Managing Anxiety

Everyone experiences anxiety at times, like before an interview or an exam, or when facing something unknown. In moderate amounts, anxiety can be useful, keeping us focused and motivated. However, when anxiety becomes persistent or overwhelming, it stops being beneficial and can significantly disrupt daily life.

 

Anxiety manifests through various symptoms, which can be categorised as psychological (such as restlessness and excessive worry) and physical (including increased heart rate, insomnia, and tension headaches).

Sometimes, anxiety feels like a persistent worry or fear that doesn’t subside, even in the absence of immediate danger. It’s akin to an internal alarm that sounds too frequently without any clear or obvious trigger. This false alarm can lead to feelings of nervousness, restlessness, or tension and physical reactions such as a racing heart, sweating, shaking, or dizziness. It’s like a fleet of fire engines responding to an apartment block for burnt toast!

Incorporating natural strategies into daily routines can significantly mitigate the impact of anxiety. These methods include:

Physical Activity: Regular exercise is a powerful anxiety reliever. It releases neurotransmitters such as endorphins and endocannabinoids, enhancing our well-being.  Activities like jogging, swimming, or cycling improve sleep and also utilise the stress hormones released during anxious states, promoting both mental and physical health.

Mindfulness and Meditation: These practices encourage living in the present moment and observing thoughts and feelings without judgment, which can aid in emotional regulation and stress reduction.

Dietary Adjustments: Managing caffeine and sugar intake/consumption can improve anxiety levels and have an overall positive impact on our health.

Sleep: Anxiety can disrupt sleep, and poor sleep can exacerbate anxiety. Establishing a relaxing bedtime routine and ensuring a comfortable sleep environment are essential for improving sleep quality and managing anxiety.

Breathing Techniques: Diaphragmatic breathing, which focuses on deep, even breaths, can help calm the nervous system and reduce anxiety. Practising these techniques when calm to prepare for stressful situations is beneficial.

Nature:  Spending time outdoors can lower stress levels, reduce rumination, and enhance mood due to nature’s calming effects.

Journaling: Writing about our thoughts and feelings can help organise them and reduce anxiety by providing a way to identify and address worries.

Aromatherapy: Certain scents, such as lavender, are known for their calming effects. Engaging other senses with calming music, soft fabrics, or a comforting shower can also help soothe anxiety.

Social Support: Building a network of friends and family can provide a sense of belonging and security, reducing feelings of isolation and anxiety.

I say this all the time but please start with baby steps in the right direction. Be patient with yourself. Praising yourself and others can boost morale every day.

For a comprehensive approach to managing anxiety, consult with mental health professionals such as psychologists or your healthcare practice nurse in addition to your General Practitioner. Talking about your worries is a crucial step in managing anxiety effectively.

www.carolinecrotty.ie

Halloween

October is a wonderful month with both the Jazz and Dragon of Shandon festivals in Cork city. We have a midterm break from college and school, but best of all, we have Halloween!

 

I find it fascinating that Halloween originated in Ireland. Ancient Celts celebrated the festival of Samhain when it was believed that the souls of the dead returned to Earth. Druids lit sacred bonfires, wild costumes were worn, and the Celtic deities were appeased with offerings. It was a festival of great fortune-telling and I’d bet there wasn’t a pumpkin in sight!

Perhaps you might select a local event this month, head out, and get involved. Connection is a vital element of feeling good about ourselves.  Conversely, loneliness can have a profoundly negative impact on our health and well-being. Try to connect with others and embrace the fun aspect of October.

“The time to relax is when you don’t have time for it.” (Jim Goodwin / Sydney J. Harris)

At work, I often ask, ‘how do you relax?’. People respond that they watch television, lie on the sofa or have a glass of wine. Whilst these activities are pleasant, they’re not relaxation skills. When we are healthy, we rarely pay attention to our breathing. However, controlling the pace of our breath is itself a relaxation skill. When we master breath control, we are better equipped to manage our worried or stressed reactions.

Humans encounter stressful situations. We cannot control the future or prevent unpleasant events, but we can learn how to relax our bodies and minds with diaphragmatic breathing. Because we differ, we relax in different ways. We owe it to ourselves to discover which relaxation skills best suit us as individuals, then practice and hone our favourite skills.

