Close

Most people experience anxiety sometimes, but for people withpost-traumatic stress disorder (PTSD), theseanxietysymptoms are much more frequent and intense. Because their anxiety can be so strong, they sometimes rely on unhealthycopingmethods, such asdrug or alcohol use.It’s not just anxiety that makes it tough to cope with PTSD. Other common symptoms of the condition include intrusive thoughts, flashbacks, nightmares, avoidance of reminders, negative thoughts, and a heightened startle response. These symptoms tend to make anxiety even worse. No wonder it can be so hard to function in different aspects of everyday life.At a GlanceTrauma leaves lasting emotional wounds, including increased feelings of anxiety. Fortunately, many healthy coping skills for PTSD can help ease anxiety and other symptoms. Strategies that may help include deep breathing, progressive muscle relaxation, mindfulness, and self-monitoring. Social support, self-soothing, and expressive writing can also be helpful. These strategies may help reduce the intensity of anxiety, lessen its frequency, and/or make it more tolerable.

Most people experience anxiety sometimes, but for people withpost-traumatic stress disorder (PTSD), theseanxietysymptoms are much more frequent and intense. Because their anxiety can be so strong, they sometimes rely on unhealthycopingmethods, such asdrug or alcohol use.

It’s not just anxiety that makes it tough to cope with PTSD. Other common symptoms of the condition include intrusive thoughts, flashbacks, nightmares, avoidance of reminders, negative thoughts, and a heightened startle response. These symptoms tend to make anxiety even worse. No wonder it can be so hard to function in different aspects of everyday life.

At a GlanceTrauma leaves lasting emotional wounds, including increased feelings of anxiety. Fortunately, many healthy coping skills for PTSD can help ease anxiety and other symptoms. Strategies that may help include deep breathing, progressive muscle relaxation, mindfulness, and self-monitoring. Social support, self-soothing, and expressive writing can also be helpful. These strategies may help reduce the intensity of anxiety, lessen its frequency, and/or make it more tolerable.

At a Glance

Trauma leaves lasting emotional wounds, including increased feelings of anxiety. Fortunately, many healthy coping skills for PTSD can help ease anxiety and other symptoms. Strategies that may help include deep breathing, progressive muscle relaxation, mindfulness, and self-monitoring. Social support, self-soothing, and expressive writing can also be helpful. These strategies may help reduce the intensity of anxiety, lessen its frequency, and/or make it more tolerable.

Deep BreathingPhotoTalk / Getty ImagesBreathing plays an important role in thestress response. Unfortunately, many people do not breathe properly.Natural breathing involves your diaphragm, a large muscle in your abdomen. When you breathe in, your belly should expand. When you breathe out, your belly should fall.Over time, people forget how to breathe this way and instead use their chest and shoulders. This causes short and shallow breaths, which can increase stress and anxiety.Fortunately, it is possible to re-learn how to breathe deeply from your diaphragm and help protect yourself from stress.Practice simpledeep breathing exercisesto improve your breathing and combat anxiety.

Deep Breathing

PhotoTalk / Getty Images

Woman enjoying the crisp cool autumn air

Breathing plays an important role in thestress response. Unfortunately, many people do not breathe properly.

Natural breathing involves your diaphragm, a large muscle in your abdomen. When you breathe in, your belly should expand. When you breathe out, your belly should fall.

Over time, people forget how to breathe this way and instead use their chest and shoulders. This causes short and shallow breaths, which can increase stress and anxiety.

Fortunately, it is possible to re-learn how to breathe deeply from your diaphragm and help protect yourself from stress.Practice simpledeep breathing exercisesto improve your breathing and combat anxiety.

Progressive Muscle Relaxation

Ashley Corbin-Teich / Getty Images

woman meditates to relax

Using relaxation exercises can also be effective coping skills for PTSD, providing a way to reduce stress and anxiety.Progressive muscle relaxationalternates between tensing and relaxing different muscle groups throughout the body. This relaxation method is similar to a pendulum.

How to Use Progressive Muscle Relaxation to Quell Anxiety

MindfulnessSam Edwards / Getty ImagesMindfulnesstechniques are useful coping skills for PTSD. Mindfulness has been around for thousands of years, and mental health professionals are beginning to recognize that mindfulness can benefit people dealing with anxiety, depression, and other mental health conditions.Mindfulness is about being in touch with and aware of the present moment. So often, we get stuck in our heads, caught up in the anxiety and worries of daily life. Mindfulness can help us get out of our heads and into touch with the present moment.It is important to note that this type of self-reflection can sometimes bring difficult emotions or thoughts to light, particularly if you have a history of trauma. Some research has also reported that some people may experience significant distress when practicing mindfulness, including increased anxiety symptoms, dissociation, andemotional numbing.You may find it helpful to practice mindfulness under the guidance of atrauma-informed therapist.

