Treatment, involving psychotherapy & medications, can help relieve symptoms of generalized anxiety disorder. However, certain self-help strategies can make it easier to overcome anxiety disorders and make the recovery process faster.
Overcoming Generalized Anxiety Disorder (GAD)
Generalized anxiety disorder can be a seriously debilitating condition as constant worry can severely affect our physical, mental and emotional well-being. However, we can train our mind to stop worrying unnecessarily and excessively. Apart from attending therapy sessions and taking prescribed medications properly, we can utilize certain helpful coping strategies to reframe our thought process. Learning coping skills to overcome GAD is an essential aspect of the treatment process as persistent anxiety can lead to various symptoms in varying degrees, such as –
- Physical symptoms, like body aches and muscle tension
- Emotional symptoms, like severe anxiety, constant worry and intrusive thoughts
- Behavioral symptoms, like social withdrawal, isolation and procrastination
Learning different self-help techniques for generalized anxiety disorder can enable you to regulate and relieve these symptoms. The first step towards recovery from GAD begins with educating yourself. The more you learn about the symptoms, triggers, causes and treatments, the better you will be able to manage yourMunir S, Takov V. Generalized Anxiety Disorder. 1 suggests “The education of the patient is vital as it can help ease anxiety. The triggers for anxiety should be managed like avoiding caffeine, alcohol, nicotine, stress) and improving sleep.” When anxiety becomes overwhelming, ask yourself what you can do to control your emotions and accept certain facts of life that will help you reduce your anxiety and fear.
Ways To Cope With GAD
Coping techniques can enable you to manage your condition better and help in the recovery process. However, it should be noted that these strategies can only be effective when utilized along with medical treatment and under the supervision of a doctor or a mental health professional. Here are some self-help tips for coping with GAD:
1. Learn to identify & manage triggers
Certain triggers, like caffeine or alcohol, can be easy to identify, while some others can be harder to recognize as they are less obvious. This is why learning about your triggers, whether by yourself or with the help of your therapist, can be beneficial. Some common triggers may include stressful work environments, trauma, phobias, genetics, chronic illnesses, comorbid conditions, substance use and some daily life experiences like traveling or driving. Identifying your triggers can enable you to find a way to manage them better or even eliminate them with practice and effort. By limiting your exposure to certain triggers or having a plan for overcoming them when you face them, you will be better able to manage your worries, fears and generalized anxiety disorder.
By paying attention to anxiety-inducing situations, you can become increasingly aware of triggers. Even though you may not be able to avoid some of them, you can have better clarity, be aware of the triggers and practice emotion regulation in particular situations. It is only by understanding yourself, you can learn how to calm down and alleviate your anxious thoughts. Research 2 reveals that cognitive behavioral therapy (CBT) can be an effective tool “that focuses on helping individuals identify and modify characteristic maladaptive thinking patterns and beliefs that trigger and maintain symptoms.”
2. Talk to someone
GAD can often lead to unhealthy behavior patterns like social withdrawal and feelings of isolation and loneliness. People suffering from generalized anxiety disorder falsely believe that no one will understand them or will be able to relate to them. This is why it is crucial that you talk openly and honestly with a trusted loved one about your struggles. It could be a family member, relative, teacher, coach, supervisor or even a therapist. Let them know about your feelings, thoughts and experiences and try to connect with loved ones instead of isolating yourself. Talking to others can help you gain new perspectives and rational thinking.
Mindfulness refers to the practice of bringing our awareness and attention to the present moment. Using various mindfulness techniques like deep breathing & meditation, you can learn to observe your thoughts and emotions without judging them or being attached to them. It will also help you to calm down and manage your generalized anxiety disorder symptoms. A 2019 study 3 suggests that “meditation focusing on reducing worry and rumination,” can be beneficial in reducing the risk of developing anxiety & depression. Mindfulness enables us to pause and slow down by being aware of the present, instead of worrying about the past or the future. Focusing on the present helps to reduce anxiety and fears.
