The Management of Anxiety

The Management of Anxiety

The Management of Anxiety

The Management of Anxiety


A practical guide to the methodology and application of anxiety management skills. The reader can use it to select the best and most appropriate strategies for each individual client from the variety of approaches that are described and explained. The book is sufficiently detailed to give the reader a basic understanding of the underlying theories; it is therefore useful both for the hard-pressed practitioner who needs a quick reference and for the student who needs a revision tool or study guide. New chapters include assessment and evaluation; working in community settings; stress mangaement techniques for therapists.


Since the publication of the first edition of this book, the body of knowledge relating to it has moved forward at an astonishing pace. The second edition, therefore, seeks to reflect some of these developments. In addition, while the first book was aimed almost exclusively at those working in the mental health field, this edition has tried to redress the balance by including a large section on using anxiety management techniques in the treatment of somatic conditions.

The more modern science discovers about stress responses the more it recognises that human beings are fully integrated psychophysiological units. Sadly, despite this, the notion that some kind of 'cut off point exists between the mind and body — placed somewhat arbitrarily around the neck area — is, still, widespread. We, as clinicians, may inadvertently collude with this misplaced and deeply rooted construct among those we work with and for, perhaps because it seems so difficult to challenge. I hope that this book will provide clinicians from a wide range of settings with the theoretical knowledge and practical tools to support them in tackling this awesome task.

I hope that this explains why the second edition has been expanded to cover the use of anxiety management in the following additional clinical areas: the psychophysiological approach (including pain management and cardiac rehabilitation), older people, and community settings. This book also contains a chapter on occupational stress for clinicians, and the chapter on assessment and evaluation has been completely rewritten. A short section on the role of chemotherapy in anxiety has also been added. Finally, the book has been reorganised and more comprehensively illustrated to increase its appeal and accessibility.

The book has been enormously enhanced and broadened in its scope by those who contributed chapters, all experts in their respective fields. A great number of people have helped me to produce the book in small but significant ways. I hope they know that I know who they are! One outstanding example was David Farlie and his family, who patiently and expertly provided me with the technical support (and numerous cups of tea) necessary to process information produced by a variety of computer systems, each ranging from 'dinosaur' to 'state-of-the-art'.

To my professional colleagues for their interest and encouragement, and to my boss, Will Evans, for his flexibility, I am extremely grateful. Affectionate appreciation is also due to my two children for putting up with a very preoccupied Mum during the writing of this book, and to their Dad, for being there when I was on the planet 'stressor' attempting to practise what I preach.

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