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How to Stop Worrying: Effective Strategies and Insights

Worrying is a common human experience, but when it becomes excessive, it can negatively impact mental and physical health. Research indicates that chronic worrying is linked to anxiety, stress-related illnesses, and diminished quality of life (Borkovec et al., 1998). Fortunately, there are evidence-based strategies to manage and reduce worry effectively.

Understanding Worry

Worry involves repetitive thoughts about potential future events, often focusing on negative outcomes (American Psychological Association, 2020). While occasional worrying can help with problem-solving and preparation, excessive worry often leads to feelings of helplessness and distress.

Strategies to Stop Worrying

1. Practice Mindfulness

Mindfulness, the practice of focusing on the present moment without judgment, is a powerful tool to combat worry. Studies have shown that mindfulness-based interventions reduce anxiety and promote emotional regulation (Hofmann et al., 2010). Techniques like deep breathing, meditation, or yoga can help individuals break free from the cycle of worry.

2. Challenge Negative Thoughts

Cognitive-behavioral therapy (CBT) emphasizes identifying and challenging irrational or exaggerated worries. Writing down worries and questioning their validity can help reframe thoughts into more realistic perspectives (Beck, 2011). Ask yourself:

  • Is this thought based on facts or assumptions?
  • What is the worst that could happen, and how likely is it?

3. Set a Worry Time

Dedicate a specific time each day to address worries. This technique, often called “scheduled worry time,” can reduce the tendency to ruminate throughout the day (Leahy, 2005). During this time, write down your concerns and brainstorm potential solutions.

4. Focus on Problem-Solving

Instead of dwelling on “what ifs,” shift your energy toward actionable steps to resolve the issue. Research suggests that problem-solving therapy can reduce anxiety and improve coping mechanisms (D’Zurilla & Nezu, 2010).

5. Engage in Physical Activity

Exercise is a natural stress reliever and mood booster. Aerobic activities, such as walking, running, or swimming, have been shown to decrease anxiety and improve overall well-being (Herring et al., 2010).

6. Limit Exposure to Triggers

Reducing time spent on activities that exacerbate worry, such as excessive news consumption or social media use, can help maintain emotional balance. Set boundaries around these activities to minimize unnecessary stress.

7. Cultivate Gratitude

Focusing on positive aspects of life can counteract worry. Keeping a gratitude journal or listing three things you are grateful for each day can shift your focus away from concerns and toward positivity (Emmons & McCullough, 2003).

8. Seek Professional Help

If worrying becomes overwhelming and interferes with daily functioning, seeking support from a mental health professional is essential. Therapists can provide tailored strategies to manage anxiety and address underlying causes of chronic worry.

The Role of Social Support

Connecting with others can also reduce feelings of worry and isolation. A supportive network of friends, family, or support groups can offer reassurance and practical advice.

While worrying is a natural response to uncertainty, excessive worry can harm mental and physical health. By practicing mindfulness, challenging negative thoughts, and focusing on actionable solutions, individuals can regain control over their thoughts and reduce the impact of worry on their lives. Incorporating these strategies into daily life can foster resilience and promote overall well-being.

This article has been written by John S. Collier, MSW, LCSW. Mr. Collier has over 25 years of experience in the social work field. He currently serves as the executive director and outpatient behavioral therapist for Southeast Kentucky Behavioral Health based out of London Kentucky. He may be reached at by phone at 606-657-0532 Extension 101 or by email at [email protected].

References

  • American Psychological Association. (2020). Understanding anxiety and worry. Retrieved from https://www.apa.org
  • Beck, J. S. (2011). Cognitive behavior therapy: Basics and beyond. Guilford Press.
  • Borkovec, T. D., Ray, W. J., & Stöber, J. (1998). Worry: A cognitive phenomenon intimately linked to affective, physiological, and interpersonal processes. Cognitive Therapy and Research, 22(6), 561-576.
  • D’Zurilla, T. J., & Nezu, A. M. (2010). Problem-solving therapy. Springer.
  • Emmons, R. A., & McCullough, M. E. (2003). Counting blessings versus burdens: An experimental investigation of gratitude and subjective well-being in daily life. Journal of Personality and Social Psychology, 84(2), 377-389.
  • Herring, M. P., O’Connor, P. J., & Dishman, R. K. (2010). The effect of exercise training on anxiety symptoms: A meta-analysis. Psychosomatic Medicine, 72(6), 465-474.
  • Hofmann, S. G., Sawyer, A. T., Witt, A. A., & Oh, D. (2010). The effect of mindfulness-based therapy on anxiety and depression: A meta-analytic review. Journal of Consulting and Clinical Psychology, 78(2), 169-183.
  • Leahy, R. L. (2005). The worry cure: Seven steps to stop worry from stopping you. Harmony.

Our Logo has meaning.

Southeast Kentucky Behavioral Health, LLC’s logo symbolically represents behavioral health and well-being through the following elements:

1. Central Figure (Orange Abstract Person): The abstract human figure with outstretched arms symbolizes growth, empowerment, and the achievement of positive behavioral change. It reflects the progress individuals can make in managing and improving their behaviors.

