Worry less, Live more: Managing worry and uncertainty in Generalised Anxiety Disorder (GAD)

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The two types of worry We have two main types of worries. Practical worries and hypothetical ones. When people worry a lot and have GAD, they tend to treat both types of worries the same, keeping them in a vicious cycle of worry and anxiety. Knowing which type of worry you are having, can then help you to manage each type more effectively. Practical Worries Practical worries, are worries about external practical problems that we can do something about, right there and then. For example, we may worry about having enough money in our account to cover a bill going out this week. We go and transfer some money in from another account to cover it, arrange an overdraft or arrange with the company a new date to pay. This stops the worry and deals with the problem, leading us to feel better. These worries resolve and go when you have taken the action to solve the problem. When you worry a lot, or have a situation in life to deal with that is overwhelming it can be hard to deal with practical worries. People with GAD often procrastinate (put off) dealing with practical worries, which leads to feeling worse.

Hypothetical Worries Hypothetical worries tend to be about situations in the future that are currently uncertain, unpredictable or out of our control; things that we cannot do anything to change at that moment. They are usually about practical situations in our lives, like our work, finances, education, employment or our health. Unlike practical worries though, there isn’t a helpful action we can take to resolve them at the time we have the worry, or our attention should be elsewhere in that moment. Our mind tries to treat hypothetical worries in the same way as practical ones by attempting to find a solution. This leads to keeping worrying about it. It is just our minds way of trying to deal with and gain control over a situation that is unpredictable, uncertain or out of our control, but, unlike dealing with a practical worry, it does not lead to use feeling better. These worries can quickly escalate in our minds to the worst case scenario, making us feel even more anxious, tense and stressed. Hypothetical worries are hard to dismiss, they keep bouncing back into our mind as they are unresolved. These worries take our attention and focus away from the present moment. They make us focused internally on our worrying thoughts and how we are feeling, rather than what else is going on around us. We get caught up going over and over the worries, keeping us in the cycle of stress, tension and worry. If we suppress a hypothetical worry, by trying not to think about it, without using a strategy to refocus our attention, it backfires and leads to increasingly more worries and more anxiety. It takes up lots of energy and concentration. Hypothetical worries can also lead us to take actions that are less helpful or make us feel worse in the longer term.

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© Marie Chellingsworth (2020). The CBT Resource.


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