Satellite Carers’ Self Advocacy Toolkit Dealing with anxiety Dealingwithanxiety SATELLITE Dealingwithanxiety Afirststepindealingwithanxietyisrecognisingthatyouexperience anxiety.Asecondisbeingwillingtomakesomechangesinyourlife.Itis alsousefultobeabletoidentifythethingsthattriggeryouranxietyandto worktochangethosethingsasmuchaspossible.Forexample,ifyouknow thatyoudrinkmorethan6cupsofcoffeeaday,youcanmakestepsto reduceyourcaffeineintake.Ascarers,therewillbethingsthatyoucan’t changeverymuch,suchasbrokensleep,beingoncallforlargeamountsof timeandworriesaboutthepersonyouarecaringfor,soit’simportantto berealisticabouthowmuchyoucanalter.Buttheremaybemorethings youcandotomanageyouranxiety. SelfHelp AgoodfirstoptionmightbetolookatsomeselfͲ helpmaterialsavailablefromyourlibrary,GP surgery,hospitalorlocalcarerscentre.Therearea numberofonlineresourcesandorganisations(see usefulcontactsbelow)thatcanhelpyoulearnmore aboutyourownanxietyandhowyoumightbeable todealwithit. Medication Severaltypesofmedicationareavailabletotreat anxiety.YourGPwillbeabletodiscussmedication withyou.Youcanalsofindoutalotabout medicationfromleaflets,websitesandtelephone helplines(seeusefulcontactsbelow). TalkingTherapies Talkingtherapygivesyoutheopportunitytodiscuss youranxietywithsomeonewhoistrainedinthis areaandwhoyoucanspeaktoconfidentially.They canhelpyoufaceyouranxietiesanddevelop strategiestoovercomeortoatleastmanageyour anxiety.Youmaybeabletoaccesscounsellingvia yourGP. ͳ Takingtimeout Ifyouarefeelinganxious,sayduringameeting,try andtakefiveminutesouttocalmyourselfandtake afewdeepbreaths.Havealookattherelaxation techniquesdescribedbelow. RelaxationTechniques Whetheryouareinareviewmeetingfortheperson youarecaringfor,orarefindingittoughgoingat home,usingrelaxationtechniquescanhelpyoufeel moreincontrolandareusefulinmaintainingyour longtermhealthandwellͲbeing.Toeffectively combatstressandanxiety,youwillneedtoactivate thebody’snatural‘relaxationresponse’. Therelaxationresponseiswhenthebodystops producingadrenalin.Theheartrateslowsdownto anormalpaceandbreathingbecomesnormal. Musclescanrelaxandnormalbrainactivity resumes,soweareabletothinkthingsthrough better,ratherthanfocusingonfleeingorfighting. It’snotpossibleforapersontoberelaxedand tenseatthesametimesoifyouarefeelingrelaxed, BEINGHEARD:ASELFADVOCACYGUIDEFORCARERS Dealingwithanxiety youprobablywon’tbefeelinghighͲlevelanxietyas well. SATELLITE x x Thereisnosinglerelaxationtechniquethatsuits everyone,soitisamatteroffindingonethatsuits youandyourroutine.Tofindtherighttechnique foryoutopromptyour‘relaxationresponse’you willneedtobeawareofhowyourespondtostress andanxiety. x x x x Howdoyoureacttostressfulsituations? Doyoutendtobecomeangry,agitatedorkeyed up? Youmayrespondbesttorelaxationtechniquesthat quietenyoudown,suchasmeditation,deep breathingorguidedimagery. Doyoutendtobecomedepressed,withdrawn,or spacedͲout? Youmayrespondbesttorelaxationtechniquesthat arestimulatingandthatenergizeyournervous system,suchasexercise. DoyoutendtofreezeͲspeedupinternallywhile slowingdownexternally? Relaxationtechniquesthatprovidesafetyand stimulationmayhelpyou‘reͲboot’.Techniques suchasmindfulness,walkingorpoweryogamight workwellforyou. Doyouneedtimealoneortimewithothers? Ifyoucravesolitude,techniqueslikemeditationor