Mindfulness is a powerful yet simple anxiety coping strategy that can reduce the persistent flow of negative thoughts and worries. Research 4 shows that mindfulness-based interventions are becoming increasingly popular for coping with anxiety and depression due to strong evidence of efficacy. According to a 2010 study 5 , mindfulness-based therapy is a promising and effective intervention for treating anxiety and mood problems. Another 2013 study 6 found that mindfulness meditation is considered as a beneficial therapeutic strategy for anxiety disorders. The researchers explain that “Mindfulness-Based Stress Reduction (MBSR) may have a beneficial effect on anxiety symptoms in GAD, and may also improve stress reactivity and coping as measured in a laboratory stress challenge.” Research 7 on mindfulness-based interventions (MBIs) has shown “efficacy in reducing anxiety and depression symptom severity in a broad range of treatment-seeking individuals.”
4. Deep breathing
Shallow breathing or difficulty in breathing is one of the most common symptoms of generalized anxiety disorder. Shortness of breath can further lead to muscle tension and heart palpitations. During stressful situations, people with GAD often take rapid breaths as they tend to panic and forget to breathe. Hyperventilation and anxiety can cause lightheadedness, dizziness and breathlessness. These experiences can further add to the panic attacks. Taking deep and slow breaths from your belly, also known as diaphragmatic breathing, can help you calm down and reduce your anxiety. Diaphragmatic breathing helps to reduce tension, relax muscular spasm, enhance blood supply to muscle and increases oxygen supply in the body.
Studies 8 have found that deep breathing can be highly effective in improving mood and reducing stress, anxiety, heart rate & salivary cortisol levels. According to a recent 2020 study 9 , diaphragmatic breathing is “beneficial for reducing both physiological and psychological stress,” and “in treating eating disorders, chronic functional constipation, hypertension, migraine, and anxiety.” Moreover, box breathing 10 , another form of deep breathing can be especially effective with relaxation and overcoming generalized anxiety disorder. Yogic breathing techniques or Pranayama can also be “beneficial in reducing anxiety and depressive symptoms in patients with treatment-resistant GAD,” according to a 2019 study 11 .
5. Calm down using your senses
When you need to calm down quickly in a stressful situation then focusing on your physical senses can enable you to reduce anxiety symptoms almost instantaneously. We cannot always control situations that give rise to stress nor have someone by our side to support us all the time. In such circumstances, using our physical senses in a mindful manner can be an effective self-soothing strategy in the following way:
A. Sense of sight
You can use your sense of sight to look at relaxing things, like looking at nature or the sky, viewing photographs of your loved ones or even funny images and memes on the internet. According to a 2013 study 12 , nature images can help to improve recovery after a stressor. It states “viewing nature scenes prior to a stressor alters autonomic activity in the recovery period.”
B. Sense of taste
Treat yourself with your favorite meal and focus on your sense of taste. You can even enjoy a cup of coffee, a candy, mint or even gum to take your mind off from anxiety-inducing thoughts. According to a 2019 study 13 , dietary interventions can prove to be effective as “a novel intervention” for relieving symptoms of depression and generalized anxiety disorder.
C. Sense of smell
Take a deep breath and feel the fresh, clean air to activate your sense of smell. You may also smell a flower, put on a nice perfume or enjoy the aroma of scented candles. Research 14 shows that odor perception can affect our physiological and psychological states and can arouse certain emotional memories. A 2016 study 15 has found that olfactory stimulation plays a crucial role in regulating our mood, cognition and social behavior. It states “The sense of smell plays an important role in the physiological effects of mood, stress, and working capacity.”
D. Sense of sound
Using the right sound a person with generalized anxiety disorder can calm themselves down almost immediately. Listen to some relaxing music or simply enjoy the sounds of nature 16 , whether in person or on YouTube. You may also play a musical instrument. Studies 17 have found that natural sounds can be an effective non-pharmacological way to reduce anxiety. One 2013 study 18 found that listening to music can be beneficial for the human body as it can impact our psychobiological stress system. “Listening to music prior to a standardized stressor predominantly affected the autonomic nervous system (in terms of a faster recovery), and to a lesser degree the endocrine and psychological stress response,” states the study.
E. Sense of touch
Hug a loved one or a friend, pet your dog or cat, feel the breeze outside or simply enjoy a nice massage to focus on your sense of touch. According to a 2018 study 19 , non-sexual interpersonal touch can act as a general stress buffer 20 and improve well-being leading to enhanced ability to cope with generalized anxiety disorder. The study claims that people who frequently hug their loved ones “report less distress and show reduced cardiovascular reactivity, cortisol secretion, and activation of brain regions associated with emotional and behavioral threat.”