2. Circular Blue Border: The blue circle represents unity, stability, and a sense of completeness, emphasizing the organization’s holistic approach to behavioral health care.

3. Green Leaves: The leaves at the base signify growth, renewal, and the nurturing of healthy behaviors, highlighting the process of transformation and positive change.

4. Stars (Upper Right): The stars represent guidance, aspirations, and achieving milestones, symbolizing the support provided to clients in navigating challenges and fostering behavioral growth.

5. Year Established (2013): Including the year highlights the organization’s experience and dedication to providing quality behavioral health services over time.

6. Overall Color Scheme: The combination of blue (trust and calm), red (energy and passion), and green (healing and renewal) reinforces the focus on promoting behavioral health, positive change, and well-being.

This design conveys the organization’s mission to support individuals in achieving healthier behaviors and improving their overall quality of life.

Understanding ADHD and Its Types

Attention-Deficit/Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder that commonly begins in childhood and can persist into adulthood. It affects attention, impulsivity, and activity levels, often impacting social, academic, and occupational functioning. According to the American Psychiatric Association (APA), ADHD is one of the most common mental health conditions among children, with an estimated prevalence of 5-10% globally (APA, 2022). ADHD manifests in different forms, categorized into three primary types: predominantly inattentive, predominantly hyperactive-impulsive, and combined presentation.

What is ADHD?

ADHD is characterized by persistent patterns of inattention and/or hyperactivity-impulsivity that interfere with daily functioning or development. The exact cause of ADHD is not entirely understood, but research suggests it results from a combination of genetic, neurological, and environmental factors (National Institute of Mental Health [NIMH], 2022). Key symptoms include difficulty sustaining attention, forgetfulness, excessive talking, and acting without considering consequences.

Types of ADHD

ADHD is divided into three types based on the predominant symptoms:

1. Predominantly Inattentive Presentation

Individuals with this type primarily exhibit symptoms of inattention, such as:

• Difficulty focusing on tasks or sustaining attention.

• Being easily distracted by external stimuli.

• Frequently losing items needed for daily activities.

• Forgetfulness in daily routines.

This type is often referred to as “ADD” (Attention Deficit Disorder), though this term is no longer officially used in medical diagnoses. It is more common in girls and may be underdiagnosed due to the subtler nature of the symptoms compared to hyperactivity.

2. Predominantly Hyperactive-Impulsive Presentation

This type is marked by symptoms of hyperactivity and impulsivity, such as:

• Fidgeting or squirming when seated.

• Inability to remain seated in situations where it is expected.

• Interrupting others during conversations.

• Difficulty waiting for one’s turn.

This presentation is more noticeable in children, as they may frequently run, climb, or exhibit other inappropriate behaviors for the context.

3. Combined Presentation

The combined type is diagnosed when an individual exhibits significant symptoms of both inattention and hyperactivity-impulsivity for at least six months. This is the most common type of ADHD and can result in significant challenges in academic, occupational, and social settings.

Diagnosis and Treatment

ADHD is diagnosed based on criteria outlined in the DSM-5-TR, which requires that symptoms be present for at least six months and interfere with functioning in at least two settings (e.g., home and school) (APA, 2022). A comprehensive evaluation often includes clinical interviews, behavior assessments, and input from caregivers or teachers.

Treatment for ADHD typically includes:

1. Behavioral Therapy: Focuses on teaching strategies to manage symptoms and improve functioning.

2. Medication: Stimulants such as methylphenidate (e.g., Ritalin) and amphetamines (e.g., Adderall) are the most common pharmacological treatments. Non-stimulant medications may also be used.

3. Educational Support: Individualized Education Plans (IEPs) or accommodations under Section 504 of the Rehabilitation Act can help students with ADHD succeed academically.

ADHD is a complex and multifaceted condition that affects individuals differently depending on the type and severity of symptoms. Early identification and tailored interventions are essential to support those with ADHD in managing their symptoms and achieving their full potential. Ongoing research continues to uncover insights into ADHD, paving the way for improved understanding and treatment approaches.

This article was written by John S. Collier, MSW, LCSW. John has over 25 years in the social work field. He is currently serving as the executive Director and outpatient behavioral health provider at Southeast Kentucky Behavioral Health based out of London Kentucky. John may be reached by phone at 606-657-0532 extension 101 or by email at [email protected].

References

• American Psychiatric Association. (2022). Diagnostic and Statistical Manual of Mental Disorders (5th ed., Text Revision). American Psychiatric Publishing.

• National Institute of Mental Health. (2022). Attention-Deficit/Hyperactivity Disorder (ADHD): Overview and Diagnosis. Retrieved from https://www.nimh.nih.gov.

• Centers for Disease Control and Prevention (CDC). (2022). ADHD Throughout the Lifespan. Retrieved from https://www.cdc.gov.

