II. Management: General

  1. Offer Reassurance
    1. Not a serious physical disease
    2. Not insanity
    3. Not a sign of weakness or failure
    4. Not childishness or overdependency
    5. Not life-threatening
  2. Encourage Acceptance of anxiety as a life-long problem
    1. Innate response with years of reinforcement
    2. Complete calm always is unrealistic goal
  3. Set Goals for Therapy
    1. Decrease level of anxiety and maintain at low level
    2. Modulate future symptom responses
    3. Increase functioning

III. Management: Lifestyle Modification

  1. Daily Physical Exercise
    1. Walking
    2. Tennis
    3. Aerobics
    4. Bicycling
  2. Improve sleep quality
    1. Establish good Sleep Hygiene
  3. Consider new hobbies
  4. Avoid harmful intakes (See Anxiety Secondary Causes)
    1. Avoid Alcohol use
    2. Avoid Tobacco use
    3. Avoid Caffeine
    4. Avoid Substance Abuse

IV. Management: Psychotherapy

  1. Background
    1. Optimal effects are after 8 weeks of weekly sessions
    2. As effective as medication for the treatment of Generalized Anxiety Disorder and Panic Disorder
  2. Goals
    1. Increase self confidence
    2. Increase self control
    3. Promote emotional growth
  3. Specific areas of education
    1. Teach coping skills and Conflict Resolution
    2. Encourage patient to express themselves
  4. Practice goal directed behavior
    1. Redirect energy and creativity
    2. Identify a new source of fulfillment
  5. Cognitive Behavioral Therapy
    1. Systematic desensitization
    2. Recognize, Reexamine and replace anxious thoughts

V. Management: Mindfulness and relaxation

  1. See Relaxation Training
  2. Mindfulness-based stress reduction
  3. Progressive Muscle Relaxation
  4. Relaxation Training
    1. Meditation
    2. Yoga
    3. Self-Hypnosis
  5. Biofeedback
  6. Breathing retraining (arousal reduction)
    1. Take a deep breath
    2. Let breath out through pursed lips

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Ontology: Anxiety counseling (C0730436)

Concepts Therapeutic or Preventive Procedure (T061)
SnomedCT 313087008
Spanish asesoramiento sobre ansiedad (procedimiento), asesoramiento sobre ansiedad (régimen/tratamiento), asesoramiento sobre ansiedad
English Counselling for anxiety, Counseling for anxiety (procedure), Counseling for anxiety, Anxiety counseling, Anxiety counselling, Anxiety counselling (procedure), Anxiety counselling (regime/therapy)