These are stressful times, or at least there are times when many patients feel ill-equipped to manage their stressors — whether it is the economy, jobs, inclement weather, their own health or the health of loved ones, or even the health of pets. Over time, these events may take deleterious tolls. For example, numerous studies link anxiety and stress with cardiovascular disease. Not only do anxiety and stress increase disease incidence, but they also increase the risk of an adverse cardiovascular event (stroke or heart attack). Studies have shown that the prevalence of anxiety is high (approximately 70-80%) among patients who have experienced an acute cardiac event. Even among the patients who have not experienced these events, the prevalence of anxiety is estimated to be between 20-25%.