b'O P E R A T I O N SB E H A V I O R A L H E A LT HGeneralized anxiety is sometimes accompanied by other symptoms as well, including gastrointestinal distress, headaches or avoidance behaviors.Anxiety, when left unchecked, is like a never-ending loop. Its important to take the necessary steps to stop it before it spirals out of control. Prolonged and ongoing anxiety levels can be dangerousthey can contribute to a higher risk of infection, heart problems, depression and even addiction.With any disorder, the management and treatment may be different for each person, and often trial and error are needed to identify what works best. Fire fighters can start by contacting a peer support member. Because they have worked with other fire fighters and have specific training, the peer support member can talk about successes in management and treatment and may offer a referral to a mental health professional.Anxiety, Depression and PTSD Below are some ways to help manage anxiety; however fire Even though being anxious occasionally is normal, it can affectfighters should seek the guidance of mental health professionals. your functioning at work or at home if it becomes severe. In theIts important to identify the people, places, things or situations that long run, this can lead to lasting physical and psychologicalmay trigger ones anxiety and have a plan for coping with them.damage. Fire fighters are often put in highly stressful situations,Maintain a healthy lifestylemaking them susceptible to anxiety disorders such asKeep activegeneralized anxiety disorder (GAD), social anxiety disorder and panic disorder. Handling such intense levels of stress on a regularPractice breathing techniquesbasis can be very difficult for these individuals, so it is importantPractice progressive muscle relaxationto take measures to support their well-being. MeditateAnxiety disorders can become debilitating, affectingEat wellindividuals in multiple ways. They are marked by excessive fear, nervousness and unease that can interfere with a fire fightersReduce alcohol and nicotine usedaily life. Being in the station, putting on gear and respondingSpend time outdoors in natureto alarms may feel different than it has in the past. Feelings ofSpend time with family and friendshesitation and becoming emotional in situations are common.Reduce stressEven mundane activities can become very trying when dealing with anxiety. Participate in activities you enjoyGeneralized anxiety disorder is defined as: Be kind to yourselfchallenge your self-talkA pattern of excessive and uncontrollable worry about a range of issues, lasting for at least six months, which causes major distress or impairment in the persons daily functioningWorry is associated with at least three of the following symptoms occurring more days than not:,Restlessness or feeling on edge,Being easily fatigued,Difficulty concentrating or feeling like mind is blank,Irritability,Muscle tension,Difficulty falling asleep, difficulty staying asleep or having restless sleep34'