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Edward M. Hallowell, M.D.

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10 Tips on Managing Worry Without Using Medication

Posted: 05/25/2012 7:52 am

While a healthy level of worry can help us perform efficiently at work, anticipate dangers, and learn from past errors, excessive worry can make an otherwise sane person seem crazy, devoid of sound judgment, peace of mind and happiness. So how do you curb the anxiety associated with stress and toxic worry?

First, it helps to understand what I call the basic equation of worry. This is a good way to conceptualize where toxic worry comes from:

Heightened Vulnerability + Lack of Control = Toxic Worry

The more vulnerable you feel (regardless of how vulnerable you are) and the less control you feel you have (regardless of how much control you actually have), the more toxic your worrying will become. Therefore, any steps you can take to reduce your feelings of vulnerability and/or increase your feelings of control will serve to reduce your feelings of toxic worry.

But how do you stay out of the paralyzing grip of toxic worry? If you're walking through a minefield, how do you not feel so afraid that you can't take another step? You need a plan. When you have a plan, you can turn to the plan for guidance, which immediately makes you feel as if you are less vulnerable and more in control, whether you are or not. So whether the danger you perceive stems from the poor economy, a concern about your children, or a mole on your forearm that you think might be melanoma, you need a method to keep your fear from running wild so you can systematically dismantle the problem and take control.

The following is a 10-step plan to help you put your toxic worry into perspective:

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  • 1. Never Worry Alone

    Talk to someone you trust -- a friend, spouse, colleague or relative. Call them on the phone or speak to them in person. You often find solutions when you talk it out with someone. The mere fact of putting it into words takes it out of the threatening realm of the imagination and puts it into some concrete, manageable form. By far, the most potent anti-worry device we have is contact with each other.

  • 2. Get The Facts

    The toxic part of worry is usually based upon lack of information or wrong information. In the absence of facts, your imagination rushes in and amplifies the danger into a catastrophe, always envisioning the worst. Facts short-circuit this process. In the short run, the facts can intensify your worrying, but in the long run you will be much better off with the facts than without them. If you are afraid to get the facts, you should go back to step one and not worry alone. Talk to someone. Doing this will probably make you feel strong enough to get the facts.

  • 3. All Worry Is Not Bad

    Identify all the things you worry about and separate out the "toxic to your health" worry from "good" worry. Good worry amounts to planning and problem solving. Toxic worry is unnecessary, repetitive, unproductive, paralyzing and life-defeating.

  • 4. Let It Go

    When you feel anxious thoughts emerging, repeat the mantra, "I'll fix what I can, and then I'll put the rest out of my mind." When you let go of your worry, you free up mental energy that will help you solve whatever problems you are dealing with.

  • 5. Take Care Of Yourself

    Get enough sleep. Eat a balanced diet and do not abuse alcohol or other substances as a means of controlling your worrying. Get plenty of vigorous exercise. Exercise can serve as an anti-anxiety agent and an antidepressant. Pray or meditate: both prayer and meditation calm the troubled mind and soul. Get regular doses of positive human contact. In other words, try as much as you can to be around people who are good to you and not be around people who are not.

  • 6. Add Structure To Your Life Where You Need It

    Many everyday worries are directly related to disorganization: What have I forgotten? Will I get there in time? Why didn't I bring that brochure with me? Lists, reminders, a daily schedule, a basket next to the front door where you always put your car keys so you don't start off your day with a frantic search for your keys -- these concrete bits of structure can dramatically reduce the amount of time you spend each day in useless or destructive worry. People put off setting up these structures because setting them up seems like an onerous task; however, worrying or flubbing up are more onerous still!

  • 7. Reality-Test Your Worry

    Regain perspective. Share your worries with someone who should know if what you are worrying about makes sense or if you have exaggerated it. So many of our problems are the result of overactive imaginations.

  • 8. Use Humor

    One of the best ways of dealing with worry, or any stress in life, is to use humor. Make friends with amusing people, watch a Marx brothers movie, tune into Comedy Central or a humorous sitcom. Laugh as much as you can. Humor restores perspective; toxic worry almost always entails a loss of perspective.

  • 9. Look For What Is Good In Life

    We are reminded so often of what is bad, we have to look for what is good. Take an inventory every day of what is good. Big things -- children, friends, health, a mate -- and little things -- a pair of shoes you like, a door that closes without squeaking, a tuna fish sandwich that tastes good.

  • 10. Develop Connectedness

    In as many ways as you can -- with family, friends, organizations or nature.</strong> The human connection is essential, like vitamin C -- as in "Vitamin Connect." It fortifies us and gives us courage. Sometimes people don't reach out because they think no one can help. So reach out, take up a hobby that could get you involved in a local group -- bird-watching, cycling, walking, etc. -- or consider volunteering for an organization that you care about.

*Adapted from WORRY: Controlling It and using It Wisely, Edward M. Hallowell, M.D., Pantheon Books, 1997

For more by Edward M. Hallowell, M.D., click here.

For more on emotional wellness, click here.

 
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While a healthy level of worry can help us perform efficiently at work, anticipate dangers, and learn from past errors, excessive worry can make an otherwise sane person seem crazy, devoid of sound ju...
While a healthy level of worry can help us perform efficiently at work, anticipate dangers, and learn from past errors, excessive worry can make an otherwise sane person seem crazy, devoid of sound ju...
 
