CHAPTER 10
CBT TECHNIQUES FOR DEALING
WITH ANXIETY
Strong emotions arise before thoughts that are related to them are fully formed, not afterward, as it likely appears when you look back on a particularly emotional incident. As such, you will often find that it is easier—and more effective—to change how you feel about a situation than what you think about a situation. As such, if you want to use CBT to help your anxiety, then the following exercises are a great way to work on calming your feelings directly:
When working with CBT, it can be easy to get so focused on the way your feelings are currently aligned that it can be easy to forget that feelings are fluid, which means they are always open to change, even after you have already put in the effort to work on them for another specific reason. Likewise, just because you spend a month or more working on your feelings of anxiety, it doesn’t mean that you aren’t still going to get a little anxious every now and again. Rather, it is important to take the new anxiety in your stride and see how severe it ends up being before you get too stressed out about it, possibly causing yourself far more mental strife than you would have had you just taken the small amount of anxiety in your stride in the first place.
You may also find it helpful to verbally acknowledge how you are feeling in the moment and how you expect those feelings to change once the anxiety has passed. For example, you might say, “Currently I feeling a little anxious, which is natural given the situation. When the feeling passes, I anticipate feeling clear-headed and calm once more.”
Additionally, you may find it helpful to keep a close eye out for the first signs that the feeling is passing and the anticipated change is about to begin. Not only will focusing on the anxiety being over actually make the end come on sooner, it will also stop you from reacting poorly to the anxiety at the moment. Feelings always shift, and keeping this fact in mind may be enough to push things in the right direction.
While Generalized Anxiety Disorder is considered a mental illness, anxiety itself is a useful survival tool when doled out in moderation. It is only when things get out of hand that it goes from being helpful to harmful, sort of like an over-eager guard dog. The truth of the matter is that your anxiety response only kicks in because your body is responding to the current situation as if there was a threat. Regardless of whether or not the threat is real, a perceived threat is enough to set off the response.
As such, one way to train your anxiety to be selective effectively is to give it the type of feedback it understands so that it knows it is not currently needed. Anxiety takes its cues from what you do along with a basic type of emotional pattern matching, which means that if you act as though everything is currently normal, then the anxiety will back off and calm down. As such, you are going to want to do things such as maintain an open body posture, breathe regularly, salivate, smile, and maintain a calm and measured tone of voice.
If you can successfully adopt just one of these behaviors when you are feeling stressed, then you can successfully alter your feedback enough that your fear response, directly from the sympathetic nervous system, receives a message that says everything is fine. In fact, one of the most common ways of mitigating an oncoming feeling of anxiety is to chew gum. If you don’t have any gum handy, simply miming the act of doing so is going to be enough to make you salivate, convincing your body that nothing interesting is going on.
The reason that this is so effective is that you would never have the luxury of eating a delicious meal during times of serious crisis, which makes your body naturally assume that nothing that taking place is a legitimate threat. This, in turn, changes the feedback loop the body was expecting and causes the anxiety to retreat into the background. Just knowing that you have this quick trick in your back pocket can give you a boost of confidence that takes you past the point where your anxiety would trigger in the first place.
Remember, anxiety functions are based on the expectation of something catastrophic happening in the near future. All you need to do is prove that this is not the case, and you will be fine.
As a general rule, if you feel anxious about a specific situation, then this is because you are afraid of some potential consequences that may come about as a result of whatever it is that is taking place. However, if you trace those fears back to their roots, you will often find that they aren’t nearly as bad as you may have assumed they would be when they were just a nebulous feeling of anxiety.
For example, if you are anxious about attending a party, then looking inside to determine the consequence that you are afraid of might reveal an internalized fear of meeting new people. Tracing that fear back, you might discover that it is based around the consequence of other people not liking you, which you are determined to avoid due to issues in your past.
However, if you trace the consequence of people not liking you, then you may find that it makes you upset because it reinforces existing feelings regarding your general likeability. Once you get to the ultimate consequence that is causing you anxiety, you can look at the problem critically and determine what you can do to solve the issue that you are avoiding. In this instance, reminding yourself of people who do like you is a valid way to avoid the issues you are afraid of.
This exercise is also especially effective for those who are dealing with relationship issues, as they can clearly describe all of the fears they have associated with the relationship falling apart. In the process, they will come to understand that things will continue as normal after the relationship falls apart and that they will be able to move on if the relationship is not intact.
Another useful technique in combating anxiety is known as progressive muscle relaxation. This exercise involves tensing and then relaxing parts of your body in order. The reason for this is because it is impossible for the body to be both tense and relaxed at the same time. Thus, if you feel an anxiety attack coming on, a round of concentrated tense and release exercises can cut it off at the source. Progressive muscle relaxation exercises may be done routinely or before an anxiety-provoking event. Progressive muscle relaxation techniques may also be used to help people who are experiencing insomnia.
To get started, find a calm, quiet place that you can dedicate to the process for approximately 15 minutes. Start by taking five, slow, deep breaths to get yourself into the right mindset. Next, you are going to want to apply muscle tension to a specific part of your body. This step is going to be the same regardless of the muscle group you are currently focusing on. Focus on the muscle group before taking another slow, deep breath and then squeezing the muscles as hard as you possibly can for approximately five seconds. The goal here is to feel the tension in your muscles as fully as possible, to the point that you feel a mild discomfort before you have finished.
Once you have finished tensing, rapidly relax the muscles you were focusing on. After five seconds of tensing, let all of the tightness flow out of your muscles, exhaling as you do so. The goal here is to feel the muscles become limp and loose as the tension flows out of them. It is crucial that you deliberately focus on the difference between the two states; in fact, this is the most important part of the entire exercise. Remain in this state of relaxation for approximately 15 seconds before moving on to the next group of muscles.