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Worry

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Worry consumes time and energy, too often isolates us from friends and family, and prevents us from solving the real problems that are behind the act of worrying. Dr. Edward M. Hallowell makes clear the crucial distinctions among the various forms of worry, showing which are protective and productive, which handicap achievement and pleasure, and which seriously threaten physical health and mental balance. He explains which forms of worry are rooted in inborn predispositions, which arise from misguided attempts to cope with the stresses of daily life, and which are symptomatic of other problems, such as depression or attention deficit disorder. In each case, he maps out the most effective strategies for change-psychotherapy, medication, innovative methods of retraining the brain-many of which the chronic worrier can pursue on his or her own. Filled with illuminating case histories, anecdotes, and practical guidance, Worry is an invaluable aid to understanding and coping with one of the most common and debilitating but least understood states of mind.As far as we know, plants and animals don't do it. Worry is a human "skill." And it comes in different forms. Some kinds indicate diagnosable conditions, such as depression, or Generalized Anxiety Disorder (GAD). Others, such as shyness, are built in from birth, and some seem plain old existential--stemming from broken trust or loss of faith. But worry is uniquely human. "To create worry," Dr. Hallowell writes, "humans elongate fear with anticipation and memory, expand it in imagination and fuel it with emotion. The uniquely human mental process called worrying depends upon having a brain that can reason, remember, reflect, feel, and imagine. Only humans have a brain big enough to do this simultaneously and do it well."

Illustrating his theories with the personal stories of and dialogues with clients, Hallowell provides a full picture of the ordinary yet chronic worry-problems. Thus, each presenting problem is dramatically rendered, and the ensuing therapies practically understood. Hallowell emphasizes the physical, not the psychological aspect of worrying, which helps stop the cycle of self-blame many worriers are prone to. When worry is no longer identified as a lack of moral courage, for example, but a natural phenomenon, it can begin to be managed.

The steps set forth in Worry: Controlling and Using It Wisely are practical and straightforward. First comes awareness, which, over time, sets the stage for new patternmaking in the brain. An entire chapter is devoted to methods of running interventions on worry without medication. Worry offers an articulate and powerful reframe of a debilitating condition that's as old as the human brain. By releasing the deeply entrenched habit of negativity, a worrier can step out of the cycle, and freed from phobia, move ahead.

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