Copyright © 2005 by Laurie Helgoe, Laura Wilhelm, and Martin Kommor Cover and internal design © 2005 by Sourcebooks, Inc. Cover photo © Getty Images Author photo credits: Laurie A. Helgoe: Steve Payne; Laura R. Wilhelm: Rick Lee; Martin J. Kommor: Lynette Lee Sourcebooks and the colophon are registered trademarks of Sourcebooks, Inc. All rights reserved. No part of this book may be reproduced in any form or by any electronic or mechanical means including information storage and retrieval systems—except in the case of brief quotations embodied in critical articles or reviews—without permission in writing from its publisher, Sourcebooks, Inc. This publication is designed to provide accurate and authoritative information in regard to the subject matter covered. It is sold with the understanding that the publisher is not engaged in rendering legal, accounting, or other professional service. If legal advice or other expert assistance is required, the services of a competent professional person should be sought—From a Declaration of Principles Jointly Adopted by a Committee of the American Bar Association and a Committee of Publishers and Associations This book is not intended as a substitute for medical advice from a qualified physician. The intent of this book is to provide accurate general information in regard to the subject matter covered. If medical advice or other expert help is needed, the services of an appropriate medical professional should be sought. All brand names and product names used in this book are trademarks, registered trademarks, or trade names of their respective holders. Sourcebooks, Inc., is not associated with any product or vendor in this book. Published by Sourcebooks, Inc. P.O. Box 4410, Naperville, Illinois 60567-4410 (630) 961-3900 fax: (630) 961-2168 www.sourcebooks.com Library of Congress Cataloging-in-Publication Data Helgoe, Laurie A. The anxiety answer book / Laurie A. Helgoe, Laura R. Wilhelm, Martin J. Kommor. p. cm. Includes bibliographical references and index. 1. Anxiety--Popular works. 2. Anxiety--Treatment--Popular works. 3. Panic attacks-Popular works. I. Wilhelm, Laura R. II. Kommor, Martin J. III. Title. RC531.H44 2006 616.85'22--dc22 2005012506 Printed and bound in the United States of America. VP 10 9 8 7 6 5 4 3 For Barron, Bjorn, and Josh, who keep me grounded and help me soar. —L. H. To my family—my husband Ed, my parents Yvonne and Bob, and my sister and brother-in-law Lisa and Weston. I love you all and feel so blessed to have you in my life. Thank you for everything you have given me. —L.W. To Ben Kommor, who instructs and inspires me in the tender art of fatherhood. —M. K. Acknowledgments Many thanks to our editor, Bethany Brown, for her help, patience, and dedication to quality Gratitude always to Jacky Sach, my agent. And thanks to my friends from The Writer's Village—my lifeline through the ups and downs of writing. Special thanks to my dear friends, Beth, Mimi, and Cindy, and my sisters, Julie and Becca, for just making life better. —Laurie A. Helgoe My deepest thanks are extended to the following individuals for their excellent teaching, mentorship, and support: Robert Beck, PhD, Thomas Ellis, PsyD, ABPP, Chris France, PhD, John Linton, PhD, ABPP, and Holly Cloonan, PhD. I also feel very privileged and grateful to have received training at the Albert Ellis Institute and the Beck Institute—the education, staff, fellow trainees, and overall experiences at each of these establishments were amazing. Additional heartfelt thanks to Shannon Froese, PhD, Natalie Shaheen, MD, Liz Moore, MA, Richard Granese, MD, and Esther Stephenson—your friendship always means so much to me, but your help with looking over book drafts was particularly appreciated! —Laura R. Wilhelm Many thanks to Laurie A. Helgoe, PhD, and Laura R. Wilhelm, PhD. —Martin J. Kommor Contents Introduction Chapter 1: Anxiety Basics Chapter 2: What About Stress? Chapter 3: Treating Anxiety with Psychotherapy Chapter 4: Treating Anxiety with Medications Chapter 5: Worries About Worry Chapter 6: Understanding Panic Attacks Chapter 7: Coping with Panic Chapter 8: Understanding Phobias Chapter 9: More on Specific Phobias Chapter 10: More on Social Phobia Chapter 11: Understanding Obsessive-Compulsive Disorder Chapter 12: Treating Obsessive-Compulsive Disorder Chapter 13: Understanding Posttraumatic Stress Disorder Chapter 14: Common PTSD Reactions Chapter 15: Anxiety and Life Challenges Chapter 16: Calming Your Anxiety Appendix A: Self-help Tools Appendix B: Resources Index Introduction ANXIETY: THE ALARMING EMOTION An alarm is sounding in your body. You feel as if danger is at hand, yet no one is chasing you, and no disaster threatens your safety. You may be worrying about something specific, or just feel concerned for no apparent reason. Either way, you know that the alarm is out of proportion with your present situation. Knowing this does not help. You are anxious. If you suffer from anxiety, or live with someone who does, you are aware of the trouble it can cause. The anxious person feels pressed. It's hard to think clearly. She feels the need to respond, but her responses help only temporarily, if at all. She might feel yelled at from inside. Family members get tired of reassuring her, and she gets tired of trying to explain feelings she may not even understand. Anxiety is the most common mental health complaint, and all of us have felt in its clutches at some point in our lives. Some anxiety is healthy and necessary to keep us alive; too much anxiety, however, can interfere with living well. Fortunately, we have learned a great deal about anxiety—about what makes it worse and what makes it better. The Anxiety Answer Book pulls this information together in an easy question-and-answer format, providing tools to help you reduce your anxiety and enjoy your life more.
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