Anxiety in Relationships: Causes, Signs, and How to Overcome It

Anxiety in relationships can cause overthinking, trust issues, and emotional stress. Learn the causes, signs, and strategies to overcome relationship anxiety and build a secure connection.

Sarah sat on her couch, staring at her phone for the twentieth time in an hour. Her partner had read her message three hours ago but hadn’t responded. Her mind raced: 

“Are they losing interest? 

Did I say something wrong? 

Maybe they’re with someone else…” 

Deep down, she knew these thoughts weren’t rational, her partner had mentioned being in meetings all day. Yet here she was, caught in an endless spiral of worry and what-ifs.

If this scenario feels painfully familiar, you’re walking a path that many others have traveled. Anxiety in relationships can turn even the most secure partnerships into emotional minefields, where every unanswered text feels like a crisis and every slight change in tone sparks hours of overthinking.

Let’s explore this common challenge and discover practical ways to build more secure, fulfilling relationships.

Understanding Relationship Anxiety

What is anxiety in a relationship?

It goes beyond normal relationship concerns. It’s a persistent pattern of worry, doubt, and fear that can affect both new and long-term relationships. Whether you’re dating someone new or have been married for years, anxiety can create unnecessary stress and strain on your connection.

Many people experience relationship anxiety or not in love confusion, questioning their feelings because anxiety clouds their emotional experience. Understanding the difference between legitimate concerns and anxiety-driven fears is crucial for relationship health.

The Impact of Anxiety on Relationships

Anxiety effects on relationships can significantly affect how we experience and navigate our relationships. Fear of rejection in relationships often leads to defensive behaviors that can actually push partners away. Trust issues in dating can create barriers to emotional intimacy, while overcoming insecurity in love becomes a constant struggle that can exhaust both partners.

When anxiety takes hold, it can:

  • Create distance between partners when one person constantly seeks reassurance
  • Lead to misinterpretations of normal situations as threats to the relationship
  • Prevent the formation of deep emotional connections due to fear of vulnerability
  • Cause physical and emotional exhaustion from constant worry and overthinking

Common Causes of Relationship Anxiety

Several factors can contribute to anxiety in relationships:

Past Experiences:

Previous relationships or childhood experiences often shape how we approach current relationships. If you’ve experienced:

  • Betrayal or infidelity in past relationships: The pain of past betrayals can make it difficult to trust new partners, creating hypervigilance and constant fear of being hurt again.
  • Childhood trauma or attachment issues: Early experiences with unreliable or emotionally unavailable caregivers can create deep-seated fears of abandonment and difficulty forming secure attachments.
  • Abandonment or loss: Previous experiences of sudden relationship endings or loss can create persistent anxiety about future abandonments, making it hard to fully invest in new relationships.
  • Emotional or physical abuse: Past abuse can lead to heightened sensitivity to potential threats and difficulty distinguishing between normal relationship challenges and genuine red flags.

These experiences can create deep-seated fears that affect current relationships, making it challenging to build trust and maintain emotional stability.

Personal Insecurities

Your self-perception plays a crucial role in relationship anxiety. This might include:

  • Low self-esteem or self-worth issues: Feeling undeserving of love can lead to constant fear of partner dissatisfaction.
  • Separation anxiety in relationships: Persistent worry about being left alone can lead to clingy or controlling behavior
  • Perfectionism: Setting impossibly high standards for yourself and your relationship can create constant tension
  • Trust issues: Difficulty believing in your partner’s commitment or honesty can create ongoing relationship strain

Communication Challenges

Difficulty expressing needs and feelings can amplify relationship anxiety, especially when:

  • Partners have different communication styles: Mismatched ways of expressing love and concern can lead to misunderstandings
  • There’s fear of conflict or confrontation: Avoiding necessary discussions can lead to unresolved issues building up over time
  • Past attempts at vulnerable conversations have gone poorly: Negative experiences with opening up can create hesitation to communicate honestly

Signs You May Be Experiencing Relationship Anxiety

Recognizing the signs is the first step toward managing relationship anxiety:

Emotional Signs

  • Constant worry about your partner’s feelings and potential relationship issues
  • Overthinking every interaction and analyzing conversations repeatedly
  • Fear of abandonment or rejection, even in stable relationships
  • Difficulty trusting your partner’s words or actions despite no evidence of dishonesty

