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Long Term Strategies For Dealing With Anxiety

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rjtransient

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This might be asking too much, not sure.

I've been seeing a therapist and a psychiatrist on a regular basis. I'm on anti-anxiety medications, but they're starting to lose effectiveness. The generalized anxiety is back. I'm also dealing with an ongoing situation (stalking; dependence on an abusive family) that keeps bringing me back to this state. Getting out of the situation isn't an option at the moment.

Lifestyle changes might help me to taper off of the anti-anxiety meds, or at least not have to increase the dose. I'm reading the articles here on anxiety. I've purchased self-help books with individual exercises to work through. I'm considering taking up a martial art like aikido or getting back into running.

But I'm not sure how much to reasonably expect from the therapy + meds combo by itself over the long term. What I'm aiming for is a strategy to keep the anxiety down to a tolerable level, most of the time.

Of all the ways of combating anxiety, what has been the most effective combination for you -- with the caveat that nobody here is in quite the same situation as the next person?
 
I know it is different for everyone but running does work for me when I have high anxiety. Although there are times I just self-talk A LOT and just can't run when I need it. I also use two rocks in my pocket with compassion and accept engraved in them and remind myself to have a little compassion for me as I lack that when I am having anxiety. My fingers rub over them and it's not something anyone notices.

Understand the frustration of not getting out of a situation! Not always easy is it to be your own best friend as all therapists seem to suggest!! I would advise a friend to do many things, yet here I am. Not so easy when you are in it. I have taken Tae Kwon Do and I would suggest you try a martial art... it is so empowering on every level... mind, body and spirit!!! Do it if you have the inclination!!

I have no experience with meds yet. I only use Valerian Root capsules for falling asleep at times.
 
Hey RJ, you know valerian root can be taken for anxiety also, In europe, St. Johns Wort is regularly prescribed rather than meds for social anxiety and such...maybe worth checking into?
 
The aikido sounds good.

A thought is to mix it up with a personalized cross-training menu also. I too was dependent on my abusive family and can relate to the situation and the lack of options for immediate change. Taking on new things that are fun and challenging has helped a lot over the years. Since I cannot run, I swim and mix it up in the water.

Things that demand the minds attention and put sustainable demands on the body seem like safe bets.

Have been thinking about archery, because I have the space for it, and because a simple 40lb. bow, a few decent arrows and target set-up are fairly cheap. I love the mind/no mind stuff, and the challenge of "getting out of my own way" in sports. Archery is simple and safe, but offers a certain primal satisfaction. And I don't think it will tax my ageing body either.

Good luck and let us know what you discover.
 
Well, first I had to admit my 2 packs a day of smoking wasn't working for anybody. That was awful.

Running while meditating- not as silly as it seems. I started carrying light weights, got into this incredibly, absolutely precise zone with my mantra, and just empower the bejeesus out of myself for 2 miles every day. It was 4 when the horrible things were going on.Everyone really is different, yes, so I don't know how helpful it is to know I protect myself with white light, ground and center myself daily and have ever since the stalking began 20 years ago. I don't know why it helped, it just has. I still do it, even though he's gone now. I'm sorry to possibly sound slightly kooky, but have a knee-jerk 'thing' about stalking. Who can tell what will be helpful to someone else's anxiety, so thought I'd risk it.

You asked about what combo- for some reason Zolfoft 'works' at a ridiculously low dose when I'm in a running routine, and if I can have Lorazapam in the awful times just for those terrible adrenaline moments it's great for being able to step back, you know?

Take care, RJ.
 
These are some of my strategies:
Doing trauma and stress releasing exercises, see:

http://traumaprevention.com

Do yoga or qi gong, meditate, avoid coffee, alcohol, etc, go early to bed, sleep enough, take walks in the nature, read stuff that makes you laugh, try to cry regularly (rinses me, at least), train (running,cycling) .... And try to find a good therapist and the type of therapy that helps you; the only kind of therapy that works for me is body-centered therapies (somatic experiencing)-only talking did not help me at least... A combation of the two is the best, I guess...