Moreover, it has also been observed 21 that playing with dogs can also buffer the stress response. According to a 2020 study 22 , animal-assisted activities (AAAs) with a dog have been found to be effective in improving mood and stress. Another 2012 study 23 found that human-animal interactions (HAI) can improve mental health conditions, mood, stress, self-reported fear & anxiety; and overall mental & physical health.
6. Learn to accept yourself
Acceptance of yourself, your thoughts and your emotions is an essential step in improving your overall mental and emotional health. Anxiety is not caused as a result of our flaws and imperfections. Research 24 indicates that generalized anxiety disorder may be caused by a wide range of factors, like genetics, life experiences, neurobiology etc. There is no specific cause for this common condition. By embracing your condition you will be better able to identify triggers, seek treatment and gain the necessary coping skills to overcome this disorder. A 2014 study 25 found that individuals affected with GAD and depression have high intolerance of uncertainty (IU 26 ) scores, which refers to “the inability to accept the possibility that a negative event may occur in the future, irrespective of the probability of its occurrence.” People with elevated IU can experience disruptions in emotional, behavioral and cognitive functioning and depletion of attentional resources due to uncertainty. This is why it can be beneficial to learn acceptance of yourself and your feelings.
Acceptance will allow you to engage your conscious awareness in the here and now with openness and without getting distracted by unhelpful thoughts. It will also enable you to allow your thoughts and emotions to come and go without getting attached to them or trying to control them. A 2018 study 27 suggests, “When we observe private experience (thoughts and feelings) with openness and acceptance, even the most painful of them are less threatening, and they seem more tolerable.” Another 2010 study 28 found that acceptance of negative experiences can prevent us from experiencing negative affect and reduce the chances of developing generalized anxiety disorder and depressive symptoms.
Read More About Self-Love Here
7. Be hopeful and positive
Having a positive attitude and being optimistic can help you be more hopeful about living a better, healthier life. Individuals struggling with chronic anxiety disorders, like generalized anxiety disorder, tend to live a guarded life in isolation due to worry and fear. “Negatively valenced thoughts are assumed to play a central role in the development and maintenance of anxiety,” explains a 2012 study 29 . Developing a positive mindset, connecting with trusted loved ones and building coping strategies can enable you to lead a productive, meaningful and joyful life. You can find inspiration in everyday life and among the people around you.
Research 30 indicates that having a positive attitude can greatly affect our physical and mental well-being by encouraging a healthy lifestyle. Moreover, it was found that optimism is also associated with greater flexibility, cognitive responses, adaptive behaviors, problem-solving capacity and effective elaboration of negative information. A 2016 study 31 on the power of positive thinking for people with generalized anxiety disorder found that replacing worry with optimism and “positive ideation, even when unrelated to the content of worry itself, seems to have certain beneficial effects, suggesting that any form of positive ideation can be used to effectively counter worry.”
8. Follow a healthy diet
Although food may not cause or cure anxiety, what we eat can certainly influence our emotions and mood 32 . Consuming food high in sugar or fat 33 or eating processed foods frequently can lead to unstable blood sugar levels and make us feel fatigued and restless. Moreover, not eating enough or at the right time can also lower blood sugar, making us feel irritated and anxious. This is why it is important to have a nutritious breakfast and have healthy meals throughout the day. You also need to consume enough vegetables and fruits as these can stabilize blood sugar and increase the hormone serotonin which regulates our happiness, mood and feelings of well-being.
A 2019 study 34 found that diet can be considered as a modifiable risk factor for psychiatric problems, like general anxiety disorder and depression. It states “a dietary pattern characterized by consumption of vegetables, fruit, beef, lamb, fish, and whole-grain foods has been related to a lower risk of a diagnosis of anxiety,” however, excessive consumption of “meats and sugar has been associated with more psychiatric symptoms.” Research 35 also shows that poor quality and inadequate diet causing insufficient intake of nutrients can cause mental health problems. A recent 2020 study 36 states that poor eating habits and unhealthy diets “may be a causal factor in the experience of low mood,”, however, a healthy diet can significantly help to improve mental and physical health. Hence, try to change your diet and have balanced meals. You can also take certain nutrients or supplements, like omega-3 fatty acids, kava, green tea or ashwagandha (withania somnifera), to reduce anxiety.