Behavioral Signs

  • Seeking excessive reassurance about your partner’s feelings
  • Checking your partner’s social media frequently to monitor their activities
  • Avoiding vulnerability or emotional intimacy to protect yourself from potential hurt
  • Testing your partner’s commitment through various behaviors like creating artificial distance

Physical Signs

  • Tension headaches from constant worry
  • Stomach issues and digestive problems during relationship stress
  • Sleep disturbances and insomnia from racing thoughts
  • Racing heart when discussing relationship issues or during moments of uncertainty

When Anxiety Becomes an Anxiety Disorder in Relationships

While everyone experiences relationship anxiety occasionally, some individuals develop patterns that may qualify as an anxiety disorder in relationships. This is particularly common with partners experiencing what might be termed boyfriend anxiety disorder or similar conditions where anxiety becomes severe enough to meet clinical criteria for diagnosis.

Signs that relationship anxiety has progressed to a disorder include:

  • Persistent, intrusive thoughts about the relationship that significantly impact daily functioning
  • Avoidance behaviors that interfere with relationship growth
  • Physical symptoms that occur regularly and intensely
  • Inability to control worry despite rational evidence contradicting fears

How Do I Stop Being Anxious in My Relationship?

How to Overcome Relationship Anxiety

1. Practice Self-Awareness

Start by understanding your anxiety triggers:

  • Keep a journal of anxious thoughts and situations: Document specific scenarios that trigger anxiety and how you typically respond. For instance, note when your partner is slow to respond to messages, when they go out without you, or when they interact with others in ways that trigger your insecurities. A detailed record helps you identify patterns over time.
  • Notice patterns in your emotional responses: Pay attention to recurring emotions like jealousy, fear, or anger, and the specific circumstances that spark them. Consider whether your response is proportional to the situation or if past experiences are amplifying your reaction. This awareness helps distinguish between rational concerns and anxiety-driven reactions.
  • Identify which past experiences might be influencing your current fears: Reflect on earlier relationships or childhood experiences that may have created trust issues or fear of vulnerability. For example, if abandonment in childhood makes you hypersensitive to any sign your partner might leave, recognizing this connection can help you respond more appropriately to present circumstances.
  • Monitor physical responses to anxiety: Learn to recognize when your body shows signs of anxiety (racing heart, shallow breathing, tension) so you can implement calming techniques before emotional reactions escalate. Developing this body awareness creates a crucial pause between trigger and response.

2. Develop Healthy Communication Habits

Open, honest communication is crucial for managing relationship anxiety:

  • Express your feelings using “I” statements: Instead of saying “You always make me feel ignored when you’re on your phone,” try “I feel disconnected when we’re together and both on our phones.” This approach communicates your feelings without blaming your partner, reducing defensiveness and opening dialogue.
  • Share your needs clearly and directly: Avoid expecting partners to read your mind. Be specific about what would help you feel secure: “I would appreciate a text when you’ll be working late” is clearer than hoping they’ll figure out what you need. Clear communication reduces misunderstandings that fuel anxiety.
  • Listen actively to your partner’s perspective: When your partner speaks, focus fully on understanding their viewpoint rather than preparing your defense. Repeat back what you hear them saying to confirm understanding: “It sounds like you’re saying…” This demonstrates respect and builds mutual trust.
  • Create regular check-in times for deeper conversations: Schedule dedicated time (perhaps weekly) to discuss relationship concerns in a calm, supportive environment. These planned conversations prevent issues from building up and provide reassurance that there’s space to address important matters without conflict.

3. Challenge Negative Thought Patterns

Work on reframing anxious thoughts:

  • Question the evidence for your worries: When anxious thoughts arise, ask yourself: “What concrete evidence supports this fear?” For example, if you’re worried your partner is losing interest, examine whether their behavior has actually changed or if your anxiety is creating this perception. Often, you’ll find your fears lack substantial evidence.
  • Consider alternative explanations: Train yourself to generate multiple interpretations of situations. If your partner seems distant, consider they might be tired, stressed about work, or dealing with personal matters rather than losing interest in the relationship. This mental flexibility reduces catastrophic thinking.
  • Focus on facts rather than assumptions: Distinguish between what you know for certain versus what you’re assuming. For instance, you know your partner was online but didn’t respond to your message (fact), but assuming they’re ignoring you deliberately is not a fact. This distinction helps ground your thinking in reality.
  • Practice self-compassion when anxiety arises: Rather than criticizing yourself for feeling anxious, respond with kindness: “It’s understandable I feel this way given my past experiences.” Self-compassion reduces shame around anxiety and creates emotional space to choose healthier responses rather than reacting automatically from fear.

