Tips & Articles

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Welcome to our collection of tips and articles all about recovery.

A new feature, this section will grow over time to feature a range of topics that are designed to offer thought-provoking and helpful information. Whether you have a tonne of questions (that's normal by the way), want to read how someone else tackled a similar issue, or just be reassured and inspired that recovery is possible, you're in the right place. 

Over the coming weeks and months, we hope to feature interviews and discussions with ED experts, both those that have experienced one personally and those who work in the field of recovery. We'll also scour the internet to curate the best resources we can find. 

Bear with us as we add more articles to this page, and if there's a subject you'd really like us to cover, why not email us to let us know? You can contact us at mail@anorexiabulimiacare.org.uk (please put 'Idea for Recovery Article' in the subject line so we don't miss it!).

Meanwhile, grab a cuppa of your favourite and let's start with tips on recognising and managing anxiety, courtesy of Claire, one of our helpline team members, and a practising nurse. 


Article | Understanding our Response to Anxiety
Author: Claire, Helpline team, July 2020

Overview: Feeling anxious creates a number of responses within the body at a deep physiological level. By understanding what these responses are it may be possible to take steps to ease the symptoms and in turn, allow you to feel more in control when in the grips of a stressful or anxiety-provoking situation or period of your life. At the time of writing, we are in the process of moving out of lockdown due to the Coronavirus pandemic and although on the surface the lifting of social restrictions and the re-introduction of so-called normal life may seem nothing but a positive step, for those with vulnerable mental and/or physical health it can also feel overwhelming. 

This article includes information specific to those impacted by eating disorders and is designed to alert the sufferer to how interlinked the mind and body are. We also look at some practical ways to tackle anxiety as a whole.

Physical responses to anxiety

The immediate responses when anxiety arises may differ by person to person, but overall the body can respond with a variety of symptoms:

  • Racing heartbeat
  • Chest pain
  • Fast shallow breathing
  • Sweating
  • Shaking or trembling
  • Stomach ache
  • Diarrhea
  • Loss of energy
  • Cold, clammy hands
  • Dry mouth
  • Dizziness
  • Muscle tension or pain
  • Restlessness
  • Sleeplessness
  • Difficulty concentrating
  • Lack of appetite
  • Urge to binge

Some of the physical symptoms listed above are interlinked but if we focus on our breathing some of the other symptoms can be eased or avoided. More on that below. 

The science bit

Our reactions to stressful situations are governed by the Autonomic Nervous System (ANS). There are two main parts to it; the sympathetic and parasympathetic, and both perform critical roles in keeping us safe from a perceived threat or danger. The sympathetic part goes into high alert if it senses imminent danger and the parasympathetic part restores balance and equilibrium once the perceived danger has gone ensuring the body can relax and calm down. These processes are sometimes referred to as the “Fight or Flight “response.

Crucial to understanding the physical impact of anxiety is realising that the ANS also regulates our involuntary bodily functions like blood pressure, heart rate and even the digestive system, which of course explains some of the symptoms of anxiety, such as a racing heartbeat and digestive issues, listed above.

Of course these responses are important if you are genuinely in danger (think of our ancient ancestors running away from a predator), but not so helpful if they persist in modern day life.

Panic attacks

During an panic attack or whilst feeling acutely stressed, many people describe being “unable to catch their breath”. This is because they are not actually breathing out effectively. Instead, they are just taking very shallow breaths from their chest rather than their abdomen. When you breathe in this shallow manner, you get all the air you need to live, but other symptoms such as chest pain or heaviness occur because you have unconsciously tightened the muscles in your chest to an extreme degree. This then adds to your panic and as it escalates can even feel like you are having a heart attack. 

You may also feel lightheaded or dizzy as a result of the shallow breathing because you are not getting the right ratio of oxygen into your blood stream and the body becomes short of carbon dioxide. This then stimulates the sympathetic nervous system to go on high alert. The heart responds by increasing its rate alongside the increased respiratory rate as a way to protect itself from what it perceives to be imminent danger or a threat despite the fact that the reality may be that the situation is perfectly safe.

Relaxation techniques

To counter the effect of raised anxiety levels, there are some simple but very effective relaxation techniques we can use. They work by biologically changing the response of the ANS by calming the body down and reducing the production of stress hormones such as adrenaline and cortisol. If cortisol levels are consistently raised due to anxiety, it can have many detrimental effects on the body such as increased blood pressure, suppression of the immune system, disruption of the metabolism of glucose, decreased libido and many other manifestations.

If relaxation techniques are practiced regularly then this will be very empowering on many levels as the body and mind then have the skills to cope longer term with what life can throw at all of us. You'll also get better sleep giving increased energy and therefore better mental clarity, all of which will further help the management of anxiety.

Things to try 

Mindfulness

Firstly, let's define what mindfulness is. It's nothing more complicated than being fully engaged in the present moment. We will still be aware of thoughts running through our heads, but by practising mindfulness and meditation (see below), we develop the skill of acknowledging that they are there and then letting them pass on through without getting caught up with any associated emotions. Sounds simple, right? With a bit of practice, it really is and it can make such a huge difference. 

Here's some FREE mindfulness online courses to try courtesy of the Oxford Mindfulness Centre

Meditation

We've seen that mindfulness is the quality of being focussed in the present moment and meditation is effectively a practical tool to help us achieve that but that usually involves a specific practice. Rooted in Buddhism, meditation has a rich and long history but you certainly don't need to be a Buddhist or even spiritual to benefit from it. Even ten minutes a day will help!

According to Headspace:

"Through meditation, we familiarize ourselves with anxiety-inducing thoughts and storylines. We learn to see them, sit with them, and let them go. In doing so, we learn two important things: thoughts do not define us, and thoughts are not real. Within this newfound perspective, we are able to gradually change our relationship with anxiety, differentiating between what is an irrational episode and what’s true."

And if you want to understand the technical and scientific evidence for the benefits of meditation, take a look at the findings of this research study.

Get outdoors

Wherever you live, there are always options. Whether it's heading to the park, a walk by the coast or at your local beauty spot, or just sitting in your garden, time spent outdoors is proven to be beneficial to our mental wellbeing. Or, if you fancy getting involved in something regular with other people, how about some geocaching, ecotherapy or conservation projects? If those don't float your boat, here's some other ideas to consider courtesy of Mind. The point is it doesn't really matter what you choose to do, but spending time outdoors will really help manage anxiety over time. 

Breathing exercise

Focusing on your breathing can be something you can do every day at any appropriate time and only takes a few minutes. Try this simple exercise whenever you feel the anxiety rising:

Step 1: Exhale slowly through pursed lips, while you relax the muscles in your face, jaw, shoulders, and stomach.

Step 2: Take a long, slow breath in through your nose, first filling your lower lungs, then your upper lungs.

Step 3: Hold your breath to the count of "three."

Key takeaways

  • Keep in mind that you can’t control everything about a situation.
    When something or someone is creating anxiety for you, try to remember that you can only control yourself.

  • The same goes for your reaction to a situation.
    It is within our power to control our emotional response to it but it takes awareness and practice. 

  • Talking to a trusted friend, colleague, family member, GP, counsellor 
    It can really help get things into perspective when anxiety strikes.

  • Moderate or gentle exercise is a great way to relieve tension and help your body feel relaxed.
    A walk in nature can be a great way to lower stress. Or try some yoga. 

  • Avoid too much caffeine and nicotine.
    They can make anxiety symptoms worse. 

  • Avoid alcohol or unprescribed drugs for relief.
    Alcohol particularly acts as a depressant so will ultimately make anxiety worse.