Mindfulness

Sam Edwards / Getty Images

man basking in the sun on the beach

Mindfulnesstechniques are useful coping skills for PTSD. Mindfulness has been around for thousands of years, and mental health professionals are beginning to recognize that mindfulness can benefit people dealing with anxiety, depression, and other mental health conditions.

Mindfulness is about being in touch with and aware of the present moment. So often, we get stuck in our heads, caught up in the anxiety and worries of daily life. Mindfulness can help us get out of our heads and into touch with the present moment.

It is important to note that this type of self-reflection can sometimes bring difficult emotions or thoughts to light, particularly if you have a history of trauma. Some research has also reported that some people may experience significant distress when practicing mindfulness, including increased anxiety symptoms, dissociation, andemotional numbing.

You may find it helpful to practice mindfulness under the guidance of atrauma-informed therapist.

Self-MonitoringHero Images / Getty ImagesSelf-monitoring can be a helpful way of getting a handle on your anxiety symptoms.Self-monitoring is a technique that involves carefully observing and recording specific thoughts, behaviors, sensations, or emotions.People are creatures of habit. This means they often go about the day without thinking about what they are doing, feeling, or experiencing.Lack of awareness may make people feel their thoughts and emotions are unpredictable and unmanageable. Unfortunately, this means that people cannot address uncomfortable anxiety symptoms without first being aware of what situations bring up these feelings.The goal of self-monitoring is to help people gain more insight into their symptoms and coping skills. It can be a useful coping skill for PTSD and a simple way of increasing awareness.

Self-Monitoring

Hero Images / Getty Images

woman writing in notebook

Self-monitoring can be a helpful way of getting a handle on your anxiety symptoms.

Self-monitoring is a technique that involves carefully observing and recording specific thoughts, behaviors, sensations, or emotions.

People are creatures of habit. This means they often go about the day without thinking about what they are doing, feeling, or experiencing.

Lack of awareness may make people feel their thoughts and emotions are unpredictable and unmanageable. Unfortunately, this means that people cannot address uncomfortable anxiety symptoms without first being aware of what situations bring up these feelings.

The goal of self-monitoring is to help people gain more insight into their symptoms and coping skills. It can be a useful coping skill for PTSD and a simple way of increasing awareness.

Social Support

two men talking outside at a fountain

When you are dealing with a stressful situation, it helps to have a trusted person to turn to. Supportive people can also be a great source ofemotional validation.

However, simply having someone available to talk to may not be enough. A supportive relationship has several important pieces that may be particularly beneficial in helping someone manage their anxiety.

Self-SoothingHero Images / Getty ImagesWhen you are experiencing anxiety, it is important to have ways of coping with those feelings. For example, seeking out social support can be an excellent way of improving your mood. However, the anxiety associated with symptoms of PTSD can sometimes occur unexpectedly, and social support may not be readily available.In order to handle those situations where anxiety seems to strike out of nowhere, it is important to learn coping strategies that you can do on your own. These coping strategies focus on improving your mood and reducing anxiety and are sometimes described asself-soothingor self-care coping strategies.Self-Soothing Strategies That Can HelpSelf-soothing tactics that can help calm your body include:Incorporating the senses to ground you in the present momentSelf-touch, such as self-holding or self-massageLying down with aweighted blanketListening to relaxing musicAromatherapy

Self-Soothing

close up woman drinking coffee on bed

When you are experiencing anxiety, it is important to have ways of coping with those feelings. For example, seeking out social support can be an excellent way of improving your mood. However, the anxiety associated with symptoms of PTSD can sometimes occur unexpectedly, and social support may not be readily available.

In order to handle those situations where anxiety seems to strike out of nowhere, it is important to learn coping strategies that you can do on your own. These coping strategies focus on improving your mood and reducing anxiety and are sometimes described asself-soothingor self-care coping strategies.

Self-Soothing Strategies That Can HelpSelf-soothing tactics that can help calm your body include:Incorporating the senses to ground you in the present momentSelf-touch, such as self-holding or self-massageLying down with aweighted blanketListening to relaxing musicAromatherapy

Self-Soothing Strategies That Can Help

Self-soothing tactics that can help calm your body include:Incorporating the senses to ground you in the present momentSelf-touch, such as self-holding or self-massageLying down with aweighted blanketListening to relaxing musicAromatherapy

Self-soothing tactics that can help calm your body include:

Expressive WritingWestend61 / Getty ImagesJournalingcan also be a useful coping skill for PTSD. It can help people express and process their thoughts and feelings (also called expressive writing), which can be a good way of coping with anxiety.Expressive writing has been found to improve physical and psychological health.In PTSD, in particular, expressive writing has been found to have several benefits, including improved coping, post-traumatic growth (the ability to find meaning in and have positive life changes following a traumatic event), and reduced PTSD symptoms, tension, and anger.

