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Anxiety is something that touches most of us, to a greater or lesser extent. Although it may just be a temporary blip for some people, for many, anxiety is a diagnosed condition that blights their lives. Indeed, Mental Health UK estimates more than one in 10 people in the UK are living with an anxiety disorder – that’s over eight million of us. And World Mental Health Day (October 10) is a chance to address the topic, agrees clinical psychologist Dr Kirren Schnack – author of the new book Ten Times Calmer: Beat Anxiety And Change Your Life. “It’s a reminder that mental wellbeing is just as important as physical health,” she says, pointing out that anxiety disorders are among the most widespread mental health issues globally. “Clinically, I’ve seen more and more people coming in with anxiety issue. The pandemic has played a significant role in this surge, introducing unprecedented levels of uncertainty, fear, and social isolation. At the same time, global economic instability and job losses have intensified stress and anxiety for many,” Schnack adds. “The widespread use of digital technology and social media has exposed people to a constant stream of alarming news and comparison-driven content that also feeds anxiety.” Schnack explains that anxiety disorders include generalised anxiety disorder (GAD), which causes chronic worry and hinders decision-making; health anxiety, where there’s an excessive preoccupation with diseases and illness; panic disorder, which is marked by sudden overwhelming panic attacks; and social anxiety, which leads to avoidance, isolation and low confidence. “They can blight daily life through physical symptoms, cognitive impairment, social isolation, disrupted routines, and emotional distress,” she says. Schnack suggests these five ways to combat anxiety problems and find calm… 1. Calm your stressed nervous system Anxiety places significant strain on the nervous system, Schnack explains, but there are simple daily practices that can help alleviate this stress. One is focusing on breathing, extending your exhale longer than your inhale. To do this, Schnack says you need to inhale gently through your nose, pause for a few seconds, then exhale slowly and deeply, ensuring an extended exhale. “A longer exhale helps by increasing the activation of the body’s parasympathetic nervous system, which counteracts stress hormones, lowers heart rate, and reduces overall physiological stress,” she says. She suggests around three to five of the breaths are repeated on multiple occasions throughout the day, and stresses that consistency is key. “Recognise that if anxiety has been a longstanding presence, it will take time and patience to restore your nervous system’s sense of safety and stability.” 2. Address anxious thoughts Schnack explains that anxiety often generates anxious thoughts that can seem like undeniable facts that are often dwelled on and reacted to, thus intensifying anxiety. “To break free from this cycle, it’s crucial to consciously confront and process these anxious thoughts,” she says. To do this, write a simple record, noting the date of your anxious prediction, describing what it was, and then, after a specified time like a day or two, return to what you’ve written and confirm whether the prediction was accurate by marking it as ‘yes’ or ‘no’. When the prediction doesn’t materialise, make a note of the actual outcome. Revisit the record, especially during anxious moments, and count the yes or no entries to reflect on your progress. “This practice trains your mind to adopt a broader, less anxious perspective,” explains Schnack. 3. Stop over-focusing on anxiety“People struggling with anxiety often find it challenging to shift their attention away from anxiety symptoms, leading to a persistent preoccupation that can worsen their problems,” says Schnack, who explains that this preoccupation can lead to excessive self-analysis, fixation on physical sensations or repetitive thoughts, and being hypervigilant. To shift your attention away from overwhelming anxiety, Schnack suggests trying this exercise: choose a colour, such as blue, and actively seek out blue objects in your surroundings. Name them out loud, and count them as you move around, possibly describing the item too. “Strive to maintain this focus for a few minutes, switching to different colours if necessary. Again, consistency is crucial, so make an effort to practice this regularly whenever anxiety hijacks your attention,” she advises. 