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Step 8: Handle Your Worries
Written by Dr. Reid Wilson   
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Jan 12, 2009 A +  A -  RESET  

Finding Enough to Worry About

Do you ever find yourself worrying for days, even weeks, before an event? Your mind thinks it is protecting you by reviewing your performance, checking to see that you are going to act properly. Perhaps you worry more often about someone else. My friend is in the pre-first-ever-prom-of-the-oldest-daughter syndrome. For the next three weeks Ginger's mom will subject herself to the common obsessions regarding prom night. "Will she be safe? I trust her, but what about those other kids? Where exactly will they be? What about all those teens who drink? And I know she won't have sex . . . will she?"

The problem is that your mind doesn't know when to quit; the worry begins to intrude on your daily life. The more you think about it, the more anxious you become and the less competent you are at your other mental tasks.

When this occurs, start by addressing the worries as a signal. Identify and respond to the legitimate concerns. My friend already has her prom-readiness plans set, because her worries are not just noise. She will talk with Ginger of her concerns about drinking, defensive driving, and safe sex. She will have a serious talk with the young man and get a schedule of events. And the two mothers will compare notes.

It is possible that handling the legitimate concerns will end your worries. It may at least reduce them down to a manageable level. If you still have noise left, then apply any of the skills from above: thought-stopping, postponing, writing, singing. In many situations one of them will do the trick. But sometimes you may find that your worries are too intrusive and persistent, and these aren't enough to help you gain control.

If you are troubled by such a worry that tends to preoccupy your mind throughout the day, consider using the technique of daily Worry Time. This is a paradoxical technique -- meaning that it seems opposite of logic -- in which you purposely worry more instead of less. (See how irrational that sounds! That's how you know it's paradoxical.) Let's say for instance that you have been uncomfortable traveling by plane in the past and you have a flight coming up. You've already booked the flight. It's now about two weeks away, and you begin to worry every day about the flight, or how you're going to handle yourself on the flight. Here's how you would use Worry Time in such a situation.

Set aside, twice a day, about ten minutes that you have designated solely to worry about your problem. Perhaps take the first Worry Time in the morning before you go to work. Sit down in a private place and pay attention to your worries. (I'll describe how to do that in a minute.) Then, at the end of the day, perhaps right after you get off work, sit down again and designate this as your second Worry Time.

CREATING A "WORRY TIME"

  1. Set aside two daily Worry Times of 10 minutes each.
  2. Spend this entire time thinking only about your worries regarding one issue. (OPTIONS: speak into a tape recorder or talk to a "coach")
  3. Do not think about any positive alternatives, only the negative ones. And do not convince yourself that your worries are irrational.
  4. Attempt to become as anxious as possible while worrying.
  5. Continue to the end of each worry period, even if you run out of ideas and have to repeat the same worries over again.
  6. At the end of ten minutes, let go of those worries with some Calming Breaths, then return to other activities.

When you sit down for this special time, totally devoted to your worries, follow these guidelines. Spend the entire time thinking only of your worries about this topic. Think of nothing positive. Do not try to convince yourself that these worries are unnecessary, do not try to see the positive side or argue in any way whatsoever. Only introduce negative thoughts, and let those continue to come up. More and more of them! As many as you have about the topic! Every angle and aspect of your worries and fears! Just let them come up in your mind, and continue to look for more of them. And try to become as uncomfortable as possible as you review these thoughts.

If, after a while, you run out of worries, recycle the worries you have already stated. Go back to the first ones and repeat them. Your goal is to spend the entire ten minutes focused on your worries, even if you have to repeat them. It is not going to work if you say, "Well, five or six minutes have gone by, and I can't really think of anything else to worry about, so I think I'll stop here today."

No! Don't do that, because there is method to the madness here. I want you to experience, eventually, the kind of frustration that comes with not being able to generate any more new thoughts. People who worry feel as if they worry all day long, but that is not actually what happens. Their worries come in little spurts -- they argue themselves out of the worries, they reassure themselves that things will be okay, or they tell themselves to shut up, or they get distracted -- and then the worries become quiet. But a little later the worries come back, and this battle begins again.

In Worry Time you don't fight or struggle with your thoughts. You clear away your slate, set aside other thoughts, and give total and full attention to your worries. The result is that your worries diminish.

Why does it work? Because it helps you begin to shift your emotions when you think of the problem. During your first few Worry Times, you will probably become upset with your thoughts. After all, you are dwelling on your worst fears, and you are going over them repeatedly (like you usually do in the back of your mind at other times). But what happens when you review the same material in detail twice a day for days? After several days, most people complain about how hard it is to fill the ten minutes. They run out of things to say. Instead of feeling anxious, they get bored. Now wouldn't that be a pleasant change!

That is one of our primary goals. Instead of thinking about a worry and instantly feeling anxious, you begin to have other emotional responses. Your body's emergency system stops kicking in reflexively. If your worry is about airline travel, after a few days you might even catch yourself feeling good about getting to your destination more comfortably (and three days sooner than you would if you took the train).

To make those changes in your emotions you need to follow the guidelines of Worry Time carefully. For instance, don't spend any time during this ten minutes trying to convince yourself that your worries are irrational. Do just the opposite: go ahead and let yourself get worked up. Conjure up all the negative, uncomfortable and distressful feelings that coincide with these thoughts.

At the end of ten minutes, you can let go of your worries and begin to relax. Take a couple of Calming Breaths, shake off those tensions and go about your day.

Don't use Worry Time just once or twice. Ideally, you should place it in your schedule for at least ten days in a row. (This means if you are concerned about an upcoming event, make sure you start to worry early enough!) Expect that after several days Worry Time won't be able to stir up such strong emotions inside you. Don't stop then! Keep up the practice, because that's the kind of change we're looking for. Part of this design is for you to practice even when, try as you might, you can't get emotionally aroused.

There are three ways you can repeat your worries during this time. The first way is to do it by yourself, silently, by mentally repeating all your worries. The second way, which some people prefer, is to say your worries out loud, instead of silently, even if you end up talking to yourself. That seems a little silly to people, but of course you'll be in a private place with the door closed, so no one will be listening to you. I recommend that my clients speak their worries into a tape recorder. Recording may help you feel as though you were talking directly to someone instead of talking to the walls. If you try it this way, you don't need to listen to the tape when you're done. Just flip it over and record on the other side the next time.

The third way is to use a "worry coach." This is someone who is willing to listen to your worries and support you in a specific way. Here, the worrier's goal is to keep talking with as little assistance as possible.

The coach's job is to offer a question or a statement only if the worrier can't think of anything else to say. So coaches should let a few moments pass to see if the worrier comes up with another worry. If not, there are a few specific comments or questions that he or she can offer. The first one is to ask you to "say more about being worried." The second is to ask, "What else about this topic worries you?" And third, "What other topics worry you when you think about this problem?" You can see these kinds of comments or questions aren't that different from one another. They simply bring your attention back to the topic at hand, that is, "Keep worrying." The goal is to discuss your worries thoroughly and passionately.

If you run out of things to say, then the coach should say, "Tell me again about those worries you've already mentioned." When you begin to talk about the positive side of things, then the coach should interrupt and remind you to only speak about your worries. (Don't get me wrong. It's fine to reassure yourself, just not during this exercise!)



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Last Updated( Apr 15, 2009 )
reviewed by: Harry Croft, MD
Psychiatrist, HealthyPlace.com Medical Director
 

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