Dr Prerna Kohli

Tips on Managing Anxiety and Its Symptoms

Quick answer

Anxiety is your body's natural alarm system — useful in small doses, but distressing when it becomes frequent, intense or hard to switch off. The good news is that anxiety is one of the most treatable mental-health conditions there is. Many people find real relief through simple, practical techniques: grounding exercises, slow breathing, learning to notice and question anxious thoughts, cutting back on stimulants, regular movement and sleep, and gently facing rather than avoiding the things that worry them. When anxiety is persistent or interfering with your life, professional help works extremely well — cognitive behavioural therapy (CBT) is the gold-standard, highly effective treatment. Below are practical tips to manage anxiety, and guidance on when to seek support.

Anxiety vs stress: what's the difference?

The words are often used interchangeably, but they aren't quite the same. Stress is usually a response to a specific external pressure — a deadline, an exam, a difficult situation — and it tends to ease once that pressure passes. Anxiety is more persistent: it can linger long after any obvious trigger has gone, and sometimes there's no clear, identifiable cause at all. A little of both is a normal part of life. It's when anxiety becomes frequent, overwhelming, or starts to interfere with work, relationships and daily living that it may have become an anxiety disorder worth addressing.

Common symptoms of anxiety

Anxiety shows up in the mind and the body. Common signs include:

  • Persistent worry or fear
  • Panic or a sense of dread
  • Restlessness or feeling on edge
  • Changes in sleep
  • Difficulty concentrating
  • Irritability
  • A racing heart or rapid breathing
  • Nausea or a dry mouth
  • Dizziness or light-headedness
  • Muscle tension

Everyone experiences some of these from time to time. It's the frequency, intensity and impact on your life that distinguish ordinary anxiety from an anxiety disorder.

Quick tips to manage anxiety

These evidence-informed techniques can genuinely help in the moment and over time. They aren't a replacement for professional care when it's needed, but they're a powerful place to start.

Ground yourself with your senses

When anxiety spikes, gently bring yourself back to the present using the 5-4-3-2-1 method: name five things you can see, four you can hear, three you can touch, two you can smell, and one you can taste. This interrupts the spiral of anxious thought and anchors you in the here and now.

Slow your breathing

Anxiety speeds up your breathing, which fuels the physical alarm. Reverse it: breathe in slowly for a count of four, hold for four, and breathe out for six. A longer out-breath calms the nervous system. A few minutes of this can noticeably settle a racing mind and body.

Notice and question anxious thoughts

Anxiety often runs on "what if" catastrophes that feel true but rarely are. When you catch one, pause and ask: Is this a fact or a fear? What's the evidence? What would I tell a friend thinking this? Gently challenging anxious thoughts is the heart of cognitive behavioural therapy, and you can practise a simple version of it yourself.

Watch your stimulants and your news intake

Caffeine can mimic and worsen anxiety symptoms, so cutting back often helps. So does limiting a constant drip of distressing news and social media, which keeps the alarm system switched on. Be mindful of what you're feeding your mind.

Move your body and protect your sleep

Regular physical activity is one of the most effective natural ways to lower anxiety, and good sleep is protective — while poor sleep makes anxiety worse. Even a daily walk and a steady bedtime routine can make a real difference over time.

Face it gently, rather than avoiding

Avoiding what makes us anxious brings relief for a moment but strengthens the anxiety over time. Approaching feared situations gradually and at your own pace — with support if needed — teaches your mind that you can cope, and is one of the most powerful ways anxiety loosens its grip.

When and how to get help

If anxiety is persistent, intense, or interfering with your work, relationships or daily life, please don't struggle on alone — and don't believe that anxiety is somehow untreatable. In fact, anxiety disorders are among the most treatable mental-health conditions. Cognitive behavioural therapy (CBT) is the gold-standard, first-line treatment, with strong research showing it is highly effective for anxiety (Hofmann & Smits, meta-analytic review). A clinical psychologist will assess what you're experiencing and work with you using approaches like CBT; where medication may help, they will refer you to a psychiatrist, often alongside ongoing therapy. Reaching out is a sign of strength, and relief is genuinely within reach. If you or someone else is ever in immediate danger, please contact your local emergency services or a crisis helpline right away.

Anxiety and depression

Anxiety and depression are distinct conditions, but they frequently travel together — many people experience both at once, and they share symptoms such as disturbed sleep, difficulty concentrating, and irritability. There's no clear evidence that one causes the other, but their overlap is common and well recognised. The encouraging news is that both are highly treatable, often through the same therapeutic support. You can read more in our guide to understanding depression.

Key takeaways

  • Anxiety is the body's natural alarm; it becomes a concern when it's frequent, intense, or disruptive.
  • It differs from stress, which usually eases once a specific pressure passes; anxiety can persist without an obvious cause.
  • Practical techniques — grounding, slow breathing, questioning anxious thoughts, movement, sleep, and not avoiding — genuinely help.
  • Anxiety is among the most treatable conditions; CBT is the gold-standard, highly effective treatment.
  • If anxiety is interfering with your life, a clinical psychologist is the right place to start.

Frequently asked questions

Is anxiety difficult to treat?

No — quite the opposite. Anxiety disorders are among the most treatable mental-health conditions. Cognitive behavioural therapy (CBT) is the gold-standard, first-line treatment, and research consistently shows it is highly effective, often outperforming placebo and other approaches. Many people improve significantly, and some recover fully. Where helpful, medication prescribed by a psychiatrist can support therapy. The most important step is simply reaching out to a qualified professional — effective help is genuinely available.

What's the difference between anxiety and stress?

Stress is usually a response to a specific, identifiable pressure — a deadline, an exam, a difficult event — and it tends to fade once that pressure passes. Anxiety is more persistent: it can linger long after any trigger is gone, and sometimes there's no clear cause at all. Both are normal in small doses. The concern is when anxiety becomes frequent, overwhelming, or starts interfering with daily life, at which point it may be an anxiety disorder worth addressing with support.

How can I calm anxiety quickly?

In a moment of high anxiety, grounding and breathing help fastest. Try the 5-4-3-2-1 technique — name five things you can see, four you can hear, three you can touch, two you can smell, one you can taste — to anchor yourself in the present. Pair it with slow breathing: in for four, hold for four, out for six, letting the longer out-breath calm your nervous system. These won't cure an anxiety disorder on their own, but they can settle an acute wave and are a valuable everyday tool.

When should I see a psychologist about anxiety?

Consider reaching out when anxiety is persistent, intense, or interfering with your work, relationships, sleep or daily functioning — or when self-help techniques aren't enough on their own. A clinical psychologist can assess what's happening and work with you using proven approaches like CBT, and refer you to a psychiatrist if medication might help. Seeking support early often means quicker relief. Anxiety responds very well to treatment, so there's every reason to be hopeful.

If anxiety is weighing on you, you don't have to manage it alone — and effective help really works. Dr. Prerna Kohli offers warm, evidence-based care for anxiety, in person in Gurugram and online across India and for NRIs worldwide.

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Dr. Prerna Kohli, Clinical Psychologist and Marriage Counsellor, Gurugram

About the author

Dr. Prerna Kohli

Dr. Prerna Kohli is a clinical psychologist with over 30 years of practice, based in Gurugram. She holds a PhD from Aligarh Muslim University, where she was a four-time gold medallist, and received the "100 Women Achievers of India" award from the President of India in 2016. A TEDx speaker and published author, she works with individuals, couples, and families through her private practice — in clinic in Gurugram and online worldwide — with a particular speciality in NRI mental health.