4. Learn to tolerate uncertainty Recognising and addressing uncertainty is vital when dealing with anxiety, Schnack stresses. “You can’t resolve every uncertainty in life – the key lies in enhancing your ability to tolerate uncertainty so you can reduce your anxiety,” she explains. “Being more accepting of the fact that things may not always go as planned or that the future is uncertain can be incredibly liberating.” To help build resilience against uncertainty, Schnack advises people to take a moment to slow down and not immediately engage in reactive behaviour demanded by uncertainty, such as checking, Googling or avoiding things. Instead, she says, note your feelings, observing what uncertainty is doing to your mind and body, and write out an affirmation such as: ‘I’m feeling anxious because I’m uncertain about… My typical response to uncertainty is to engage in… behaviour. I recognise this only worsens my anxiety. My goal is to distance myself from anxiety rather than gravitate towards it. I can sit with the feeling of uncertainty for as long as I can, and build on this time until I get better and better at it.’ 5. Gradually face your fearsConfronting your fears is an effective way to overcome them, observes Schnack, although this can often feel overwhelming. “When you confront your fears, you’re essentially acting in opposition to your anxious thoughts and what anxiety is telling you. This process weakens anxiety’s grip on you, and when the actual outcomes don’t align with your anxious predictions, your mind can naturally adjust its thinking.” She suggests starting with small steps and gradually building up. So, for social anxiety, gradually start by saying a simple sentence or asking a basic closed question, and gradually building up from there. For health anxiety, gradually reduce and eliminate excessive online researching about illness and diseases, starting with small-time durations and then building on that. For panic disorder, gradually spend more time in places you typically avoid, starting with short durations like 30 seconds, then a few minutes, and gradually keep increasing the time. “Remember to repeatedly face your fears to make meaningful progress – it’s not just a one time thing,” adds Schnack. Ten Times Calmer: Beat Anxiety And Change Your Life by Dr Kirren Schnack is published by Bluebird, priced £16.99. Available now. Read More Alternative veg to grow for next season How to spot if your child is struggling with their mental health – and what to do next Does your pillowcase make a difference to your skin and hair health? Sarah Jessica Parker channels Carrie Bradshaw on the red carpet in mismatched shoes Does your pillowcase make a difference to your skin and hair health? 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Louis Tomlinson’s little sister, Phoebe Tomlinson, has announced that she’s pregnant with her first child. The 19-year-old shared a video on Instagram on Monday to reveal that she’s expecting a child with her boyfriend, Jack Varley. The black-and-white footage, which was set to Ellie Goulding’s “How Long Will I Love You,” began with Phoebe looking at her positive pregnancy test in shock and excitement before showing the test to her partner. Phoebe’s video continued with her documenting the happy reactions from her twin sister, Daisy, and her father, Mark Tomlinson, to the baby news. The influencer went on to share a picture of an ultrasound, a onesie that read: “Coming soon baby Varley,” and a teddy bear. After sharing a clip of herself cradling her baby bump, she included a video taken by her sister, Lottie Tomlinson, as Lottie and her son, Lucky, joined the mother-to-be for an ultrasound appointment. The video ended with a shot of two onesies. In the caption, Phoebe hinted at her baby’s due date, writing: “Our little miracle, joining us this winter.” While the One Direction singer has not yet commented on his sister’s Instagram video, some of her other family members did. “Can’t wait to meet you baby,” Lottie wrote, while Daisy commented red hearts and multiple emojis of a face holding back tears. Many fans and friends of the UK influencer also took to the comments to share their well-wishes and congratulatory messages. “Oh my god I’m crying!! Congratulations,” YouTuber Anastasia Kingsnorth wrote. “Aw congrats!!! Most amazing journey coming up!!” another one of Phoebe’s followers wrote, while a third added: “Congratulations beautiful girl! You were made for this.” Other fans said they were eager to see Louis’ response to the baby news. “Just imagine how happy Lou was with the news, congratulations,” one wrote, while another added: “We’re very sure Uncle Louis is so excited to meet you baby!!” Phoebe also shared two photos of herself looking at her baby bump on TikTok to announce the news. Louis, who has his stepfather’s last name, has also been vocal about being involved in his siblings’ lives after their mother’s