: "Take control of the things you can, and accept those you can't change."

"Ask yourself: Where can you take control of a situation? Where can you make changes? Then do what needs to be done," she says. "What things do you simply have to accept? That's very important."

Very often, it's possible to get past an anxiety cycle with the help of friends or family -- someone who can help you sort out your problems. But when anxiety becomes overwhelming, it's time for a therapist, or perhaps medication.

Here are two strategies that therapists use to help us conquer anxiety:

Challenge negative thoughts.

Ask yourself: Is this a productive thought? Is it helping me get closer to my goal? If it's just a negative thought you're rehashing, then you must be able to say to that thought: 'Stop.' "That's difficult to do, but it's very important," Ross says.

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