anxiety attacks

Grounding When Anxiety Visits

Grounding When Anxiety Visits

by Wanda Diep, LCSW

An acute bout of anxiety is anything but cute. In the moment, you might feel intense dread, an indescribable feeling like something terrible is going to happen. Plus, there are the body sensations of sweating, tunnel vision, lightheadedness, shallow breathing, and feeling frozen in place.

The good news is, you’ll be ok. The bad news is, you don’t know that in the moment.

I wrote out some of the common ways I help my clients deal with intense anxiety they might experience when out in their daily life.

Different things may work for you and your nervous system. One person’s clean, white, empty room is another person’s pile of pillows in a dark room with a comfort TV show and sparkling water to distract them. Here are a few steps to try, and then you can personalize them for yourself.

Five Ways to Unhook from Anxious Thoughts

Five Ways to Unhook from Anxious Thoughts

Has this ever happened to you? You’re sitting at home deliberating over whether to put on your shoes and see some friends for a night out. Maybe you should just cancel. All it would take is a text, “Sorry, can’t make it. Have a headache. :(” The temptation to climb in bed and hide under the covers grows enormous. All you can think about is that weird thing you said last week in front of a new acquaintance. Or that mistake you made at work. Or the big project that’s due next week. You’re definitely going to blow it. Your friends probably don’t really care about seeing you anyway.

But there’s another part of you, too. The part of you that loves your friends. That knows self- isolating will only make things worse. So why do we do this to ourselves? Why do we choose to opt out of things when that’s not really what we want? And, more importantly, what can we do about it when our anxious thoughts commandeer our behaviors, steering us away from what truly matters?

This is where cognitive defusion, a cornerstone of Acceptance and Commitment Therapy (ACT), comes in. Cognitive defusion helps us “unhook” from anxious thoughts by creating space between us and the mental chatter. Instead of fighting or believing every thought, we learn to observe them with curiosity and let them come and go without being controlled by them.

Why Do I Feel Anxious For No Reason?

Why Do I Feel Anxious For No Reason?

If you notice you keep telling yourself what you “should be doing” to manage your mental health, take an honest inventory of what you’re actually doing. Many times, people say they are “working on it” but can’t name one or two things they are actually doing. This is like taking a day off but spending it worried about work: It’s not really rest!

Try a few of the things on this list, or come up with your own. There isn’t a right or wrong way, it’s just the way that works for you. But if you’re running out of ideas, talking to a trained mental health professional can help.