Understanding and managing anxiety


Dr. Claire Hayes, Consultant Clinical Psychologist and Clinical Director at Aware, has developed a three-step approach to explain the core principles of cognitive behavioral therapy (CBT) to medical practitioners and their patients. This approach aims to help individuals understand and manage anxiety effectively.




As a healthcare provider, you may have observed a significant increase in the number of patients experiencing anxiety in recent years. Traditional reassurance may not always be effective, as individuals may quickly dismiss it with thoughts of uncertainty and fear. These "What if?" thoughts can escalate anxiety levels rapidly, leading to a cycle of worry and distress.


The saying "Doctors differ and patients die" may hold some truth, but it is essential to address anxiety in a more constructive manner to provide meaningful support to individuals.

Understanding Anxiety Triggers
Anxiety triggers can vary from personal health concerns to broader issues like climate change. The physical and emotional manifestations of anxiety can be overwhelming, leading individuals to seek temporary relief through various means such as substance use or avoidance behaviors.


While these coping mechanisms may offer immediate comfort, they do not address the root cause of anxiety. Real fears and negative thoughts can perpetuate anxiety, making it crucial to adopt healthier coping strategies.


Approaching Anxiety
Confronting anxiety can be daunting, as it may initially worsen before improving. Understanding the underlying beliefs and behaviors contributing to anxiety is key to effective management. By identifying and challenging negative thought patterns, individuals can learn to cope with anxiety more effectively.


Diagnosing Anxiety Disorders
Classifying anxiety disorders can be beneficial for treatment planning, but it is essential to avoid labeling individuals in a way that perpetuates self-blame or learned helplessness. Recognizing common characteristics of anxiety sufferers, such as perfectionism and excessive worry, can guide more empathetic and effective interventions.


Core Beliefs and Coping Strategies
Viewing anxiety as a normal response to perceived threats can help individuals reframe their experiences. Dr. Hayes suggests using a three-step approach known as the 'Coping Triangle' to guide individuals through cognitive restructuring and behavior change techniques.


By challenging unhelpful thoughts, recognizing the impact of beliefs, and implementing positive coping strategies, individuals can develop a more resilient mindset towards anxiety.


Utilizing tools like the 'Coping Sentence' can empower individuals to acknowledge their feelings, challenge negative thoughts, and take proactive steps towards managing anxiety effectively.


Conclusion
Anxiety is a common and valid emotional response, but it can be managed through self-awareness, cognitive restructuring, and adaptive coping strategies. By fostering a supportive and non-judgmental environment, healthcare providers can empower individuals to confront their anxiety and lead more fulfilling lives.


References
For further reading on anxiety management and coping strategies, refer to Dr. Claire Hayes' published works:



  • Hayes, C. (2017). Finding Hope in the Age of Anxiety.

  • Hayes, C. (2016). The Professional’s Guide to Understanding Stress and Depression.

  • Hayes, C. (2015). How to Cope. The Welcoming Approach to Life’s Challenges.