Diaphragmatic breathing can help improve focus and is used by singers, divers, and athletes
to improve lung capacity. Breathing too quickly can make us feel dizzy or even a little anxious. Taking slow, regular breaths can help us control worried or stressed thoughts and anxious feelings, and help us feel more relaxed and in control.

To control your breathing, place one hand on your chest and the other on your tummy. Inhale slowly through your nose, and imagine your breath is filling your abdomen like a balloon. The hand on your tummy moves. Some pause for a couple of seconds before breathing out slowly (I exhale through my mouth). The hand on your tummy moves as you exhale. The hand on your chest remains still. (This is where practice is required). Repeat this ten times twice per day. You don’t need to use your hands once you master diaphragmatic breathing. You can use this relaxation skill anywhere, anytime.

You’re breathing into your lungs while consciously engaging your diaphragm, focusing on your breath while reducing physical symptoms of anxiety.

This Halloween, enjoy doing something different, eating barmbrack, playing snap apple or apple bobbing, going trick or treating and practising your diaphragmatic breathing!

www.carolinecrotty.ie

54321 Task

The 5, 4, 3, 2, 1 Grounding Task

 

When learning how to remain in the present moment it can help to give our minds a job.

Despite thinking that we are good at multi-tasking, we are at our best when we concentrate on one thing at a time – either we worry or think about something else! This task is to help us “think about something else” rather than worrying.

The 5, 4, 3, 2, 1 grounding technique is a useful task.  It can prevent us from getting caught-up in racing or panicky thoughts which can create anxious feelings in our bodies.

The 5, 4, 3, 2, 1 task can help us remain calm, focused and grounded in the present.

Instead of getting caught up in fearful thoughts or horrible anxious feelings, this task requires us to take notice of what is around us and concentrate on our senses. 

Sight, Touch, Hearing, Smell and Taste – these are the five senses that we concentrate on that will help us stay focused.

Look around you. What are 5 things that you can see. Describe them to yourself in the most graphic and amazing detail that you can manage. What colours do you see on those objects?  What patterns, inscriptions, engraving, size or weight do they have? If you were to describe these five things to someone without using the objects’ names, how would you do it?

Now look for 4 things you can feel and describe them to yourself. This might involve feeling your clothes as they touch your skin or the feeling of your bottom and back as you sit on your chair. Perhaps you can feel your skin on the palm of your hand with the finger from your other hand. Can you pick up something and hold it? Describe those four things to yourself in detail.

Listen very closely. What 3 things can you hear?  Is there something in the distance making noise, say a clock ticking or traffic or the wind or music or the rattle of a door?

Are there 2 things that you can smell? There may be perfume or aftershave on your clothes. Can you smell food in the air or any other scents?

Is there something you can taste? Is there already a taste in your mouth? It might be coffee or toothpaste or maybe you can see something you could taste. You might have a sweet in your bag or chewing-gum. If you taste something, pay close attention to the flavour.

The above 5, 4, 3, 2, 1 technique is a handy task for times when you may feel nervous such as at the airport, church, family gathering, doctor’s or dentist’s waiting room etc. The task will help to ground you and prevent you from getting caught up in fearful thoughts.

Ground yourself by concentrating on your senses. It doesn’t matter whether you think of 5 things to smell or 4 things you can hear i.e. the order in which you think about your senses is unimportant.

www.carolinecrotty.ie

 

Breathe

Breathe

Anxiety has a wonderful knack of throwing us off kilter.  I’d go so far as to say that it can be quite difficult to feel happy or good about ourselves while at the same time battling with strong feelings of anxiety .

 

And with anxiety, comes self-doubt.What if I get a panic attack when I’m in the supermarket?”.  We might try to visualise what could happen if we start to feel anxious in a public place? What will I do if I feel anxious at the hair salon or in a queue for a gig? Racing thoughts come with racing questions “What if I feel unwell?” “What if I faint?”What will I do if I’m dizzy?” and, before you know it, you’ve worked yourself up into a frenzy of horrible thoughts accompanied by horrible anxious feelings and there is no sense of calm about anything. Sometimes the whole world can seem unsafe and scary.

