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It’s a vicious cycle: The pain, stiffness, and fatigue from rheumatoid arthritis (RA) can trigger a bout of anxiety — and that stress can make your condition even worse.

That’s where notable stress-relieving techniques can help. Mind-body practices like yoga, meditation, and acupuncture can all help ease anxiety, possibly reducing the risk of a flare-up of symptoms. “It’s not enough to help your joints — you also have to help the brain,” says Michelle Petri, MD, MPH, an integrative rheumatologist at the Johns Hopkins Lupus Center in Baltimore.

Keep in mind, however, that not all mind-body techniques work for everyone, says Elaine Husni, MD, MPH, a rheumatologist at the Cleveland Clinic. She recommends working with reputable complementary or alternative medicine specialists or functional medicine practitioners. “They should be supportive and work together with your rheumatologist,” she says.

Try these strategies to better manage RA:

1. Guided imagery: This technique involves sitting quietly for as little as 10 minutes and picturing scenes that bring a smile to your face, like waves on a beach or snow on the mountaintops, says the Arthritis Foundation. An October 2015 review published in the journal Pain Management Nursing found that the practice can help reduce pain and anxiety in people with arthritis and other rheumatic diseases.

2. Deep breathing: To try deep breathing, sit quietly and close your eyes, slowly breathing in and out. Coordinate peaceful thoughts with each inhale and exhale.

While deep breathing can be a stand-alone practice, you can also include deep breathing as a part of other mind-body techniques, such as guided imagery or meditation.

3. Meditation: Take a few minutes to focus on your physical and mental state, blocking out the background noises. Concentrate on the positive. Meditating while using deep breathing may help you cope more effectively with your joint pain and other RA symptoms, the Arthritis Foundation says. You can meditate by yourself or in groups led by a health care professional.

4. Progressive muscle relaxation: Start out by sitting or standing with your eyes closed. Next, slowly tense the muscles in your feet and calves, breathing in and holding for three to five seconds. Then, relax those muscles and breathe out. Continue with other muscles, working your way from your feet up to your neck. You can do this while deep breathing as well. If this technique causes you pain, stop.

5. Acupuncture: An ancient Chinese practice, acupuncture uses strategically placed tiny needles to unblock the flow of energy through the body. Studies of acupuncture for RA relief are limited, according to the Arthritis Foundation, but it may help some people. Petri also believes that acupuncture could provide some relief from arthritis pain, though it won’t prevent joint damage.

6. Yoga and tai chi: Practicing yoga and tai chi, two ancient Chinese form of exercise, can provide stress relief for people with RA. Both practices are slow and gentle, and require you to focus on your breathing as well as movement.

7. Music therapy: Playing and listening to music can help people with RA ease their pain and relieve stress, according to June 2015 research in Annals of the Rheumatic Diseases.

8. Journaling: Writing your feelings and frustrations down can help you put them into perspective, the Arthritis Foundation says. Journaling can also help you keep track of your successes; seeing your victories in writing can help boost your self-confidence and reduce your stress levels.

9. Massage: Massage can help relieve pain in your joints, relax your mind, and promote better sleep. You can have a licensed therapist give you a massage or massage your sore joints yourself, the Arthritis Foundation says.

10. Baths: A warm bath before bedtime can help ease aches in your joints and, by relieving stress, help you sleep better at night, the Arthritis Foundation says. Take the time to sit and soak.