Resources for anxiety
I have collected a whole host of favorite resources over the years, including podcasts. articles, apps, online courses, and books, and am in the process of sharing them here. This page will be a work-in-progress, so check back frequently. There are many practices that you can begin using now that may be helpful in a fairly immediate way.
The resources below are organized around the following topics:
General resources — understanding anxiety and how to cope with it
- Stepping Off the Path of Anxiety. Psychotherapist and meditation teacher Andrea Wachter speaks on the Happiness Lab podcast about a wealth of strategies to overcome the thoughts and sensations that make up anxiety.
- That Anxiety You’re Feeling? It’s a Habit You Can Unlearn. Psychiatrist Judson Brewer is interviewed on the Ezra Klein podcast on unwinding the habit of anxious worry. He writes more about this approach in his post on the 10% Happier blog.
- Emotions Are Data. So Listen to Them. Psychologist Susan David speaks on the Happiness Lab podcast about why many of us choose to ignore negative feelings or suppress them. She posits that uncomfortable emotions such as anger, guilt or loneliness are like the guiding beam of a lighthouse — they warn you of dangers ahead and help you navigate a meaningful life more effectively.
- How We Misunderstand Anxiety and Miss Out on Its Benefits. Psychologist Tracy Dennis-Tiwary gives a more nuanced understanding of what anxiety is, and how we can relate with it in a way that helps rather than hinders us. See what you think of her rationale, and whether you can apply it to your own anxiety:
- Anxiety can be an ally. But like any ally, you need to negotiate ... The first principle is anxiety is information. Listen to it.
- The second principle is sometimes anxiety is not useful information. Let go of it and immerse yourself in the present again. Let go of that future tense.
- Then the third principle is, if you let it go for the moment but you’ve circled back and you’ve decided that there’s some useful information — about the world, things you care about, the future, hope — then hitch it to a sense of purpose.
- Here are several of my favorite books that apply to anxiety across the board:
Calming the nervous system — relaxation and breathing exercises
Learning to breathe in a way that interrupts the fight/flight response and activates the self-soothing or parasympathetic nervous system is an important tool for your toolbox. To note, the goal here is not necessarily to make anxiety go away, but to develop a new relationship with the sensations in the body and anxious thoughts in the mind. I often recommend practicing on a daily basis, even when you are not anxious — if learning to surf, you might practice standing on the surfboard on the beach and getting the feel of things there before heading out into the waves. The same idea here works well. 15 minutes daily will allow you to build a solid foundation, perhaps before bed in the evening or as a break in the middle of the day.
- Breathe2Relax app. This is an app put out by the VA that teaches belly breathing, or diaphragmatic breathing. When we are anxious, oftentimes breathing is shallow and rapid through the chest, which actually worsens symptoms of anxiety in the body. This app teaches you how to take slower, deeper breaths from the belly or diaphragm region.
- 4-square breathing. Also known as box breathing, this simple exercise asks you to breathe in for 4 seconds and imagine the side of a square being drawn. Then hold your breath for 4 seconds as you “see” the next side of the square being completed. Exhale for 4 seconds, watching the third side of the square being drawn. And, hold for 4 seconds, watching the full square take form. You can have your square be any color, texture, or size that you like. The visualization portion of the practice can give a busy, anxious mind something to do, while breathing in a slower, more intentional way can steady a revved up nervous system.
- 5-finger breathing. This is a simple meditative breathing exercise you can practice anywhere. Basic instructions are as follows: hold one hand in front of you, fingers spread. Now, slowly trace the outside of your hand with the index finger on your other hand, breathing in when you trace up a finger, and out when you trace down. Move up and down all five fingers. When you’ve traced your whole hand, reverse direction and do it again.
- Drop three.
This is another exercise that can be used anywhere, anytime. The instructions are as follows:
(1) Drop your jaw. Make sure your tongue falls to the bottom of your mouth. If your mouth is open a little, you’re doing it right. (2) Drop your shoulders. Let them loosen and fall. (3) Drop your stomach. Don’t hold it in tight; just let it go. Now notice how you feel. Has anything changed? The idea here is that instead of expending energy to keep your muscles tense, you will have this energy available to use in more helpful ways. - Progressive muscle relaxation (PMR). This is a practice that will teach you how to notice when you are carrying anxiety and tension in the body, and how to let go of that tension progressively across your body. You can use this handout to practice on your own, or google "PMR" and find a recorded track that will take you through the exercise. For example, here is one you can try.
