By Becki A. Hein, MS, LPC, Anxiety Topic Expert Contributor

Click here to contact Becki and/or see her GoodTherapy.org Profile

One of the most common requests I get from clients in my psychotherapy practice is “Please help me get rid of this anxiety!” I then get to explain the Bad news and the Good news. The Bad news is that you are not going to get rid of your anxiety. In fact, it would be harmful to not be able to feel anxious. Anxiety and fear come with being alive. Anxiety can be useful when it causes you to be extra alert or careful, such as when you are walking to your car in a dark parking lot or when you are taking a test. Human beings were designed to feel anxious when faced with danger or a challenge. The fight or flight response is triggered causing adrenaline and other chemicals to increase heart rate, blood pressure, and respiration, narrow our focus of attention, and enable us to do what we need to do to stay alive. However, human beings were not designed to be chronically anxious. Recent studies have shown that chronic anxiety plays a major part in either causing or exacerbating several physical illnesses, including heart disease, gastrointestinal disorders, and chronic respiratory disorders. Therefore, it is a good thing to learn to manage your anxiety. That brings us to the Good news.

The Good news is that you CAN learn to calm yourself, reduce chronic anxiousness to brief, appropriate episodes, and to eliminate panic attacks. Fortunately, anxiety disorders are among the most successfully treated conditions, with a success rate of nearly ninety percent. Numerous studies have shown that psychotherapy is usually the most effective option. Medication, although frequently prescribed, will help to relieve symptoms, while therapy gives you lifelong tools to manage anxiety effectively. Therapy for anxiety includes looking for underlying causes of worries and fears, learning how to relax, gaining new, less frightening perspectives when in stressful situations, and developing better coping and problem-solving skills.

There are several modes of therapy that psychotherapists use in helping people to manage their anxiety. Behavior therapy teaches clients to gain control of their physical responses through relaxation techniques such as breathing from the diaphragm and grounding the body’s energy. Mindfulness and distraction techniques are also commonly used. Gradual exposure is another way to reduce anxious responses to frightening objects or situations.

Cognitive-behavioral therapy can be very successful in helping clients discover patterns of thinking which lead to panic and anxious reactions. Therapists help clients to become aware of any thoughts, beliefs, and/or behaviors that might be unhelpful and contributing to anxiousness. With the help of their therapist, clients learn how to identify and challenge negative thoughts and replace them with realistic thoughts. Clients learn to gradually confront and tolerate fearful situations in a safe, controlled environment.

Clients also ask me how long therapy will take. According to the American Psychological Association, many people achieve significant improvement within eight to ten therapy sessions, although the length of therapy will depend on the type and severity of the anxiety disorder. Clients are usually encouraged to hear that they can expect to feel better so quickly, but I give them this caveat: therapy for anxiety is not passive. You will be expected to actively participate. During sessions, you may engage in deep breathing and grounding lessons, rehearsal of new behaviors, journal keeping, and writing activities. You will have “homework” to practice every day, preferably several times a day. Your mind and body have gotten into a “habit” of anxious reaction and it takes practice, practice, and more practice to create new mental and physical responses. I tell clients that their improvement is directly related to the amount of effort they put into doing the exercises every day.

The outlook for clients dealing with anxiety is hopeful! You can get back in the driver’s seat of your mind. You may have occasional anxiety, but it doesn’t have to “have” you!

©Copyright 2009 by Becki A. Hein, MS, LPC. All Rights Reserved. Permission to publish granted to GoodTherapy.org. The following article was solely written and edited by the author named above. The views and opinions expressed are not necessarily shared by GoodTherapy.org. Questions or concerns about the following article can be directed to the author or posted as a comment to this blog entry. Click here to contact Becki and/or see her GoodTherapy.org Profile