Good luck!
 
Hey, thanks to every single one of you for your responses. As I said to another member (who unfortunately doesn't seem to be here anymore), I try to "hit it from every angle". That is, I deal with symptoms when the symptoms appear. But it works better if I build up a routine here and now while I'm relatively okay. Keep at it consistently whatever the external circumstances are. It helps me personally to try to cognitively slow down, as with mindfulness techniques. Less anxious, more creative, more attentive.

I strongly agree about exercise. The more variation the better, in my experience. Some days going for a long walk is all I can manage, but other days I'm up to running or hiking or working out, whichever.

A martial art sounds like an especially good way to channel adrenaline and work on self-discipline.


Someone PM'ed me with a point that I think should be emphasized: generally, we should be doing more to manage stress on a daily basis than we think we should. For example, while I'm on meds and managing reasonably well, I don't feel like forcing myself to take fifteen minutes to meditate or to actually practice the mindfulness techniques I've read about.

Artista - as you said, it's not so easy when you're in it. I'm willing to bet most (all?) of us can relate to that. I had a friend who carried a 'worry stone'. There was a natural groove in the stone. Over the years, the groove grew noticeably deeper. ;) In the situation you describe (first paragraph), I'm wondering if there is a way to deal with or prevent that 'inability to do much of anything', or if we should learn to go with the flow. Either way, thank you for your insights!

AdamAnt - I'm all out of valerian. And I've noticed. :( It does take the edge off, even if I'm downing seven or eight capsules at a time. I need to try that St. John's Wort. Don't underestimate natural remedies.

James B - You've also been thinking about archery? I've wanted to get into it for years, even if it's more of an interesting niche hobby than a typical team sport. I like the coordination and focus it requires. . . and the muscle-building. It's a workout for the upper arms, but take it at your own pace, with the right weights and tension and all that; an expert should be around to help outfit you, not that I expect you'll need it.

Taking on new creative challenges to survive an inescapable situation is an excellent point. I understand where you're coming from. I'd be interested in reading a post on that subject alone. I mean, to give an extreme example, creative challenges have been a major way for prisoners (including the unjustly imprisoned) to stay sane.

Anni - This is one of the posts where I know I could build on what you've said, where I can relate, but I'm too distracted and on edge to really get at the undercurrents of thought. You had the self-discipline to carry out that routine for years on end; then you mentioned grounding, centering and visualization. It kept you healthy (and still does). There you go: it works. One of my questions to the person who PMed me was whether or not a routine (running; grounding; meditation) keeps working over the long term, or better yet, whether regular meditation and calm mindfulness might help desensitize the overactive stress circuits over the years. I ought to find out for myself. :p

The point is that it works and the general techniques are adaptable. While I'm hiking or running, I'm purposely noticing and ignoring negative thoughts. I won't go into too much detail about what works for me, but I do relate quite a bit to what you wrote.

I also use grounding and visualization. Nothing New Age-y about it! Thank you for mentioning it. I'm going to ask about supplementing my med routine with something to get me off the ground. And benzodiazepines are always a backup strategy. (With me, the adrenaline is way over the top. Take sedatives, go for an intense run for an hour, and come home physically tired but still on edge.)

MariaMaria - Thank you. You helped me to hit a goldmine when I googled the term "deep chronic tension", but your point is that pain can be somatic and we need some kind of physical release. I'll look into TRE and body-centred therapies. I'm active, so that idea works for me. Avoiding coffee and alcohol (to the extent we can) is good advice in general. I feel as if I need caffeine because of my underlying sleep disorder, but on days when I'm too busy to stop for my usual coffee(s), I'm noticeably calmer -- and sometimes I can even fall asleep without meds!

I'm going to experiment, read, and keep journalling, but I don't know if I'd be posting here today if if weren't for the information, kind advice, and support I've found here. As always, thanks for commenting.
 
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