4. Build Self-Trust

Strengthening your relationship with yourself can help manage anxiety in relationships:

  • Develop independent interests and hobbies: Invest time in activities you enjoy outside your relationship, whether it’s learning a new skill, joining a club, or reconnecting with old passions. This builds confidence in your ability to find fulfillment independently, reducing the pressure on your relationship to be your sole source of happiness and security.
  • Set and maintain healthy boundaries: Learn to identify your personal limits and communicate them respectfully. This might mean declining plans when you need alone time, expressing discomfort with certain behaviors, or requesting changes in communication patterns. Honoring your own needs demonstrates self-respect and models healthy relationship behavior.
  • Practice self-care regularly: Prioritize sleep, nutrition, exercise, and activities that replenish your emotional energy. When physically and emotionally depleted, anxiety escalates and rational thinking diminishes. Regular self-care provides the resources you need to manage relationship challenges effectively.
  • Celebrate your personal achievements: Acknowledge your growth, strengths, and accomplishments independent of your relationship status. This might include career milestones, personal goals achieved, or progress in managing anxiety. Recognizing your value beyond your relationship reduces fear that you couldn’t cope without your partner.

5. Seek Professional Support

Working with a mental health professional can provide:

  • Tools for managing anxiety: Therapists can teach evidence-based techniques like cognitive-behavioral strategies, mindfulness practices, and grounding exercises specifically tailored to relationship anxiety. These practical tools help interrupt anxiety cycles before they escalate and provide immediate relief during difficult moments.
  • Strategies for improving communication: Professional guidance can help identify destructive communication patterns and provide frameworks for more effective exchanges. Therapists might suggest specific language, timing considerations, or methods of delivery that reduce misunderstandings and build connection.
  • Guidance in healing past relationship trauma: Trained professionals can help you process unresolved experiences that fuel current anxiety. Through approaches like EMDR, narrative therapy, or trauma-focused CBT, you can reduce the emotional charge of past hurts so they stop contaminating your present relationship.
  • Support in building secure attachment patterns: Therapists familiar with attachment theory can help you recognize insecure attachment behaviors and develop more secure ways of connecting. This work addresses the root of many anxiety patterns and creates lasting change in how you approach relationships.

When to Seek Professional Help

Consider reaching out to a relationship counselor or therapist if:

  • Your anxiety significantly impacts daily life: When worry about your relationship interferes with work, friendships, or basic functioning—such as causing insomnia, affecting your appetite, or making it difficult to focus—professional support may be necessary. Severe anxiety that disrupts multiple areas of life requires specialized care.
  • Relationship conflicts are increasing: If you notice more frequent arguments, growing resentment, or declining intimacy and connection, professional guidance can help reverse negative patterns before they become entrenched. Early intervention is more effective than waiting until problems become severe.
  • You’re struggling to implement changes on your own: If you’ve tried self-help approaches but find yourself returning to the same anxious patterns, a therapist can provide accountability, personalized strategies, and ongoing support to create lasting change. Sometimes we need expert guidance to break deeply ingrained habits.
  • Past trauma is affecting current relationships: If childhood experiences, previous relationship betrayals, or other traumatic events are triggering disproportionate reactions in your current relationship, trauma-informed therapy can address these deeper wounds and free you from their ongoing influence.

Taking the Next Step

If relationship anxiety is affecting your life and relationships, know that support is available. Our experienced therapists at Healing Springs Wellness specialize in helping individuals and couples navigate relationship anxiety and build stronger, more secure connections. Whether you’re struggling with trust issues in dating, fear of rejection in relationships, or overcoming insecurity in love, we’re here to help you learn how to manage anxiety in a relationship effectively.

Ready to start your journey toward healthier relationships? [Book a Consultation] with one of our caring therapists who can help you develop personalized strategies for managing relationship anxiety.

Remember, seeking help isn’t a sign of weakness—it’s a step toward creating the fulfilling relationships you deserve.

