The 4 A’s of Stress Management This technique was first proposed by the Mayo Clinic but has since been used in various iterations by therapists, coaches, doctors, and laypeople all over the world. Having a simple, structured approach to anxiety can be like a lifeboat in the storm of stress and overthinking. All you need to remember is four techniques: avoid, alter, accept, and adapt. It can be a comfort in itself to know that really, there are only these four possible ways to respond to any life stress.