Milwaukee Journal Sentinel

Yoga, meditation and therapy can help relieve anxiety

- CAROLYN HAX Email Carolyn at tellme@washpost.com. Washington Post Writers Group

Adapted from a recent online discussion:

Carolyn: I think I may have an undiagnose­d case of anxiety. I often have panic attacks that seem to begin when some fears I have are triggered. My spouse says I have a tendency to rationaliz­e my fears — which he believes are unreasonab­le — whenever I begin to spiral down a deep black hole of fear.

I’m not sure what to do. I’ve noticed that I become quite distressed when confronted with situations that I cannot control and try to overcompen­sate by trying to control whatever I can. I barely even leave the house now.

Can you recommend some reading to help me deal with this? I can’t afford therapy right now but I’m tired of crying and being afraid of everything.

— Stressed and Afraid

Stressed and Afraid: I’m so sorry. A start-right-now answer: If you can stream video at home, then you have access to instructio­n in yoga and meditation. These can bring immediate and proven stress-reduction benefits, to the extent it’s almost shocking — you can feel muscles start to unclench.

Certainly it’s better as a beginner to have someone work with you in person, but if you stick to the very-beginner videos then you might reap enough benefits to get you out the door to a class.

The longer-term answer: You’re in crisis so please pursue therapy anyway, by seeking a provider who will work on a no-fee or sliding-fee basis. Your regular doctor can diagnose and start treating you in the meantime.

If either you or your spouse has employer-provided benefits, then see whether you’re covered by an Employee Assistance Plan. If not, then find out whether your local hospital or a nearby medical school offers a clinic. You can also check with the American Psychologi­cal Associatio­n ( apa.org) to see if there are providers locally who offer reduced-cost treatment. A support group might be a viable low-cost or no-cost option as well. NAMI ( nami.org) can help you find one.

To get more informatio­n on anxiety, NAMI also has a helpline, (800) 950-NAMI, and its site includes general informatio­n on various mental health conditions. The Anxiety and Depression Associatio­n of America — adaa.org/findinghel­p — does too, and provides a list of recommende­d reading material, as you requested.

Navigating all this is a tall order while you’re feeling anxious, possibly even overwhelmi­ng, so ask your spouse to help you. I hope he also does some reading himself; dismissing your fears as “unreasonab­le” is not productive, even if he is technicall­y correct that logic doesn’t support them. That you now barely leave the house says this is a matter for treatment, not just factual correction.

If willing, your spouse can help by adopting “reflective listening” techniques, ideally with a therapist but also with Dr. Google if needed. Reflective listening is a way to validate someone, where calling fears unreasonab­le or rationaliz­ed only negates — plus, it encourages you to talk your way to what’s really bothering you, and therefore to a calmer state of your mind’s own making.

If your spouse is not willing to try this small adjustment to help you, then you might need to consider that a lack of support in your marriage is at least a small part of what ails you.

Take care and please let us know how it goes.

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