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The Anxiety Book: Developing Strength in the Face of Fear

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Do you have unhealthy anxiety? Do you suffer from sleeplessness, irritability, trouble relaxing, difficulty in concentrating, or fear of ambarrassment? From Dr. Jonathan Davidson, director of the Anxiety and Traumatic Stress Program at Duke University Medical Center and one of the most respected experts on anxiety disorders, comes the definitive and solution-filled book about anxiety. The Anxiety Book offers self-assessment tests and serves as a comprehesive treatment guide for one of the most common health concerns in America.

320 pages, Paperback

First published March 10, 2003

21 people are currently reading
75 people want to read

About the author

Dr. Jonathan Davidson is a professor of psychiatry and Director of the Anxiety and Traumatic Stress Program, Duke University Medical Centre (Durham, NC).

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Displaying 1 - 10 of 10 reviews
Profile Image for Keith.
966 reviews63 followers
November 27, 2021
What a small delight to find this quotation in the introduction:
"I have lived a terrible life, most of which has never happened."
Mark Twain (per Book: The Anxiety Book p. vii)

This book has many examples of how people worked through their anxiety.

The Anxiety Solution: Five Levels of Healing
“I find that a combination of elements often generates a deeper. And more lasting freedom from. chronic anxiety.”
1- Change your fearful beliefs
2- Vacinate your anxious mind - exposure therapy
3- Develop serenity skills
4- Medications
5- Diet, exercise and herbs
(Page 17-19)

"In recent years, I have found, both in my experience with patients and in some revealing research, that people who overcome anxiety through various healing solutions, including state-of-the-art anxiety medications, actually change in fundamental ways. Most important, I believe, they become more resilient-able to bounce back from life's inevitable stresses, losses, and challenges." (Page 20)

“Do you have GAD (Generalized Anxiety Disorder)?
1- Am I usually restless, keyed up, or on edge?
2- Do I tire very easily?
3- Do I have trouble concentrating? Does my mind easily go blank?
4- Am I irritable much of the time?
5- Do I have a lot of muscular tension and aches or pains caused by this tension?
6- Do I have trouble falling and staying asleep? Is my sleep very restless?
Technically, if you have GAD, you. experience at least three of these six symptoms, if they are relatively persistent...; if they impair your ability to function or to feel good; and they've lasted six months or more." (Page 26)
A more complete test is on page 33-34.
The Social Anxiety test is on pages 44-45.
The Panic Disorder self-test is on pages 56-57
The Post Tramatic Stress Disorder self-test is on pages 71-72
The Resilience Self-test is on pages 278-279

"Insomnia is among the most prevalent of symptoms [of GAD]." (Page 29)

OCD
"One of my parents, Marcy, insisted that her husband change his clothes every time he came home..." "Another patient... was a hoarder who never threw out any newspapers.." (Page 75)

Chapter 3: Solution 1: Change Your Fearful Beliefs
Mind Shifts: Rational Response for General Anxiety
Step 1. Find the Culprit (Page 89, 103, 115, ...)
Step 2. Peel the Onion (Page 91, 105, 116, ...)
Step 3. Reality Check (Page 93, 107, 117, ...)
Step 4. Rational Response (Page 94, 109, 117, ...)



Chapter 4: Solution 2: Vaccinate Your Anxions Mind - Exposure Therapy
"It is most helpful to perform exposure exercises with the help of a therapist and the assistance of a support person." (Page135)
1- Prepare and set goals (Page 136)
2- Create an exposure hierarchy (Page 136)
3- Practice exposure, recover, and repeat (Page 137)

"Three factors critical to successful processing of trauma are:
1- Emotional engagement with the memory of the event
2- Organizing the story of what happened
3- Connecting the erroneous cognition that are attached to the tramatic experience" (Page 153)

"While it is uncertain whether "false memory syndrome" was extremely rare or widespread, it certainly did occur, and may still occur when unscrupulous or overzealous practitioners are paired with highly vulnerable patients. (Page 155)

“ When Sybil first came out in 1973, not only did it shoot to the top of the best-seller lists — it manufactured a psychiatric phenomenon. The book was billed as the true story of a woman who suffered from multiple personality disorder. Within a few years of its publication, reported cases of multiple personality disorder — now known as dissociative identity disorder — leapt from fewer than 100 to thousands. But in a new book, Sybil Exposed, writer Debbie Nathan argues that most of the story is based on a lie.”
https://www.npr.org/2011/10/20/141514...