progressivemusclerelaxationwillhelpquietyour mind.Ifyoulikecompany,ayoga/relaxationclass maybeforyou. Meditation Belowareafewpopularrelaxationtechniquesfor youtotryout.Formoretechniques,visityourlocal libraryorcallyourcarerscentre.Togetthemost outofit,it’sbesttopracticeyourrelaxation techniqueasregularlyaspossible.Ifpossibleit‘s bestdotoitatatimewhenyouwon’tbedisturbed. Breathingmeditation Tocontrolyourbreathingwhenyoufeelanxious: ʹ x Placeonehandonyourchestandoneon yourstomach Repeatahelpfulwordlike‘calm’or‘relax’ outloudorinyourhead Breatheinthroughyournoseusing1,2,3 slowly Breatheoutthroughyourmouthcounting 1,2,3 Aimtodothisforatleastfiveminutes Keepyourwholebodyrelaxedwhiledoing this It’sagoodideatopracticethiswhenyouare notfeelinganxiousasitdoestakeawhile beforeitwillworkinasituationofhigh anxiety Deepmuscularrelaxation Lie down or sit in an arm chair, your eyes open. Observe your breathing. When you feel settled clench your fists for a few seconds while you breathingin.Beawareofthetensioninthehands. Then, when you breathe out, relax the hands and beawareofthemrelaxingandthebloodcirculating around. Work around your body (see below) tensingontheinbreath,beingawareofthetension andthenrelaxingontheoutbreath,noticinghowit feelsforthattensiontohavebeenreleased… Arms Shoulders Neck Neck(2) Chest Stomach Lowerback Bottom Thighs Frontoflegs tightenbicepsandlowerarms togetherwithoutthehands raiseyourshouldersasifthey couldtouchyourears stretchyourheadupasifyour chincouldtouchtheceiling bendyourheadforwarduntil yourchinreachesyourchest tightenallyourchestmuscles holdyourstomachmusclesin tight pressthesmallofyourbackinto thefloor/thechair clenchyourbuttockstogether tightenthethighswhilepressing yourkneesdownontothefloor pointyourfootawayfromyouso thatitisalmostparallelwith yourleg BEINGHEARD:ASELFADVOCACYGUIDEFORCARERS Dealingwithanxiety SATELLITE Backoflegs flexyourfeetupwards, stretchingyourheelsdown Feet screwupyourtoes MouthandJaw pressyourlipstogetherand clenchyourteeth Eyes shutthemtight Head raiseyoureyebrowsashighas youcan Face screwupallthemuscles together Guidedimagery Somepeoplefindthattheystillhaveanxietyintheir mindseveniftheyarephysicallyrelaxed.Ifthis happenstoyou,makealistofplacesorsituations thatyoufindcalmingorrelaxingandimaginethat youareinoneofthesesituations.Don’tworryif theimageskeepchanging.Justguidetheimages intocalmwatersandawayfromsourcesoftrouble. Forexample,youcouldbeimaginingacalmspoton thebanksofariveroranotherfavouriteplaceyou havebeentoandfeltrelaxedin.Ifyoufindyour mindwanderingtowardstoday’sproblems,gently bringyourattentionbacktotheriverbank… Mindfulness ContactusfortheSatelliteonMindfulness Dealingwithanxietyinpracticalways Letpeopleknowyouhaveanxiety Sothattheycanunderstandyouandhelpyoukeep calm,giveyoutimetobecomecalm. Distraction Thinkingaboutthephysicalsymptomsofanxiety willonlymakethemworse.Sometimes,itmaybe usefultothinkaboutsomethingelse.Some techniquesthatmightbehelpfulare;readingor talkingtosomeone,mentalgames,suchascounting backwards,ordescribingwhereyouaretoyourself ingreatdetail. ͵ Usefulcontacts AnxietyUK–08444775774 NoPanic(ObsessiveCompulsiveDisorder OCD)–08001388889 BEINGHEARD:ASELFADVOCACYGUIDEFORCARERS
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