If you want to prevent anxiety as we enter the new year, better self-care may be on your list of resolutions. But how quickly do we veer off course when we set lofty expectations for ourselves? I’d like to offer some tips to help you build a self-care practice to prevent anxiety without exacerbating it in the process.

I recently attended a rational emotive behavior therapy (REBT) training and I began thinking more about using it to reduce my own anxiety. Rational emotive behavior therapy, the first form of cognitive behavioral therapy (CBT), was developed by Albert Ellis in the 1950s. The REBT approach encourages us to dispute irrational thinking to develop healthy emotional self-regulation.

Limiting beliefs and thoughts are often at the root of social anxiety. If we trust these limiting beliefs, we give our thoughts undue power. Cognitive restructuring is one technique used in cognitive behavioral therapy (CBT) to treat social anxiety.

Evidence shows that using cognitive behavioral therapy (CBT) to treat anxiety works. Cognitive behavioral therapy focuses on replacing maladaptive thoughts and behaviors with positive, healthy ones. Patients are taught to recognize, question, and refute negative behaviors and thought patterns, and then to replace them with more adaptive versions. By learning to do this, we engage in new ways of thinking and acting. Using CBT to treat anxiety helps us more effectively manage our anxiety symptoms. 

Fear denied, repressed, suppressed, or put out of mind is not fear extinguished. Treating anxiety: 'as if' I've been told that acting 'as if' I'm not nearly as anxious as I am is a helpful thing. It's also dangerous. As with almost any technique sometimes is fine but if you're anything like me and you'll do whatever you have to do to be able to put your anxiety aside and function, and if what you want is to go on with as much of life as you can, uninterrupted by fear, then it can become destabilizing.

On a scale of 1-10 how annoying is it when therapists ask questions which sound more like triage than psychotherapy? One of my commenters took me to task for not talking much (or indeed at all) about the behavioral side of  cognitive behavioral therapy (CBT) in a recent post. I shall now regale you with exciting tales of behavioral psychology in order to rectify the situation. Or not, since I expect your definition of exciting extends a touch beyond this topic. My somewhat love-hate relationship with the B part of CBT aside, the real question is what works.

One of the things that drives me crazier than usual is this notion that anxiety is in overwhelming proportion amenable to rational thought on the part of the person suffering from the anxiety disorder. It's a persistent idea. It's also wrong. Cognitive behavioral therapy: What they don't tell you, why you should find out

Feel free to question my emotional competence but I'm not insane. For that matter, most people with mental illness are not insane. This may be obvious but for many it's not. Anyway, how many times have you thought, 'oh goodness, I must be really losing it this time' during the course of mental health difficulties? It's a common concern that can dramatically increase the amount of anxiety a person experiences. It may also inhibit their ability to trust, and to ask for help.

Happy is what brings healthy, and viceversa, so it can't be that much of a surprise anxiety and depression have had some pretty rough consequences on my health; High blood pressure at 25, on-and-off flings with anemia, near-constant sleep deprivation. I may as well have an imp bouncing up and down on my kidneys whilst someone tells my nervous system to pump out all the stress hormones its got, so I can feel normal, or at least prepared. Like a Girl Scout on crack. That's PTSD hypervigilance for you. It's also that sometimes our bodies express what we are otherwise unwilling, or unable to say.

On acceptance, anxiety and guilt Life with mental illness isn't always fun. Not just because I have a real illness, and that real illness really does affect my life but because some folks have trouble accepting this. I'm not entirely sure why except they don't like the thought that someone with mental illness can "zomg, look just like them," and still be quite unwell. That's the thing about invisible illness: Once revealed, people around you may feel conned, manipulated, lied to. Even though you've done nothing wrong. Yeah, I'm guilty of being unwell in the general vicinity, of having mental health issues and having a life anyway. Sorry about that. Next time I'll wear my "mentally interesting" t-shirt so you can detect the crazy, before it gets in your Coke. *passes the tin-foil hat*