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Many people who have an autonomic dysfunction also suffer from depression and anxiety. If you are experiencing impotence or difficulty with sexual arousal, you may have relationship issues with your partner. Talking to a counselor or therapist can help you work through this issues and get professional support. Talk to your doctor about support groups for autonomic dysfunctions in your area. If there is not a specific group near you, you can look for a support group for your underlying condition, such as a diabetes support group or a sexual difficulties support group. It can be helpful to talk to others who understand what you are going through and are dealing with many of the same struggles as you. You may also learn some coping mechanisms from the support group to make life with an autonomic dysfunction easier. Lean on those closest to you to create a support system for yourself. Be willing to ask for and accept help when it is needed. Try not to shut yourself off from your family and friends and focus on maintaining a positive attitude to tackle any challenges or struggles you are facing due to your disorder.

summary: Talk to a counselor or therapist about your condition. Join a support group. Reach out to family and friends.

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One of the worst things you can do for your friend if they are suffering from anxiety is say, "Calm down." People with anxiety can't calm down, or they wouldn't have an anxiety disorder. Telling your friend to calm down can be interpreted as you dismissing their feelings, implying that your friend is irrational, or saying that the feelings aren't valid. Though you may be concerned when your friend has an anxiety attack, sharing your concern, being freaked out, or panicking yourself can increase your friend's anxiety. Instead, be there for your friend and tell them you are sorry they are going through this. This can help your friend stay calm. Asking questions like, "Are you alright? Are you okay? Can you breathe?" or similar things can cause more anxiety since you are not calm. Instead, tell your friend, "I'm sorry you are going through this. This must be really difficult. This is an awful way to feel." When your friend goes through an anxiety attack, try to be as positive and encouraging as you can. Help your friend remember that they are safe where they are at the moment. For example, you may tell your friend, "You can do this. It's only your anxiety. The feelings are quite frightening, but you are safe. I am here. You can get through this, and I am proud of you. A lot of anxiety stems from feeling like a person's anxiety is their fault or that something is wrong or broken inside them. When your friend faces anxiety, tell them, "This is not your fault. It is okay." This helps calm your friend and not put added anxiety onto them. Being supportive and letting your friend know that it is not their fault does not mean that you enable your friend's anxiety. Don't accommodate your friend's fear and enable the anxiety. For example, you should never give up doing things because of your friend's anxiety. You shouldn't pressure your friend, but you also shouldn't change your plans and life around the anxiety all the time. Either decide to go to the event by yourself or you and your friend can take steps to help reduce the stress of the event. Enabling means you make excuses for your friend, stop doing things because of your friend, and do things for your friend when they don't. Don't make excuses, lie, or try to take the responsibility away from your friend. Instead, help your friend accept the consequences of their anxiety. Some people think that finding common ground can help their friend. You may think it's a good idea to say, "I know how you feel" or "I'm stressed out/anxious, too." Unless you also suffer from an anxiety disorder, you do not feel the same kind of anxiety or panic your friend feels. Saying these things to your friend may trivialize their feelings.

summary: Avoid telling your friend to calm down. Offer sympathy instead of concern. Stay positive and encouraging. Help your friend understand it's not their fault. Refrain from equating your friend's anxiety to yours.

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Ask around. Sometimes pet shops have services where you pay them to come over and feed your fish. Unknown people have full access to your house. This makes it important that the person you choose is properly vetted or is known to you. If you do not feel comfortable with strangers in your house, ask a family member or a friend. Alternatively, a pet sitting service whose clients have been police verified can be an alternative, although more costly. Tell them everything they need to know, especially about how much to feed, and also leave a written instruction sheet for their reference. If you can't find anyone at all to take care of your fish, it would be best not to leave. If you do, you are taking extreme risks, and it is likely your fish won't survive.
summary: Get somebody to take care of your fish. Talk to your fish-sitter about your fish before you leave.