Self-Management of Depression

Anxiety tends to be pervasive and it can interfere with your daily life. A helpful technique to prevent worry from distracting you from the task at hand is to create a fixed daily “worry time” and postpone your worries to that time (Lewinsohn et al., 1986). The purpose of this activity is not to avoid thinking about the things that worry you, but to let you decide when the best time is to focus on the worries. Individuals with anxiety, especially generalized anxiety disorder, have excessive worry about many different aspects of their daily life and this lack of a specific trigger for anxiety makes it harder for these individuals to gain control over their worries. Worry time offers a way for these individuals to gain more control over their anxiety through a psychological process called stimulus control. When people with generalized anxiety disorder worry throughout the day, the worry becomes associated with many places, times, and/or situations. Over a period of time these places, tim...

Are You Worrying About Not Sleeping? If you are prone for insomnia, then you are already going to bed preoccupied with getting to sleep quickly and obtaining as much sleep as possible. You also worry about the impact of sleep on your physical health and daytime functioning. These excessive worries and ruminations trigger in you a state of physical arousal and emotional distress through activation of the sympathetic nervous system similar to the fight-or-flight response. This arousal and anxious state then narrows your focus to attend to and monitor for sleep-related cues such as: Body sensations for signs consistent with falling asleep: slowing of heart rate and loss of muscle tone.  Body sensations for signs inconsistent with falling asleep: heart pounding quickly and muscle tension.  Surroundings for signs of not falling asleep: noises outside and inside the house.  The clock to see how long it is taking you to fall asleep: “It is 1:30 a.m….I have been trying t...