9. Avoid caffeine, nicotine & alcohol
Limit your consumption of caffeinated beverages like coffee, tea, soda and energy drinks as these can elevate anxiety levels. Studies 37 show that people with anxiety disorder have increased caffeine sensitivity. One 2016 study 38 found that caffeine consumption was positively related to the severity of anxiety and depression, while another 2015 study 39 found that caffeine intake through coffee can cause stress, anxiety, and depression. Caffeine can trigger anxiety and make GAD symptoms worse. Moreover, nicotine intake can also affect your anxiety as a strong association between chronic nicotine use 40 and anxiety disorders has been observed. According to a 2013 study 41 , “cigarette smoking may increase the risk of developing increased anxiety.”
Apart from caffeine and tobacco, alcohol consumption can also make symptoms worse for people with GAD. Although alcohol may temporarily make you feel less anxious and relaxed, it can make symptoms worse in the long run, especially once the effects wear off. Research 42 has found that high intake of alcohol is linked to anxiety and depression. In fact, alcohol use disorders (AUD) is one of the most common comorbid conditions 43 of GAD. It has been observed that in 67% of comorbid cases 44 , the onset of GAD was observed before AUD. As GAD sufferers are at increased risk 45 for chronic alcohol dependence, it is crucial that you limit or cut off alcohol consumption if you wish to overcome GAD. It is also important that you avoid recreational drugs as it can affect your treatment and recovery.
Read More About Alcoholism Here.
10. Get adequate sleep
Anxiety, stress and worry has been found to be associated with sleep disorders 46 like insomnia. Constantly worrying about things can affect your sleep and keep you up at night. Ironically, sleep deprivation adds to your anxiety and makes GAD symptoms even worse. Lack of sleep reduces our capacity to cope with stress. “Humans experiencing partial sleep restriction usually exhibit detrimental physiological responses,” explains a 2020 study 47 . As sleep disturbances are commonly linked 48 with generalized anxiety disorder, it is imperative that you practice good sleep hygiene and effective bedtime routines, like –
- Avoiding screen time before going to bed
- Following a relaxation practice, like reading a book or meditating before sleeping
- Getting at least 7-8 hours of undisturbed sleep every night
Being well rested will help you stabilize your mood and emotions, feel calmer and enable you to better cope with worry and anxiety.
Read More About Insomnia Here
11. Exercise regularly
Exercise is one of the most effective ways to reduce stress, anxiety and depression. Research 49 has found that “exercise and regular activity positively impacts the pathophysiological processes of anxiety.” Exercising helps to boost the happiness hormone serotonin and feel-good chemicals like endorphins, regulates stress hormones, and rewires the brain so that it is more resilient and less prone to anxiety. When you are trying to cope with generalized anxiety disorder, even as little as 30 minutes of regular physical activity for 3-4 days a week can be beneficial. You can do a variety of exercises that engage different parts of your body, like weight lifting, cardio exercises, martial arts, swimming, running, dancing, or even walking. This will not only improve your physical health, but also boost your mental and emotional health as well.
According to a 2016 study 50 , “as a treatment for elevated anxiety or anxiety disorders, exercise offers benefits comparable to established treatments, including medication or CBT, and better than those of placebo.” Another 2018 study 51 found that exercise is a viable useful treatment option for anxiety. However, it was found that high intensity exercise routines are more effective than low intensity training routines.
12. Create a strong support system
Research 52 shows that building a support network of caregivers and loved ones can be highly beneficial for people suffering from generalized anxiety disorder. As we are social beings, having a strong support system can help us avoid isolation and overcome distorted, intrusive thinking. Having the support of family and friends can make a lot of difference when you feel overwhelmed with negative emotions like fear. You may also join a local support group or an online community to connect with people who are coping with similar mental health issues and learn valuable coping strategies from their experiences.
Generalized Anxiety Disorder Can Be Treated Effectively
Generalized anxiety disorder can be a debilitating condition and may make the sufferer feel persistent worry, fear and anxiety. However, with effective treatment under the guidance of a licensed mental health professional combined with the above mentioned coping strategies, you can overcome the symptoms and lead a fuller, healthier life. Learning to identify and manage triggers, seeking help and having a positive attitude can be helpful when your negative thoughts and emotions feel overwhelming. If you or a loved one is suffering from GAD, then make sure to consult a doctor immediately.
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