Ten guidelines for Imaginary Exposure for PTSD are on page 156-158

Chapter 5: Solution 3: Developing Serenity Skills
The importance of relaxation (Page 166)
Simple Mediation (Page 168) 'at least once a day for 15 - 20 minutes'
Visualization (Page 169)

Spiritual Growth and Prayer ... "can add a potent dimension to treatment for anxiety -" (Page 171)

Progressive Muscle Relaxation for GAD (page 174)

Imaginative Peace: Visualization for GAD (Page 178)
"Before you start, do abdominal breathing and progressive muscle relaxation to clear your body of tensions and your mind of clutter. Then read the script to yourself, have someone else read it to you,, make a tape you can listen to, or order Dr. Rossman's tape of the exercise (call. 800-276-2070)." (Page 179)

Going Deeper Within: Staircase Imagery (Page 180)

Worry Time: Yes, It's a Serenity Skill (Page 181)
"Limit your worrying to 15-30 minutes each day, once a day." (Page 182)

Some pages on breathing & relaxation & mindfulness, Body Scan, Loving Kindness mediation,

Chapter 6: Solution 4: Medications

SSRI "have a broader spectrum of action ... and are better tolerated than older anti anxiety angents." (Page 209)
Tricyclic antidepressants were before SSRI.
Newer antidepressants ... 'Effexor-XR became the first antidepressant drug to be approved by the FDA for GAD' (Page 215-216)
He goes through the various classes of medications in chapter 6.

Chapter 7: Solution 5: Diet, Exercise, and Herbs

"All too frequently, anxiety crushes not only your spirit and your potential, but your. ability to take care of your mind and body. Many anxiety suffered neglect their bodies, eating to relieve tension ... (these) exacerbate anxiety and a sedentary lifestyle is bad not only for physical heath, but also. for psychological health. ... Self-care is both an expression and a condition of self-esteem. When you start eating healthfully and exercising regularly, you are affirming for yourself that "I'm worthwhile and my health matters." That's why dietary change an exercise must be included in any genuinely comprehensive approach to treating your anxiety disorder." (Page 246-247)

"The dietary guidelines I present are not complicated.
1- Chose healthy fats
2- Make sound protein choices
3- Cut refined sugars
4- Eat more whole Foods - fruits, vegetables, and grains." (Page 250-251)
Additional recommendations
- Eliminate coffee
- (Avoid Alcohol)
- Take a multivitamin with the full spectrum of B Vitamins (Page 251)

How might exercise reduce anxiety levels?
- Improved mood ... probably from increased endorphins
- Relaxation of tight muscles
- Elimination of chemicals ... that may cause sluggishness, fatigue, and irritability
- Beter regulation of blood sugar levels
- More efficient metabolism of excess stress hormones
- Release of pent-up frustration, anger, and other negative emotions." (Page 252-253)

He recommends 75% MHR for at least 10 minutes. (Page 253)
"But don't be intimidated by the recommendation ... First, exercise that does not achieve aerobic levels still has physical and mental health benefits. Second, you can gradually build up to aerobic exercise if you''be been sedentary for a long time or have (limitations)." (Page 254)

"The best advice I can offer regarding your exercise is this: Give yourself a chance to develop a routine that is truly pleasurable." (Page 255)

Chapter 8: Resilience: Live Beyond Anxiety

"The Wizard of Oz ... character exemplify all of the major anxiety disorders." (Page 271)

