The Anxiety Toolkit: A Review

I just HAD to write a review of this new book!
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Breaking the rumination habit

You’ll never plough a field by turning it over in your mind ~ Irish Proverb

Rumination is derived from the Latin for chewing the cud. The term applies to the process of turning something over and over in our minds. Rumination involves reflection and brooding. Reflection can be helpful, as it can lead to solutions or help identify and process what we feel. But when reflection is associated with ongoing and repeated negative thoughts this is unhelpful.The tendency to dwell on negative thoughts can impair thinking, problem solving and drive away social supports.

To ruminate is common. We all have the experience of ruminating on personal losses, and trying to understand what happened to us. For most, the rumination is brief. It’s when the frequency increases and influences our enjoyment of life that this process becomes destructive. The negative thoughts are often related to past upsetting events, unresolved concerns, or perceived inadequacies.

States of anxiety and depression affect our sense of self- confidence, enjoyment of relationships and life. To help negotiate these states it helps to understand factors that contribute, allow emotional healing, and identify and regain a balanced sense of self. This is the basis of ‘talking’ therapies. Many who experience ongoing rumination report that the negative thoughts have a ‘life of their own’ and can be viewed as habitual or compulsive. The talking therapies help treat the complexity of depression and anxiety, but a more direct approach is likely to help change the habit of rumination. A habit is defined as a behaviour performed automatically when there is a repetition between a situation (cue) and the behaviour (negative thoughts). The cues linked to sustaining the habit over time become resistant to change.

There are several evidence based self-management approaches that help break the rumination habit. Firstly commit to a goal. Be clear that reflecting and pondering on an issue may have helped initially but this process is not serving you well now. Visualise success i.e. what life would be like with reduced levels of rumination e.g. being more engaged in the moment, less stressed. Be your own researcher and self-monitor your behaviour, and trial strategies to break the habit. For a week, keep a record of when you ruminate and what triggers this. There will always be a pattern. The triggers may be the time of day (more common early morning and late evening), a location e.g. the bedroom, a prior action e.g. talking about someone, a piece of music. The trigger can also be a change in body sensation or feeling e.g. sensations of heat, tension, abdominal churning or feeling tired or low. Once the cues have been identified aim to alter or remove them. If the cue is being inactive, aim to do something e.g. walk, Sudoku, Zentangle. If sad music triggers the rumination, play something different. And if tension leads to the rumination learn ways to relax. Just the ability to relax and distract has been shown to be effective in changing the pattern. Identify what action is most effective in modifying the trigger and practice this daily. It usually takes four months to change a habit and to sustain the change, so be patient. Any reduction in negative rumination is a plus.

Utilising and developing our capacity to be Mindful is also recommended. Mindfulness involves focusing attention in the present moment and in a non-judgemental way. We all have regular ‘Mindful’ moments. Examples are watching leaves fluttering in the wind, the feeling of a light breeze on our faces, the awareness of the sensations as our bodies begin to relax. Repeated Mindfulness awareness helps us learn to focus in the moment, to observe sensations and thoughts and ‘let them pass.’ With practice this awareness helps to change the rumination habit.

The ploughing metaphor from the Irish proverb suggests that dwelling on an issue doesn’t get the job done. Understanding ways to manage and change the rumination habit allows us to get on with what we choose to do, and boosts our positive emotional energy and well-being.

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CBT for Earthquake Anxiety

The earthquake of September 4th 2010 and again on February 22nd 2011 have had a significant effect on most people living in Canterbury.
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Mindfulness

The western world is relatively new to the practice of mindfulness,
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When does a Collection become a Hoard?

There’s a complicated relationship between people and their stuff, and this relationship can lead people to become compulsive hoarders.
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Post Traumatic Stress Disorder

In recent times, there appears to have been an increasing number of natural disasters occurring, such as the earthquakes in Haiti, Chile, China, and the tsunami experienced in Samoa last year.
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Depression: Post-natal

There is a myth that motherhood is always wonderful, and that all other mothers cope magnificently. Unfortunately, there is a stigma attached to not coping, and mothers are reluctant to say when things are not going well.
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Anxiety: Social anxiety

Most of us at some point may feel self-conscious and anxious during social situations. Perhaps when talking to someone who appears very confident or to the good-looking person at the local coffee shop. However, some people can experience continuous self-consciousness and anxiety before and during social interactions.
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Breathing and relaxation techniques

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SLOW BREATHING

  1. Breathe in through your nose for a count of three seconds (one-one-thousand, two-one-thousand, three-one-thousand). Concentrate on filling the bottom of your lungs, not the top.
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