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Managing the Gap Between Perception, Expectations, and Reality in Marriage: A Psychological Perspective

Marriage often begins with a blend of excitement, hope, and expectations about the roles partners will play. For many women, the concept of a husband is shaped by cultural norms, personal upbringing, and media portrayals, which can lead to a distinct perception of what a partner “should” be. However, the reality of married life often reveals that individuals bring unique traits, flaws, and complexities into the relationship that may not align with those preconceived ideals. The process of reconciling this gap is central to building a healthy, enduring partnership.

Perceptions and Expectations of a Husband

The perception of an ideal husband varies across cultures and individuals. Studies suggest that traditional expectations of a husband often include emotional support, provision of financial security, and shared domestic responsibilities (Fowers, 1998). These perceptions are shaped by societal roles and personal experiences, including family dynamics witnessed during childhood. For instance, a woman raised in a household with a nurturing and present father may expect similar traits in her spouse.

Media also plays a significant role in shaping these perceptions. Romantic comedies and novels often depict husbands as highly attentive, emotionally available, and consistently fulfilling their partner’s needs. While such portrayals can be aspirational, they may inadvertently set unrealistic benchmarks that are difficult for real individuals to meet.

Adjusting to the Reality of Marriage

Marriage, as psychologists emphasize, is a journey of understanding and acceptance rather than perfection. When a husband does not fit the initial mold envisioned by his spouse, the process of adjustment requires several critical steps:

1. Acknowledging Differences: Research shows that the ability to tolerate differences in personality and behavior is key to marital satisfaction (Gottman & Silver, 1999). Recognizing that no partner can fully embody every ideal trait helps reduce feelings of disappointment.

2. Developing Realistic Expectations: Unrealistic expectations can lead to dissatisfaction and conflict. A study by Fletcher et al. (2000) highlights the importance of developing realistic views of a partner’s strengths and weaknesses, which fosters a sense of acceptance.

3. Improving Communication: Open communication is crucial for bridging the gap between expectations and reality. Partners who express their feelings, needs, and concerns constructively are better equipped to address misaligned expectations.

4. Cultivating Empathy and Patience: Adjusting to a partner’s traits requires empathy and patience. Understanding the reasons behind certain behaviors—whether shaped by past experiences, stressors, or personal insecurities—encourages a compassionate perspective.

5. Shared Growth and Compromise: Successful marriages often involve mutual growth. Both partners must be willing to compromise and adapt to each other’s evolving needs (Karney & Bradbury, 1995).

The Role of Cognitive Reframing

Cognitive reframing is a psychological technique that can help individuals manage unmet expectations. This approach involves shifting one’s mindset from focusing on a partner’s shortcomings to appreciating their positive traits. For example, instead of fixating on a husband’s lack of romantic gestures, a wife might focus on his consistent efforts to provide stability and support. Cognitive reframing has been shown to increase relationship satisfaction and reduce conflict (Fincham & Beach, 1999).

Building Resilience in the Marriage

The ability to adapt to the realities of marriage is closely tied to emotional resilience. Resilient couples are better equipped to navigate disappointments and build a partnership that transcends initial expectations. Key strategies for fostering resilience include:

• Fostering Gratitude: Regularly expressing gratitude for one another’s contributions strengthens emotional bonds.

• Seeking Professional Support: In cases where expectations and reality create significant distress, couples therapy can provide valuable tools for resolving conflicts and rebuilding trust.

• Focusing on the Bigger Picture: Long-term marital success often depends on focusing on shared values, goals, and commitments rather than minor discrepancies in behavior or personality.

Conclusion

The journey from perception to acceptance is a hallmark of marital growth. While initial expectations about a husband may be shaped by societal norms and personal ideals, the reality of marriage often requires flexibility, empathy, and open communication. By embracing their partner’s unique qualities and addressing differences constructively, women can build a fulfilling partnership that transcends unrealistic ideals. Ultimately, the strength of a marriage lies not in perfection but in the shared commitment to understanding, growth, and love.

This article has been written by John S. Collier, MSW, LCSW. John has over 25 years in the social work field. He currently serves as the executive Director and outpatient provider at Southeast Kentucky Behavioral health based out of London Kentucky. John may be reached at 606-657-0532 extension 101 or by email at [email protected]

References

• Fincham, F. D., & Beach, S. R. (1999). Conflict in marriage: Implications for working with couples. Annual Review of Psychology, 50(1), 47–77.

• Fletcher, G. J., Simpson, J. A., & Thomas, G. (2000). The measurement of perceived relationship quality components: A confirmatory factor analytic approach. Personality and Social Psychology Bulletin, 26(3), 340–354.

• Fowers, B. J. (1998). The limits of a technical concept of a good marriage: Exploring the role of virtue in communication skills. Journal of Marital and Family Therapy, 24(1), 15–28.

• Gottman, J. M., & Silver, N. (1999). The seven principles for making marriage work. Three Rivers Press.

• Karney, B. R., & Bradbury, T. N. (1995). The longitudinal course of marital quality and stability: A review of theory, methods, and research. Psychological Bulletin, 118(1), 3–34.