 
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HUFFPOST SUPER USER
willowtree3
Adopt a shelter animal.
07:08 AM on 05/28/2012
Adopt a shelter dog/cat. Caring for an animal is a great stress reliever.
Laugh your butt off as often as possible-be silly.
Have lots of (protected) sex.
Plant a food garden-working with your hands relieves stress too and you can eat the "fruits"
of your labor.
Plant trees and chill out in their shade.

If all else fails-adopt the attitude of our do-nothing congress. i.e. "who cares?"
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HUFFPOST SUPER USER
Namasteh
09:52 AM on 05/27/2012
#1: Stop making lists.
This user has chosen to opt out of the Badges program
01:14 PM on 05/26/2012
My Rx?: Take an Ativan and forget about it.
This user has chosen to opt out of the Badges program
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08:27 AM on 05/26/2012
The greatest and most effective way of keeping all of these needless worries under control, would be of course, having a most solid foundation for positive thinking. You who read this may or may not be in complete agreement with this. Even so, me now being an 85 year old man...and within that time having served my country in horrible combat among many other things, experiencing in life, I truly know that complete positive thinking cannot be attained, within its fullness, without having invited Jesus into one's heart and life.
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HUFFPOST BLOGGER
Dr. Cara Barker
author, artist, and Jungian Analyst,
02:02 PM on 05/26/2012
William, I want you to know how much I value your remarks and your experiences, to which I must add, your service. As an old military nurse, I am humbled by what you experienced, and what you have gone on to contribute. All Good your way. May you be reminded, in endless ways, what a national treasure you are. fanning and grateful, Cara
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HUFFPOST SUPER USER
No1 ILoveLucyFan
Where are John and Marlena? WE WANT J&M!!
12:11 AM on 05/27/2012
Mr. Dunigan - I fan all vets...but in your case, I'm fanning you also because of your beautiful post. Thank you - for your service, as well as your wisdom.
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JoeyDee2
I know what just passed here
11:41 AM on 05/25/2012
This reminds me of the insomnia seminar I went to many years ago: a medical doctor stood up in front of a sizable audience and said these words exactly: "If you are thinking of problems that are keeping you awake at night, you must not think of those problems." I want his speaking engagement fee because if that's constructive advice, I'm a brain surgeon.

Also, in my experience people who are routinely disorganized, never seem to worry about it much, but it does cause chaos (and worry) for those around them.
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french queen13
my beloved is mine and I am his
03:00 AM on 05/26/2012
Yes, don't you love the way these advice columns always seem based on the notion that there isn't really anything concrete, or anything we have no control over, causing worry? Never mind all the however-many-thousands-or-more people in the US alone (never mind Europe and the rest of the Western world, including my own supposedly insulated country, Australia) have lost their jobs and their homes, people who might have dependents whose lives are also affected by what's happening. Example: a couple who both worked at QANTAS's engineering maintenance plant in Victoria and have just bought a house (and housing here is the most overpriced in the world). The plant is being closed and they've both lost their jobs. I suspect all their worries are both toxic and extremely realistic, and no amount of vitamin C or extra sleep is going to help!
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Sprinks678
Have I said too much? Probably.
08:12 AM on 05/26/2012
Agreed. Or people who have children with chronic health problems--try telling them not to worry. It seems that the author hasn't had too much to worry about if he thinks extra sleep is possible when you're really worried over something serious.
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JoeyDee2
I know what just passed here
09:29 AM on 05/26/2012
Oh my. Don't tell me that Australia is adopting the US model of outsourcing. I know the grass is always greener, but my fantasy was to move to your country. Would you know who I would talk to?
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HUFFPOST BLOGGER
Dr. Cara Barker
author, artist, and Jungian Analyst,
02:04 PM on 05/26/2012
Joey, how can I not fan you??? You have me chuckling in the recognition of truth that you share so aptly regarding this subject. Oh, how I do relish a d ry sense of humor. And underneath that, your way of speaking shakes a person up to do a bit more critical thinking. Good for you, JoeyDee. fanning with pleasure, Cara
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JoeyDee2
I know what just passed here
03:59 PM on 05/26/2012
Truth is stranger (and sometimes funnier) than fiction. Those were the doc's exact words. They were so strikingly pointless and empty I knew I'd remember. I could see the pronouncement on a Monty Python skit.
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HUFFPOST SUPER USER
Nic the wonder puppy
When life throws lemons, throw them back
11:27 AM on 05/25/2012
# 11 take the dog for a walk
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HUFFPOST SUPER USER
faith
peace-love-brotherhood
11:10 AM on 05/25/2012
Great article HuffPo ! Thank you.
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undrgrndgirl
what's so funny 'bout peace, love & understanding?
12:47 PM on 05/26/2012
you must be related to the author, 'cos that was another fluff piece that was totally worthless.
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HUFFPOST SUPER USER
faith
peace-love-brotherhood
11:12 PM on 05/26/2012
Not related. But, I still enjoyed the article and the "reality check" that it provided. What? You have never obsessed and fretted about something you could neither control or remedy? (smile).