death in 2016. During an interview with The Telegraph in 2020, he called himself “a kind of second parent” to Daisy and Phoebe. “Without being too soppy, I like looking after people, it’s cool,” he explained. At the time, he confessed that he was using some of his money to help pay for his sisters’ private school education. Read More Niall Horan says he was afraid to go out after being chased by One Direction fans A One Direction fan claimed she had a brain tumour. Five years after her death, we still need answers From Ed Sheeran to Dua Lipa: the richest musicians and celebrities under the age of 35 Bruce Willis’ family shares first Father’s Day posts since announcing his dementia Adele opens up about fungal skin infection after ‘sitting in my own sweat’ Gavin Rossdale says he and Gwen Stefani have ‘opposing views’ as parents

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Being overweight as a young adult can increase the risk of developing 18 cancers – more than have been previously linked with the disease, researchers found. Previous studies have shown that people who are overweight or obese have a heightened risk of a number of different cancers including breast, bowel, kidney and pancreatic. Now excess weight has also been linked to leukaemia, non-Hodgkin lymphoma, and among never-smokers, bladder and head and neck cancers in a large new study. The authors said these cancers have not previously been “considered as obesity-related cancers”. Our findings support public health strategies for cancer prevention focusing on preventing and reducing early overweight and obesity Study authors And that the impact of obesity on cancer is “likely underestimated”. The new study, published in Nature Communications, saw researchers examine data on more than 2.6 million Spanish adults aged 40 and under who were cancer-free in 2009. Researchers examined the body mass index (BMI) scores throughout the lifetime of people involved with the study, saying that previous research investigating the link between weight and cancer has used single BMI scores. The people in the study were tracked for nine years to see whether they developed cancer. Some 225,396 were diagnosed with cancer during the period studied. The Spanish researchers found that those who were overweight or obese in early adulthood – aged 40 and under – appeared to have an increased risk of cancer. Those who were overweight or obese for a longer period also appeared to have a higher risk. Our own evidence shows that maintaining a healthy weight throughout life is one of the most important things people can do to reduce their cancer risk, and early prevention in adulthood is key Dr Heinz Freisling, one of the study’s co-leaders Overall, some 18 cancers were linked to excess weight. The authors wrote: “This study shows that longer duration, greater degree, and younger age of onset of overweight and obesity during early adulthood are positively associated with risk of 18 cancers, including leukaemia, non-Hodgkin lymphoma, and among never-smokers, head and neck, and bladder cancers which are not yet considered as obesity-related cancers in the literature. “Our findings seem to indicate that longer exposures to overweight and obesity (with or without accounting for the degree of overweight and obesity), as well as developing overweight and obesity at younger ages in early adulthood might increase cancer risk. “Our findings support public health strategies for cancer prevention focusing on preventing and reducing early overweight and obesity.” Dr Heinz Freisling, from the International Agency for Research on Cancer and one of the study’s co-leaders, said: “The results of our study support a re-evaluation of the cancer burden associated with overweight and obesity, which currently is likely underestimated.” Commenting on the study, Dr Panagiota Mitrou, director of research, policy and innovation at World Cancer Research Fund, said: “This large study has future public health implications since additional cancers, such as leukaemia and non-Hodgkin lymphoma, have been shown to be linked with overweight and obesity. “Our own evidence shows that maintaining a healthy weight throughout life is one of the most important things people can do to reduce their cancer risk, and early prevention in adulthood is key.” Read More Study says drinking water from nearly half of US faucets contains potentially harmful chemicals Up to 10,000 Britons could take part in cancer vaccine trials People with signs of bowel cancer should be offered a £5 ‘poo test’ before invasive bowel investigations Nurture your health and wellbeing this season What diet drinks don’t have aspartame in them?

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