What triggers Anxiety? The actual trigger for anxiety might be a real or an imagined threat. For example a person who is fearful of public speaking would feel panicky as they stood up to give a presentation to a room full of colleagues, but they might feel just as afraid if they believed they might have to stand up and give a presentation without warning. How can I reduce my Anxiety? The National Institute for Clinical Excellence recommends Cognitive Behavioural Therapy (CBT), as one of the treatment approaches used to tackle anxiety and panic disorder. CBT therapists understand the experience of anxiety as being often linked to the balance of different ways of thinking: The more likely or the more awful a threat is perceived as being, the greater the anxiety. This anxiety may however be lessened by the appraisal of one's coping abilities and/or the possibility of help. CBT therapists work with clients to control their anxiety by (a) examining what we think and tell ourselves when we are anxious and then changing any unhelpful thoughts (b) modifying behaviour which increases personal anxiety (c) understanding how the body reacts to anxiety and stress and (d) teaching relaxation techniques. This approach can be particularly effective for reducing personal anxiety and stress levels - which is especially relevant for many people given the current economic climate.