Sarah sat on her couch, staring at her phone for the twentieth time in an hour. Her partner had read her message three hours ago but hadn’t responded. Her mind raced:

“Are they losing interest? 

Did I say something wrong? 

Maybe they’re with someone else…” 

Deep down, she knew these thoughts weren’t rational, her partner had mentioned being in meetings all day. Yet here she was, caught in an endless spiral of worry and what-ifs.

If this scenario feels painfully familiar, you’re walking a path that many others have traveled. Anxiety in relationships can turn even the most secure partnerships into emotional minefields, where every unanswered text feels like a crisis and every slight change in tone sparks hours of overthinking.

Let’s explore this common challenge and discover practical ways to build more secure, fulfilling relationships.

Understanding Relationship Anxiety

What is anxiety in a relationship?

It goes beyond normal relationship concerns. It’s a persistent pattern of worry, doubt, and fear that can affect both new and long-term relationships. Whether you’re dating someone new or have been married for years, anxiety can create unnecessary stress and strain on your connection.

Many people experience relationship anxiety or not in love confusion, questioning their feelings because anxiety clouds their emotional experience. Understanding the difference between legitimate concerns and anxiety-driven fears is crucial for relationship health.

The Impact of Anxiety on Relationships

Anxiety effects on relationships can significantly affect how we experience and navigate our relationships. Fear of rejection in relationships often leads to defensive behaviors that can actually push partners away. Trust issues in dating can create barriers to emotional intimacy, while overcoming insecurity in love becomes a constant struggle that can exhaust both partners.

When anxiety takes hold, it can:

  • Create distance between partners when one person constantly seeks reassurance
  • Lead to misinterpretations of normal situations as threats to the relationship
  • Prevent the formation of deep emotional connections due to fear of vulnerability
  • Cause physical and emotional exhaustion from constant worry and overthinking

Common Causes of Relationship Anxiety

Several factors can contribute to anxiety in relationships:

Past Experiences:

Previous relationships or childhood experiences often shape how we approach current relationships. If you’ve experienced:

  • Betrayal or infidelity in past relationships:
    The pain of past betrayals can make it difficult to trust new partners, creating hypervigilance and constant fear of being hurt again.

  • Childhood trauma or attachment issues:
    Early experiences with unreliable or emotionally unavailable caregivers can create deep-seated fears of abandonment and difficulty forming secure attachments.

  • Abandonment or loss:
    Previous experiences of sudden relationship endings or loss can create persistent anxiety about future abandonments, making it hard to fully invest in new relationships.

  • Emotional or physical abuse:
    Past abuse can lead to heightened sensitivity to potential threats and difficulty distinguishing between normal relationship challenges and genuine red flags.

These experiences can create deep-seated fears that affect current relationships, making it challenging to build trust and maintain emotional stability.

Personal Insecurities

Your self-perception plays a crucial role in relationship anxiety. This might include:

  • Low self-esteem or self-worth issues:
    Feeling undeserving of love can lead to constant fear of partner dissatisfaction.
  • Separation anxiety in relationships:
    Persistent worry about being left alone can lead to clingy or controlling behavior
  • Perfectionism:
    Setting impossibly high standards for yourself and your relationship can create constant tension
  • Trust issues:
    Difficulty believing in your partner’s commitment or honesty can create ongoing relationship strain

Communication Challenges

Difficulty expressing needs and feelings can amplify relationship anxiety, especially when:

  • Partners have different communication styles:
    Mismatched ways of expressing love and concern can lead to misunderstandings
  • There’s fear of conflict or confrontation:
    Avoiding necessary discussions can lead to unresolved issues building up over time
  • Past attempts at vulnerable conversations have gone poorly:
    Negative experiences with opening up can create hesitation to communicate honestly

Signs You May Be Experiencing Relationship Anxiety

Recognizing the signs is the first step toward managing relationship anxiety:

Emotional Signs:

  • Constant worry about your partner’s feelings and potential relationship issues
  • Overthinking every interaction and analyzing conversations repeatedly
  • Fear of abandonment or rejection, even in stable relationships
  • Difficulty trusting your partner’s words or actions despite no evidence of dishonesty

Behavioral Signs:

