GAD Coping How to Overcome Anxiety By Deborah R. Glasofer, PhD Deborah R. Glasofer, PhD LinkedIn Twitter Deborah Glasofer, PhD is a professor of clinical psychology and practitioner of cognitive behavioral therapy. Learn about our editorial process Updated on November 18, 2021 Medically reviewed Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Steven Gans, MD Medically reviewed by Steven Gans, MD Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Print Verywell / Laura Porter Anxiety is something that everyone experiences from time to time, but for some people, it can become pervasive and excessive. Generalized anxiety disorder (GAD) is characterized by persistent, excessive worry. If the problem started and ended with a single worry, it might not be such a big deal. Instead, people with GAD get bogged down as one worry leads to another and another. 1:20 7 Ways to Reduce Your Anxiety What Causes Anxiety? Some people tend to be more prone to anxiety, often due to upbringing or genetics, but there are also other factors at work that can contribute to the anxiety cycle. Such things include: Avoidance: Anxiety can persist and even grow worse because of the ways people respond to their worries. Individuals with untreated anxiety problems tend to respond to their fears by trying to suppress the worry, seek reassurance that nothing bad will happen, or avoid situations that might trigger the fear. These strategies can backfire and reinforce anxiety, creating a cycle. Distorted or biased thinking: Some worries might persist because of biased thinking. This thinking could involve an overestimation of the likelihood of a bad outcome or an exaggeration of how bad the bad outcome will be. Negative thinking: Some worries are strengthened by negative thoughts about yourself, such as the belief that you would be unable to cope with uncertainty or an undesirable outcome. Selective memory and attention: Worries can also persist because of how information in the environment is processed. A person with GAD may selectively tune into information that supports the worry and ignore evidence that refutes it. Memory can also be selective. In some cases, people with anxiety problems have difficulty recalling data that is inconsistent with a particular worry. Impact of Anxiety Anxiety can have a number of distressing effects on your health and well-being. Some of these include: Avoidance of triggering situations Fatigue Fear Irritability Insomnia Intrusive, unwanted thoughts Nausea Panic attacks Poor concentration Restlessness Intrusive, anxious thoughts can create distress and make it difficult to cope. Take, for example, this worry: "My boyfriend is going to break up with me." This is an intrusive thought that is actually quite normal for a person to have. It might come up out of the blue or in response to a specific situation. However, an overly anxious person would appraise this thought as very meaningful, review all the reasons why this thought might be true, try to reduce the anxiety in the short term (effectively strengthening it in the long term), and become very stressed by it. As a result, the belief becomes even more significant and is experienced more frequently and more intensely than in someone without an anxiety problem. To overcome anxiety, this vicious cycle needs to be broken. How to Deal With Crippling Anxiety How to Overcome Anxiety There are different ways that you may be able to overcome anxiety in order to enjoy better emotional wellness. The following are some strategies you might try to include. Acceptance One way to overcome anxiety is to learn to accept that not every intrusive thought is signaling a legitimate reason to worry. Simply put, not every thought is true. So it's often unhelpful to try to disprove the beliefs. Try an acceptance-based approach instead, which includes: Identifying the thoughtLabeling it ("worry" or "judgment," for example)Being aware of the moment when the thought comes upBeing aware of the moment when the thought begins to recede from awareness An acceptance-based approach means that you observe the thought you're having without the urgency you might normally feel to address it, fix it, argue with it, or believe it. You are letting it come and go without focusing on it. Best Online Anxiety Support Groups of 2021 Questioning Cognitive restructuring is another strategy that can help you change the way you perceive situations and lessen your anxiety. This technique is a cornerstone of a treatment approach called cognitive behavioral therapy (CBT). Cognitive restructuring offers a way to critically evaluate potentially distorted thoughts, like "He’s definitely going to break up with me." You ask a series of questions about the belief that can encourage a more balanced view. For instance, "He's definitely going to break up with me," might turn into a more realistic belief such as, "Just because we had a small argument doesn't mean our relationship will end." Cognitive Restructuring Tips Exposure The basic concept of exposure is to lean into anxiety by confronting, rather than avoiding, anxiety-provoking situations to learn by experience. You learn that nothing terrible will happen, or that bad outcomes are manageable (and might even have an upside). When facing a fear, it is critical to refrain from any safety behaviors that might "undo" learning; this is sometimes referred to as response prevention. For instance, an exposure exercise could be intentionally disagreeing with a boyfriend or imagining what it would be like to get into a major argument. Repetition helps with exposure, so repeating an exposure until it all becomes more boring