**Anxiety** is the most commonly reported feeling by people with AS. Causes include: coping with the confusion of the NT world, frequent change, demands of work and school, fear of "not getting it right."
**Depression** is also common. Sources include: feelings of failure, hopelessness, helplessness; rejection by NTs who find AS hard to understand; not living up to potential due to communication difficulties. Rejection can turn into anger, which becomes depression when turned inward.
Both take their toll and can have negative health consequences.
## Coping Strategies
### From p156: Three Ways to Cope When Overwhelmed
1. **Relaxation techniques** — deep breathing, yoga
2. **Calming activities** — something known to calm you. Case: a man played over 14,000 games of solitaire to manage stress
3. **Challenge "awfulizing" (catastrophizing)** — ask: *"Will I die from this?"* If no, it's not truly awful
### From p158: Managing Negative Emotions
- Regular exercise (strong medical evidence)
- Listening to favorite music
- Staying healthy (diet, weight)
- Excusing yourself when becoming upset — *"I need time alone to get my thoughts together"*
- Journaling to sort thoughts and feelings
- Counting to ten before responding
- Envisioning calming scenes (walking on a beach)
### From p158: Understanding Unusual Behavior
**Laughing when someone gets hurt** — nervous default when unsure how to respond. Tell people in advance this is sometimes uncontrollable.
**Difficulty with long verbal instructions** — stress causes anger or silliness. Say: *"Sorry, I'm not sure what you would like me to do"* and write tasks down.
**Source:** Lovett, *Solutions for Adults with Asperger Syndrome*, Ch 6 (pp156-158)
See also: [[Emotional Competence in AS]], [[AS Emotional Regulation Skills]], [[AS Sensory Coping Strategies]]