Hot summers often render people feeling anxious. If I associate being hot and sweaty with feeling anxious then a hot summer is bound to be tough because your brain (and body) are trying to figure out what the heat means!

Our thoughts are crucial to how we feel.  When we start thinking of worst case scenarios like not being able to cope when we are down the hair salon, the world can become frightening. We might become a little nervous about going too far away from home – just in case we need to come home in a hurry if we are not feeling great. Home is where we feel calm. Home is a “safe place” and sometimes when we are very anxious feeling that we are too far away from home, can mean that anxious feelings and anxious thoughts take over.

We might be nervous that anxious feelings might strike because we are away from home. This often leads to people not enjoying or living life to its full because they are nervous about feeling anxious in a public place.

Being fearful of fearful feelings. But, think about this – our bodies do not know where we are.  If we were unconscious or under general anaesthetic, our bodies could be in Barcelona or Bantry and we wouldn’t know! Often, therefore, our thoughts contribute to our symptoms and feelings of anxiety.

When we have several thoughts or worries at once, that can signal our bodies to react. If our mind is focused on stressful thoughts, or on too many things at once, or panicking about potentially feeling panicky, anxiety levels in our body can increase and remain high.

Learning how to focus our thoughts on something calm/ or peaceful can help us feel calm and able to manage our anxieties more effectively.  Rather than letting our minds wander off with worst case scenarios, we can focus on our breath.

Our breath is a great point of focus.

Focusing attention on breath and breathing can reduce the anxiety response in our body and help us remain calm and in control.

Everyone can learn how to focus on breath and breathing whenever we feel that we are getting a little anxious. That is very powerful – to be able to control how we feel simply with our breath. I find this fascinating and encourage everyone I know (everyone who will listen to me that is) to practice calm / deep breathing because, in my experience, it is life-changing.

Focusing on breathing can help us stop focusing on anxious thoughts. We can learn how to slow down our breath, helping us stay calm.

Most often, our anxious thoughts and busy lifestyles mean that we breathe as if we are only using the upper parts of our respiratory system. This is an overly simplistic way of explaining this but the reality is that as adults, we rarely breathe so deeply that our tummies move. We might even hold our breath without realising it. Newborn babies breathe with their tummies rising and falling, however, as adults we rarely do.

Calm/Deep breathing increasees the volume of breath that enters our lungs. Calm / Deep breathing helps alleviate anxiety by slowing down our heart rate, relaxing our muscles and allowing us the opportunty to think more rationally and clearly.

So how do we breathe deeply?

Sit or lie down comfortably. Close your eyes. Place one hand on your tummy which will help you feel your tummy rise. Place your other hand on your chest or heart. Imagine a round balloon in your tummy with the opening at the top, close to your lungs.  Inhale. Imagine your breath filling that balloon. As you inhale, your tummy will rise. Think about your breath filling your lungs from the bottom up (in the same way that an empty bottle fills with water from the bottom up). When you are ready to exhale, allow the air out of your body from the bottom up, emptying the balloon first, then your lungs and upper chest. Repeat this until it feels comfortable.

Initially, deep/calm breathing can feel a little weird and you might even begin to feel anxious. This is perfectly normal and it happens because you are not accustomed to breathing in this way and your body/mind are trying to figure out what’s going on.

The more often you practice this new skill, the more familiar it becomes.  Take your time, practice calm/deep breathing when you are at your most relaxed so that you will be able to use it when you are not relaxed. Inhale through your nose. Exhale through either nose or mouth particularly as you are learning how to do this.

Anxiety tips: Tell someone you trust about how you feel. Sharing a problem and worry can give you perspective. Don’t face your worries alone. Counselling, psychotherapy and Cognitive Behavioural Therapy (CBT) can be effective for treating anxiety symptoms / anxiety disorders. Eat well and regularly. Reduce caffeine and alcohol and cigarettes. Exercise: anything that increases your heart-rate and gets you sweaty helps alleviate anxiety!

www.carolinecrotty.ie

Caroline Crotty
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