than anxiety-provoking can be important. The response prevention component would be to do these things and not ask whether or not your boyfriend is mad, so as to learn to live with uncertainty. While the cycle of anxiety is often vicious, breaking even one link can go a long way to diminishing worry and the anxiety to which it leads. Nutrition Research shows that anxiety levels can be impacted by the kinds of foods and drinks you consume. One study observed that participants who consumed more saturated fats and added sugars had higher anxiety levels than those who consumed fewer fats and less sugar. Eating fruits, vegetables, healthy fats, and high-fiber foods—while limiting processed foods—is connected with improving mood and making it easier to manage psychiatric conditions like anxiety and depression. Caffeine can also increase your anxiety levels. If you drink more than one cup of coffee per day, try scaling back or eliminate it altogether and note whether your anxiety improves. Caffeine is also in many teas, beverages, and foods (like chocolate) so make sure to read nutrition labels to monitor how much you're consuming. Physical Exercise Find a way to move your body that feels good—it doesn't have to be a long and arduous workout. Taking a walk for even 10 minutes can help improve your mood. Exercise can improve your concentration, your sleep, and lower your stress levels. Many doctors advise physical exercise alongside therapy and/or medication for people with anxiety and depression. Mindfulness Other coping strategies you can try to help ease anxiety include practicing techniques such as mindfulness, meditation, deep breathing, and progressive muscle relaxation. One study, for example, found that people who practiced a technique known as mindfulness meditation experienced significant reductions in stress and anxiety. Use Mindfulness Meditation to Ease Anxiety Connect With Nature Connecting with nature is another way to improve your anxiety. Studies find that using any of the five senses to feel closer to nature—taking a walk in the woods or even listening to nature sounds—can boost your mood and puts you in a more relaxed state. Treatment Beyond generalized anxiety disorder, anxiety can also be a symptom of a number of other disorders including phobias, panic disorder, and social anxiety disorder. It's important to recognize that you are not alone: Anxiety disorders are one of the most common mental health conditions in the U.S. According to the National Institute of Mental Health, an estimated 19.1% of U.S. adults experienced some type of anxiety disorder during the past year and more than 30% of adults will have an anxiety disorder at some point in their lives. If anxiety is causing distress and disruptions in your normal functioning, it is important to get help. Treatments for anxiety typically rely on psychotherapy, medications, or a combination of the two. Talk to your doctor about your symptoms in order to determine what approach to treatment might work best for you. If you or a loved one are struggling with anxiety, contact the Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline at 1-800-662-4357 for information on support and treatment facilities in your area. For more mental health resources, see our National Helpline Database. Get Advice From The Verywell Mind Podcast Hosted by Editor-in-Chief and therapist Amy Morin, LCSW, this episode of The Verywell Mind Podcast shares a strategy to help you cope with anxiety. Follow Now: Apple Podcasts / Spotify / Google Podcasts A Word From Verywell Anxiety can create a vicious cycle that is difficult to escape. Fortunately, anxiety is highly treatable. Self-help strategies to overcome anxiety can be helpful, but it is also important to talk to your doctor about your treatment options. By taking steps to get better, you can help ensure that your anxiety isn't keeping you from achieving the things you want to do. Is Anxiety a Mental Illness? 13 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. National Institute of Mental Health. 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Dietary Patterns and their association with anxiety symptoms among older adults: The ATTICA study. Nutrients. 2019;11(6):1250. doi:10.3390/nu11061250 Firth J, Gangwisch JE, Borsini A, Wootton RE, Mayer EA. Food and mood: How do diet and nutrition affect mental wellbeing?. BMJ. 2020:m2382. doi:10.1136/bmj.m2382 Santos VA, Hoirisch-Clapauch S, Nardi AE, Freire RC. Panic disorder and chronic caffeine use: A case-control study. Clin Pract Epidemiol Ment Health. 2019;15:120-125. doi:10.2174/1745017901915010120 Anxiety & Depression Association of America. Exercise for stress and anxiety. Ratanasiripong P, Park JF, Ratanasiripong N, Kathalae D. Stress and anxiety management in nursing students: Biofeedback and mindfulness meditation. J Nurs Educ. 2015;54(9):520-4. doi:10.3928/01484834-20150814-07 Franco LS, Shanahan DF, Fuller RA. A review of the benefits of nature experiences: More than meets the eye. Int J Environ Res Public Health. 2017;14(8):864. doi:10.3390/ijerph14080864 National Institute of Mental Health. An anxiety disorder. Additional Reading Abramowitz JS, Deacon BJ, Whiteside SPH. Exposure Therapy for Anxiety: Principles and Practice. New York: The Guilford Press; 2011. By Deborah R. Glasofer, PhD Deborah Glasofer, PhD is a professor of clinical psychology and practitioner of cognitive behavioral therapy. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit Speak to a Therapist for GAD Advertiser Disclosure × The offers that appear in this table are from partnerships from which Verywell Mind receives compensation.