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Stress, Trauma, Anxiety, Fears and Psychosomatic Disorders

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Obviously, a major problem is telling the difference between realistic, helpful tensions, fears, or worries and unrealistic, unhealthy nervousness. This is because we all could start fretting about some possibly stressful event at almost any time. Risks are all around us. Thus, unrealistic worries are over-reactions to a tolerable situation or a prolonged over-reaction to a threatening situation that can not be avoided. But how can you be sure a situation won't cause trouble? You can't. How can you be sure you won't handle the problem any better if you worried about it a lot more? You can't be. However, we can learn to recognize extreme over-reactions, e.g. being terrified while flying or obsessing for hours about an insoluble problem. But a little worry about crashing while flying is realistic and some thought is necessary to know that you can't do much about a problem. So, how much time should you devote to a particular problem? There isn't an exact answer; that's why some of us let anxiety overwhelm us. Instead of an over-reaction, some people under-react to a risk. They dismiss or deny it. They never get serious at work or prepare for a "bad spell;" they die on rain-soaked highways. Maybe they are unaware of the danger; maybe they just prefer to not think about it; maybe the situation is so threatening that they are scared witless, and shove awareness of the problem out of their mind. Both over-reactors and under-reactors to a threat are poorly prepared to deal with it. Both need to learn to react differently. This chapter deals more with over-reactors than with under-reactors.

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