The book Endurance: Shackleton''s Incredible Voyage ... "is a tale of unsurpassed courage. ... If you want to know what resilience meant, you only had to read this book, since their circumstances would have driven most people to despair and helplessness." (Page 276)

Elements of Resilience:
1- Being able to adapt to changes
2- Being able to deal with whatever comes your way
3- Having confidence from past successes
4- Seeing humor in the face of difficulty
5- Feeling that you can become stronger by going through difficulty
6- Having the capacity to bounce back after illness, injury, or other hardship
7- Staying focused and thinking clearly under pressure
8- Being able to handle unpleasant or painful feeling like sadness
9- Feeling in control of your life." (Page 276-277)

Rachel Yehuda "risk and resilience" model on page 280

Recommended for: Most people since they or someone they love probably has anxiety and these solutions are well thought out.
36 reviews
January 9, 2018
•(My reviews are intentionally generalized, concise, and contain little to no summaries. Here I will focus on my overall experience and personal interaction while reading this book)

•I Learned: There are several different kinds of anxiety and many great assessments and techniques to help focus on the best way to heal and prevent.
•I Felt: hopeful, enlightening, understanding
•It Changed me: I feel more prepared to face my own anxieties and respond to loved ones in a positive and helpful manner. I was able to pick out specific techniques that are customized to my inclinations and others.



Profile Image for Aiza Idris (biblio_mom).
622 reviews211 followers
July 30, 2019
It took me a solid ONE MONTH to finally finishing reading this books. I can say that this is a prescription kind of book for mental illnesses. I had a hard time to absorb many things as Its very sciency if there is such word. The book is not just for me but it has a lot of useful information for those whom needed, needed to know how their medicine works their wonder.
Profile Image for Fred Fanning.
Author 46 books53 followers
December 2, 2021
The Anxiety Book is beautiful. If you have anxiety, you will learn about this illness and the steps you can take to control or even eliminate its effect on you. I read of things I could do to help with my anxiety that I had never heard before. I learned a lot and will try the steps the author recommends.
Profile Image for Ashly Cuthbert.
30 reviews1 follower
July 19, 2023
Good for basic information but it’s nothing new. If you’ve never read anything about anxiety it’s good basics but otherwise I didn’t feel like it was worth the time personally.
Profile Image for Kirsten.
2,137 reviews117 followers
June 3, 2008
I'm not real huge on self-help books, but this is a very intelligently written book for people who suffer from Generalized Anxiety Disorder, Panic Disorder, and/or Post-traumatic Stress Disorder, and is refreshingly free from typical "self-help" talk. In fact, I'm not sure I would even class it as self-help, seeing as much of it is concerned with finding the right help in treating anxiety issues, and the benefits of professional help are definitely stressed. The author gives equal time to all the major methods of treating these disorders (medication, diet and lifestyle changes, cognitive therapy, etc.) and is very clear on the fact that combining several of these treatments tends to be the most effective way of minimizing anxiety issues. His description of the way cognitive-behavioral therapy works is one of the clearest and most helpful I've run across, and overall I just thought this was an excellent book.
Profile Image for Andrea Norton.
155 reviews7 followers
April 11, 2016
A quick read if you're familiar with the material, but a good starting book as well.

There are short self-diagnosing exercises and explanations of the five forms of anxiety. Five solutions follow to help you cope whether you are already in therapy or on your own.

While this book is from 2003, there is still a lot of useful information in it. I'd recommend it to anyone just starting this journey, anyone who suspects they may have anxiety, or anyone looking for a refresher.
Profile Image for Melissa.
71 reviews
March 15, 2014
Skimmed through, as a good amount of the info didn't apply to me. Not bad but didn't really get too into it.
Profile Image for Maria.
132 reviews48 followers
April 13, 2010
Too glib, on-the-surface, full of platitudes and quick fixes.
Profile Image for Lorene.
9 reviews
June 9, 2014
Lots of information on types of anxiety.
Displaying 1 - 10 of 10 reviews

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