  • Seeking excessive reassurance about your partner’s feelings
  • Checking your partner’s social media frequently to monitor their activities
  • Avoiding vulnerability or emotional intimacy to protect yourself from potential hurt
  • Testing your partner’s commitment through various behaviors like creating artificial distance

Physical Signs:

  • Tension headaches from constant worry
  • Stomach issues and digestive problems during relationship stress
  • Sleep disturbances and insomnia from racing thoughts
  • Racing heart when discussing relationship issues or during moments of uncertainty

When Anxiety Becomes an Anxiety Disorder in Relationships

While everyone experiences relationship anxiety occasionally, some individuals develop patterns that may qualify as an anxiety disorder in relationships. This is particularly common with partners experiencing what might be termed boyfriend anxiety disorder or similar conditions where anxiety becomes severe enough to meet clinical criteria for diagnosis.

Signs that relationship anxiety has progressed to a disorder include:

  • Persistent, intrusive thoughts about the relationship that significantly impact daily functioning
  • Avoidance behaviors that interfere with relationship growth
  • Physical symptoms that occur regularly and intensely
  • Inability to control worry despite rational evidence contradicting fears

How Do I Stop Being Anxious in My Relationship?

1. Practice Self-Awareness

Start by understanding your anxiety triggers:

  • Keep a journal of anxious thoughts and situations:
    Document specific scenarios that trigger anxiety and how you typically respond. For instance, note when your partner is slow to respond to messages, when they go out without you, or when they interact with others in ways that trigger your insecurities. A detailed record helps you identify patterns over time.

  • Notice patterns in your emotional responses:
    Pay attention to recurring emotions like jealousy, fear, or anger, and the specific circumstances that spark them. Consider whether your response is proportional to the situation or if past experiences are amplifying your reaction. This awareness helps distinguish between rational concerns and anxiety-driven reactions.

  • Identify which past experiences might be influencing your current fears:
    Reflect on earlier relationships or childhood experiences that may have created trust issues or fear of vulnerability. For example, if abandonment in childhood makes you hypersensitive to any sign your partner might leave, recognizing this connection can help you respond more appropriately to present circumstances.

  • Monitor physical responses to anxiety:
    Learn to recognize when your body shows signs of anxiety (racing heart, shallow breathing, tension) so you can implement calming techniques before emotional reactions escalate. Developing this body awareness creates a crucial pause between trigger and response.

2. Develop Healthy Communication Habits

Open, honest communication is crucial for managing relationship anxiety:

  • Express your feelings using “I” statements:
    Instead of saying “You always make me feel ignored when you’re on your phone,” try “I feel disconnected when we’re together and both on our phones.” This approach communicates your feelings without blaming your partner, reducing defensiveness and opening dialogue.

  • Share your needs clearly and directly:
    Avoid expecting partners to read your mind. Be specific about what would help you feel secure: “I would appreciate a text when you’ll be working late” is clearer than hoping they’ll figure out what you need. Clear communication reduces misunderstandings that fuel anxiety.

  • Listen actively to your partner’s perspective:
    When your partner speaks, focus fully on understanding their viewpoint rather than preparing your defense. Repeat back what you hear them saying to confirm understanding: “It sounds like you’re saying…” This demonstrates respect and builds mutual trust.

  • Create regular check-in times for deeper conversations:
    Schedule dedicated time (perhaps weekly) to discuss relationship concerns in a calm, supportive environment. These planned conversations prevent issues from building up and provide reassurance that there’s space to address important matters without conflict.

3. Challenge Negative Thought Patterns

Work on reframing anxious thoughts:

  • Question the evidence for your worries:
    When anxious thoughts arise, ask yourself: “What concrete evidence supports this fear?” For example, if you’re worried your partner is losing interest, examine whether their behavior has actually changed or if your anxiety is creating this perception. Often, you’ll find your fears lack substantial evidence.

  • Consider alternative explanations:
    Train yourself to generate multiple interpretations of situations. If your partner seems distant, consider they might be tired, stressed about work, or dealing with personal matters rather than losing interest in the relationship. This mental flexibility reduces catastrophic thinking.

  • Focus on facts rather than assumptions:
    Distinguish between what you know for certain versus what you’re assuming. For instance, you know your partner was online but didn’t respond to your message (fact), but assuming they’re ignoring you deliberately is not a fact. This distinction helps ground your thinking in reality.