Expressive Writing

Westend61 / Getty Images

woman sitting on cracked floor with notebook

Journalingcan also be a useful coping skill for PTSD. It can help people express and process their thoughts and feelings (also called expressive writing), which can be a good way of coping with anxiety.

Expressive writing has been found to improve physical and psychological health.

In PTSD, in particular, expressive writing has been found to have several benefits, including improved coping, post-traumatic growth (the ability to find meaning in and have positive life changes following a traumatic event), and reduced PTSD symptoms, tension, and anger.

DistractionHero Images / Getty ImagesPurposeful use ofdistraction techniquescan be of benefit in coping with emotions that are strong and feel uncomfortable, such as anxiety and fear.Distraction is anything you do to temporarily take your attention off of strong emotion.Focusing on a strong emotion can make it feel stronger and more out of control. Temporarily distracting yourself can give the emotion time to decrease in intensity, which makes it easier to manage.Some helpful distraction techniques for coping with PTSD include:Talking to a friend or family memberDoing houseworkExercisingEngaging in a creative taskWatching a tv show or movieReading a bookPlaying a gameCounting backwardReciting amantraor affirmationVisualizing an enjoyable sceneColoring in anadult coloring bookPlaying a video gameTaking a napDoingyogaMeditating

Distraction

young woman assembling jigsaw puzzle and drinking coffee at table

Purposeful use ofdistraction techniquescan be of benefit in coping with emotions that are strong and feel uncomfortable, such as anxiety and fear.Distraction is anything you do to temporarily take your attention off of strong emotion.

Focusing on a strong emotion can make it feel stronger and more out of control. Temporarily distracting yourself can give the emotion time to decrease in intensity, which makes it easier to manage.

Some helpful distraction techniques for coping with PTSD include:

Behavioral ActivationYuri Arcurs / Getty ImagesAnxiety and avoidance go hand-in-hand.While the avoidance of anxiety-provoking situations may help reduce anxiety at the moment, in the long term it may prevent you from living a meaningful and rewarding life (especially as this avoidance grows bigger and bigger).Behavioral activationis a way of increasing your activity level, as well as how much you engage in positive and rewarding activities. Through behavioral activation, you can reduce symptoms of depression and anxiety.To try this approach, list activities that you find rewarding. Examples might include:Spending time with friendsEngaging in exerciseGoing out for coffeeVisiting the libraryVolunteeringRearranging furnitureHikingTaking photosPaintingCooking a mealListening to a podcastNext, set a goal for how many activities you want to complete each week and then track your progress as you engage in these different tasks.

Behavioral Activation

Yuri Arcurs / Getty Images

man writing his thoughts in a journal

Anxiety and avoidance go hand-in-hand.While the avoidance of anxiety-provoking situations may help reduce anxiety at the moment, in the long term it may prevent you from living a meaningful and rewarding life (especially as this avoidance grows bigger and bigger).

Behavioral activationis a way of increasing your activity level, as well as how much you engage in positive and rewarding activities. Through behavioral activation, you can reduce symptoms of depression and anxiety.

To try this approach, list activities that you find rewarding. Examples might include:

Next, set a goal for how many activities you want to complete each week and then track your progress as you engage in these different tasks.

TakeawaysTrauma and anxiety often go hand in hand, but there are a number of coping skills for PTSD that can help bring relief. Strategies such as distraction, deep breathing, mindfulness, and behavior activation are just a few techniques that you can try.If you find these approaches are not doing enough to help with your symptoms, talk to a doctor or mental health professional.Treatments for PTSDcan help you process your experiences and develop new coping skills.If you or a loved one are struggling with anxiety, contact theSubstance Abuse and Mental Health Services Administration (SAMHSA) National Helplineat1-800-662-4357for information on support and treatment facilities in your area.For more mental health resources, see ourNational Helpline Database.Tips for Coping With PTSD

Takeaways

Trauma and anxiety often go hand in hand, but there are a number of coping skills for PTSD that can help bring relief. Strategies such as distraction, deep breathing, mindfulness, and behavior activation are just a few techniques that you can try.

If you find these approaches are not doing enough to help with your symptoms, talk to a doctor or mental health professional.Treatments for PTSDcan help you process your experiences and develop new coping skills.

