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NHS Anxiety Self-Help Guide

The NHS Inform Anxiety Self-Help Guide provides practical information and evidence-based techniques to help you understand and manage anxiety.

This guide:

  • ✓ Helps you recognise symptoms of anxiety
  • ✓ Explains how anxiety works and what keeps it going
  • ✓ Uses Cognitive Behavioural Therapy (CBT) techniques to help you manage anxious thoughts and behaviours

What is anxiety?

Anxiety is a feeling of worry, fear, or unease. It’s a normal response to stress, for example, before exams or important events.

However, anxiety can become a problem when:

  • ✓ It feels constant or overwhelming
  • ✓ It’s difficult to control
  • ✓ It starts to affect your day-to-day life

Signs and symptoms

Thoughts and feelings

  • ✓ Feeling tense, nervous or "on edge"
  • ✓ Constant worrying or overthinking
  • ✓ Feeling like something bad might happen
  • ✓ Difficulty concentrating
  • ✓ Feeling irritable or unable to relax

Physical symptoms

  • ✓ A fast or irregular heartbeat
  • ✓ Sweating or shaking
  • ✓ Feeling dizzy or lightheaded
  • ✓ Shortness of breath
  • ✓ Muscle tension or headaches
  • ✓ Stomach issues or nausea

Behavioural changes

  • ✓ Avoiding situations that cause anxiety
  • ✓ Finding it hard to relax or switch off
  • ✓ Withdrawing from social activities
  • ✓ Difficulty looking after yourself or managing responsibilities

Panic attacks

Some of us may experience panic attacks, which are sudden and intense periods of anxiety.

They can include:

  • ✓ Racing heartbeat
  • ✓ Feeling faint or out of control
  • ✓ Shortness of breath
  • ✓ Shaking or sweating

Panic attacks can feel frightening, but they are not dangerous and will pass. Find out more on our Panic information page here.

What may help

There are practical strategies that can help manage anxiety, alongside professional support.

Small steps that may help:

🗣️ Talk to someone you trust about how you're feeling
🌬️ Use breathing or relaxation techniques
🚶 Stay physically active where possible
📝 Break tasks down into smaller, manageable steps
📅 Try to maintain a routine (sleep, meals, study time)
🎯 Focus on what you can control rather than "what if" thoughts

Get help and support

Talk to someone

This could be:

Access NHS support

  • ✓ Contact your GP
  • ✓ Self-refer to NHS talking therapies (e.g. CBT or counselling)
  • ✓ Call NHS 111 for urgent mental health support

Urgent support

If anxiety feels overwhelming or you feel unable to cope:

  • ✓ Call 999 (emergency)
  • ✓ Call NHS 111
  • ✓ Contact Samaritans (116 123) - 24/7