Article: There are many different symptoms of illness in goldfish. Identifying the symptoms properly and early can help you save your goldfish from dying. The best time to check for signs of disease or death is before feeding. Breathing disorders: look for symptoms such as gasping for air, rapid breathing, skimming the surface of the tank water, or lying at the bottom of the tank, which may indicate disease or poor quality water. Internal parasites: goldfish are naturally very hungry and if you notice that your fish isn't eating or is losing weight, it might indicate internal parasites. Swim bladder disease: see if your fish is swimming erratically, upside down, or rubbing up against surfaces it may indicate everything from bladder disease to improper feeding. Fungal disease: if your goldfish exhibits symptoms such as folded or torn fins, discolored spots, lumps or bumps, protruding eyes, pale gills, or is bloated, these can be signs of fungal disease. Fin rot: this is one of the most common fungal diseases in fish and presents with symptoms such as milky white areas on the fins or tail and a ragged appearance of the fins. Once you've identified symptoms of a dying goldfish, see if any other fish in the tank are suffering from similar signs. This may help you identify what the underlying cause of your goldfish's illness is. You can treat diseases such as fungal infections and tail rot by removing the tank filter properly and treating the water. This may help save your fish from dying. Remove the active carbon filters in the tank and use commercial treatments such as Maracyn-Two for fin rot or methylene blue for fungal infections. If you aren't sure whether your fish has a fungal infection or tail rot, don't use this treatment. Using chemicals to address a problem that doesn't exist can seriously harm your goldfish. If you notice that you fish have white spots on their bodies, they likely have a disease caused by ich parasites or they may also have anchor worms or lice. Using a heat and salt method can help treat the disease and save your goldfish. Slowly raise the temperature of your aquarium to 86 degrees Fahrenheit (30 degrees Celsius) over a 48 hour period to stop the ich parasites from reproducing. Keep the tank at this temperature for 10 days. Add one tablespoon of aquarium salt for every 5 gallons of water. Change the tank water every couple of days. Reduce the water temperature gradually back to 65 degrees Fahrenheit (18 degrees Celsius). You may use the heat and salt method if there are healthy fish in the tank. This may also help remove single parasites that have infected healthy fish. Some fish may have swim bladder disease that is not helped by changing the tank water. Feeding your fish veggies, such as frozen peas, and low protein food may help alleviate a swim bladder disease. Frozen peas are a good choice because they're rich in fiber and they sink to the tank and your goldfish won't have to search for it at the surface. Don't overfeed your sick fish. Only give them new food when they've finished their last feeding. Not following this could cause an ammonia problem in the tank and make the fish even sicker. If you notice your goldfish has parasites such as anchor worms, you may be able to excise the parasites with tweezers. Be sure to do this gently so that you don't harm or kill your goldfish. Some parasites burrow deeply into fish. You may want to combine excision with killing off parasites with a commercial treatment. Make sure to grip the parasite as closely to the wound on your fish as possible to help ensure you remove the entire parasite. Place your goldfish in the water every minute or so he can catch his breath. It may take a few weeks for parasites to disappear from your tank. Only use this method if you're sure your goldfish has worms or parasites and if you can handle them gently enough to not kill the fish. If you're not sure what is ailing your fish, try using a commercial fish medication to treat any illness. This may save your fish from any diseases or parasites. You can get commercial fish medication at most pet stores and even some larger retail stores. Be aware that commercial fish medications are not regulated by government agencies, which means the treatments may be useless or could harm your fish. The best treatment is always being sure of the disease for which you're treating. You might find that home treatments don't cure your fish. If this is the case, take the fish to the vet. He may be able to identify why your goldfish is showing the symptoms of dying and develop a treatment plan. Make sure to transport your fish in a plastic bag that is covered by a paper bag so that she doesn't get stressed. Be aware that a vet might not be able to help your fish and that it might die even with vet care.
Question: What is a summary of what this article is about?
Identify symptoms of a dying goldfish. Look for symptoms in other fish. Remove the filter and treat the water. Treat the water with a heat and salt method. Feed your fish veggies and low protein foods. Excise parasites with tweezers. Use a commercial fish medication. Take your fish to the vet.

If you are continuing to have difficulty with managing your anxiety and triggers, therapy may be a beneficial option to help you better handle your symptoms. Professional counselors and therapists are trained specifically to help with coping skills such as anxiety triggers. Find therapists in your area by getting a list of providers through your health insurance. Consider contacting your school counselor, university counseling center, or your work's Employee Assistance Program for referrals to counseling. Find out about if the therapist has expertise in your anxiety triggers. You can even ask the therapist what kind of evidence-based practices they use. Different types of therapy techniques include CBT, DBT, Solution Focused, Strengths Based, and Prolonged Exposure Therapy. Research the techniques the therapist uses to learn more about them. There may be other treatment options to help with your anxiety if it continues to impair your daily life. Unavoidable anxiety triggers mean that you may have to encounter certain people or situations regularly and feel overwhelmed often. Talk with your health care provider or a mental health specialist about medication options if other strategies are not working for you. A doctor or psychiatrist can prescribe medications to help with your symptoms. Talk with your primary care provider about options or a referral to a specialist for advice. Talk with a mental health specialist about your medication treatment, and whether it has been beneficial. Often a combination of medication and therapy are best for severe anxiety. Many people face anxiety that is overwhelming and unavoidable. Depending on the type of anxiety that you're facing, talk with a counselor or therapist about support groups in your area. Support groups are often less expensive than individual therapy. Working as a group on your anxiety symptoms can help you feel less isolated or judged. A support group is a safe space to engage with others about your concerns. Many support groups are led by trained mental health professionals or peer support specialists who have been through the same anxious feelings as you. Avoid isolating yourself when anxiety hits. Often this action will in turn make you feel less willing to handle anxiety the next time. After an anxiety-provoking situation has occurred, instead focus on turning to friends or family that support and reassure you. Have two or three friends or family that you can call when you're feeling anxious or overwhelmed. Talk with them in advance about them acting as your "calling buddies." Do activities with your friends or family. If you are hesitant to do things in groups, then find activities to do with just one friend or family member. Trust and confide in them. The people that love and care about you often want to be helpful and supportive as you learn to handle your anxiety.
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One-sentence summary --
Learn how to cope better through therapy. Get advice from a doctor or mental health professional. Join a support group. Spend more time with friends and family who encourage you.