If you or a loved one are struggling with anxiety, contact theSubstance Abuse and Mental Health Services Administration (SAMHSA) National Helplineat1-800-662-4357for information on support and treatment facilities in your area.For more mental health resources, see ourNational Helpline Database.

If you or a loved one are struggling with anxiety, contact theSubstance Abuse and Mental Health Services Administration (SAMHSA) National Helplineat1-800-662-4357for information on support and treatment facilities in your area.

For more mental health resources, see ourNational Helpline Database.

Tips for Coping With PTSD

18 Sources

Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

Smith NDL, Cottler LB.The epidemiology of post-traumatic stress disorder and alcohol use disorder.Alcohol Res.2018;39(2):113-120.

Ma X, Yue ZQ, Gong ZQ, et al.The effect of diaphragmatic breathing on attention, negative affect and stress in healthy adults.Front Psychol. 2017;8:874. doi:10.3389/fpsyg.2017.00874

Blanaru M, Bloch B, Vadas L, et al.The effects of music relaxation and muscle relaxation techniques on sleep quality and emotional measures among individuals with posttraumatic stress disorder.Ment Illn. 2012;4(2):e13. doi:10.4081/mi.2012.e13

University of Michigan Medicine.Stress management: Doing progressive muscle relaxation.

Hofmann SG, Gómez AF.Mindfulness-based interventions for anxiety and depression.Psychiatr Clin North Am. 2017;40(4):739-749. doi:10.1016/j.psc.2017.08.008

Bystritsky A, Khalsa SS, Cameron ME, Schiffman J.Current diagnosis and treatment of anxiety disorders.P T. 2013;38(1):30-57.

Sripada RK, Pfeiffer PN, Rauch SA, Bohnert KM.Social support and mental health treatment among persons with PTSD: Results of a nationally representative survey.Psychiatr Serv. 2015;66(1):65-71. doi:10.1176/appi.ps.201400029

Anxiety Disorders Association of America.Posttraumatic stress disorder (PTSD).

Committee on the Assessment of Ongoing Effects in the Treatment of Posttraumatic Stress Disorder; Institute of Medicine.Treatment for Posttraumatic Stress Disorder in Military and Veteran Populations: Initial Assessment. National Academies Press; 2012(7).

Witusik A, Pietras T.Music therapy as a complementary form of therapy for mental disorders.Pol Merkur Lekarski.2019;47(282):240-243. PMID: 31945027.

Hur MH, Song JA, Lee J, Lee MS.Aromatherapy for stress reduction in healthy adults: a systematic review and meta-analysis of randomized clinical trials.Maturitas. 2014;79(4):362-9. doi:10.1016/j.maturitas.2014.08.006

Tonarelli A, Cosentino C, Artioli D, Borciani S, Camurri E, Colombo B, D’Errico A, Lelli L, Lodini L, Artioli G.Expressive writing. A tool to help health workers. Research project on the benefits of expressive writing.Acta Biomed. 2017;88(5S):13-21. doi:10.23750/abm.v88i5-S.6877

Sloan DM, Sawyer AT, Lowmaster SE, Wernick J, Marx BP.Efficacy of narrative writing as an intervention for PTSD: Does the evidence support its use?.J Contemp Psychother. 2015;45(4):215-225. doi:10.1007/s10879-014-9292-x

Prado IM, Carcavalli L, Abreu LG, Serra-Negra JM, Paiva SM, Martins CC.Use of distraction techniques for the management of anxiety and fear in paediatric dental practice: A systematic review of randomized controlled trials.Int J Paediatr Dent. 2019;29(5):650-668. doi:10.1111/ipd.12499

Uusberg A, Thiruchselvam R, Gross JJ.Using distraction to regulate emotion: insights from EEG theta dynamics.Int J Psychophysiol.2014;91(3):254-260. doi:10.1016/j.ijpsycho.2014.01.006

Lee JK, Orsillo SM, Roemer L, Allen LB.Distress and avoidance in generalized anxiety disorder: Exploring the relationships with intolerance of uncertainty and worry.Cogn Behav Ther. 2010;39(2):126-36. doi:10.1080/16506070902966918

Hirayama T, Ogawa Y, Yanai Y, Suzuki SI, Shimizu K.Behavioral activation therapy for depression and anxiety in cancer patients: A case series study.Biopsychosoc Med. 2019;13:9. doi:10.1186/s13030-019-0151-6

Meet Our Review Board

Share Feedback

Was this page helpful?Thanks for your feedback!What is your feedback?HelpfulReport an ErrorOtherSubmit

Was this page helpful?

Thanks for your feedback!

What is your feedback?HelpfulReport an ErrorOtherSubmit

What is your feedback?