  • Practice self-compassion when anxiety arises:
    Rather than criticizing yourself for feeling anxious, respond with kindness: “It’s understandable I feel this way given my past experiences.” Self-compassion reduces shame around anxiety and creates emotional space to choose healthier responses rather than reacting automatically from fear.

4. Build Self-Trust

Strengthening your relationship with yourself can help manage anxiety in relationships:

  • Develop independent interests and hobbies:
    Invest time in activities you enjoy outside your relationship, whether it’s learning a new skill, joining a club, or reconnecting with old passions. This builds confidence in your ability to find fulfillment independently, reducing the pressure on your relationship to be your sole source of happiness and security.

  • Set and maintain healthy boundaries:
    Learn to identify your personal limits and communicate them respectfully. This might mean declining plans when you need alone time, expressing discomfort with certain behaviors, or requesting changes in communication patterns. Honoring your own needs demonstrates self-respect and models healthy relationship behavior.

  • Practice self-care regularly:
    Prioritize sleep, nutrition, exercise, and activities that replenish your emotional energy. When physically and emotionally depleted, anxiety escalates and rational thinking diminishes. Regular self-care provides the resources you need to manage relationship challenges effectively.

  • Celebrate your personal achievements:
    Acknowledge your growth, strengths, and accomplishments independent of your relationship status. This might include career milestones, personal goals achieved, or progress in managing anxiety. Recognizing your value beyond your relationship reduces fear that you couldn’t cope without your partner.

5. Seek Professional Support

Working with a mental health professional can provide:

  • Tools for managing anxiety:
    Therapists can teach evidence-based techniques like cognitive-behavioral strategies, mindfulness practices, and grounding exercises specifically tailored to relationship anxiety. These practical tools help interrupt anxiety cycles before they escalate and provide immediate relief during difficult moments.

  • Strategies for improving communication:
    Professional guidance can help identify destructive communication patterns and provide frameworks for more effective exchanges. Therapists might suggest specific language, timing considerations, or methods of delivery that reduce misunderstandings and build connection.

  • Guidance in healing past relationship trauma:
    Trained professionals can help you process unresolved experiences that fuel current anxiety. Through approaches like EMDR, narrative therapy, or trauma-focused CBT, you can reduce the emotional charge of past hurts so they stop contaminating your present relationship.

  • Support in building secure attachment patterns:
    Therapists familiar with attachment theory can help you recognize insecure attachment behaviors and develop more secure ways of connecting. This work addresses the root of many anxiety patterns and creates lasting change in how you approach relationships.

When to Seek Professional Help

Consider reaching out to a relationship counselor or therapist if:

  • Your anxiety significantly impacts daily life:
    When worry about your relationship interferes with work, friendships, or basic functioning—such as causing insomnia, affecting your appetite, or making it difficult to focus—professional support may be necessary. Severe anxiety that disrupts multiple areas of life requires specialized care.

  • Relationship conflicts are increasing:
    If you notice more frequent arguments, growing resentment, or declining intimacy and connection, professional guidance can help reverse negative patterns before they become entrenched. Early intervention is more effective than waiting until problems become severe.

  • You’re struggling to implement changes on your own:
    If you’ve tried self-help approaches but find yourself returning to the same anxious patterns, a therapist can provide accountability, personalized strategies, and ongoing support to create lasting change. Sometimes we need expert guidance to break deeply ingrained habits.

  • Past trauma is affecting current relationships:
    If childhood experiences, previous relationship betrayals, or other traumatic events are triggering disproportionate reactions in your current relationship, trauma-informed therapy can address these deeper wounds and free you from their ongoing influence.

Taking the Next Step

If relationship anxiety is affecting your life and relationships, know that support is available. Our experienced therapists at Healing Springs Wellness specialize in helping individuals and couples navigate relationship anxiety and build stronger, more secure connections. Whether you’re struggling with trust issues in dating, fear of rejection in relationships, or overcoming insecurity in love, we’re here to help you learn how to manage anxiety in a relationship effectively.

Ready to start your journey toward healthier relationships? [Book a Consultation] with one of our caring therapists who can help you develop personalized strategies for managing relationship anxiety.

Remember, seeking help isn’t a sign of weakness—it’s a step toward creating the fulfilling relationships you deserve.

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