- Other ideas. The best breathing exercise is the one that you will use! I created this worksheet with some other ideas you can try to slow down a revved up nervous system.
Exercise
- Exercise and the brain. Exercise has consistently been linked to a reduction in anxiety symptoms and stress. This video, entitled Exercise and the Brain, provides a thorough and entertaining look at why developing a consistent exercise practice is so beneficial. Understanding how and why exercise is helpful for anxiety and stress in particular can also provide a big motivation boost.
Mindfulness
Mindfulness is a skill that can be helpful for many psychological struggles, but it is a superpower when it comes to anxiety. When anxious, we tend to reside anywhere but the present moment — typically time traveling to the future, preoccupied by worst case scenarios, or stuck in the past, overthinking and ruminating. If we can recognize when this is happening, this creates a choice point, and we can then decide whether the anxious chatter is just noise, something to set aside, or whether it is a signal that could use more problem solving or action. There are a number of excellent apps that will teach you how to bring more mindfulness to your life and build a practice — here are my favorites below:
- Healthy Minds app . This app was developed by the neuroscientist Richard Davidson (no relation!) and is my number one recommendation, as it is a robust, evidence-based program designed to help you build a mindfulness practice and foster traits associated with wellbeing.
- Russ Harris’s ACT Mindfully resources — meditations and podcasts. This site, offered by one of the giants in the field, provides a wonderful way to practice mindfulness and learn more about Acceptance and Commitment Therapy (ACT).
- Insight Timer app. This app used to be the largest repository of free meditations, unsure whether this is still true. You can meditate without instruction via their simple timer, or you can listen to meditations organized by content area. There are also a number of courses that come with the paid membership that seem excellent.
- Calm app
- Headspace app
Self-Compassion
Individuals with anxiety often have a very robust inner critic who can tag along and issue harsh judgments at every step of the way. Self-compassion practices have been shown to reduce self-criticism and perfectionism, interrupt unhelpful thought patterns, and foster emotional resilience. Self-compassion is taught as a mindfulness practice, one that teaches us to shift into a warm, kind, and curious stance towards our thoughts, feelings, and behaviors. In a nutshell, it is the practice of treating ourselves as we might a dear friend.
Here are some of my favorite resources below, including podcasts, online meditations, virtual and in-person workshops, and self-compassion teachers. You can try a different practice every day if you like, or stick with one you like and practice that again and again.
- Happiness lab podcast episodes on self-compassion:
- Dump Your Inner Drill Sergeant. This episode provides a great overview of the concept of self-compassion, and includes an interview with Kristin Neff.
- Reconnect With the Moment. In this episode, Tara Brach introduces her RAIN tool – a mindfulness practice that allows us to Recognize, Allow, Investigate and Nurture our emotions. Tara explains that once we consciously engage with our emotions, we can decide what is really important to us and our happiness.
- Center for Self-Compassion. Kristin Neff and Christopher Germer developed this center as well as the Mindful Self-Compassion program. They provide a number of resources here, including online meditations and virtual and in-person workshops. They have also put out an excellent workbook you can use to engage in a Mindful Self-Compassion self-study program.
- Kristin Neff is a pioneer in the study of self-compassion, being the first one to operationally define and measure the construct almost twenty years ago.
- Her web site has a wealth of resources, including an assessment that you can use to learn how self-compassionate you are to begin with.
- There are a number of recorded meditations that can get you started in your practice.
- You might begin with the 5-minute self-compassion break or affectionate breathing.
- The soften, soothe and allow exercise is excellent for times when you feel particularly anxious.
- The writing exercises towards the bottom of this page are another way to build the muscle of self-compassion.
- Christopher Germer provides his own recordings of the core self-compassion meditations on his web site.
- You might begin with his version of the self-compassion break or Loving Kindness for Beginners.
- The self-compassion for shame exericse is particularly powerful, especially to manage a fierce internal critic.
- Tara Brach provides more information about the RAIN tool on her web site. You can practice the skill by listening to her recording of the practice. She also speaks about the tool on the NPR Life Kit podcast.
- And here are some excellent books, including the workbook I mentioned above:
- Note, self-compassion work is thought to be more effective than focusing on self-esteem, which can rise and fall according to external circumstances. However if you would like to learn more about CBT for self-esteem, the book above is a great place to start.
- In addition, here is a helpful article on understanding and battling the inner-critic, complete with a number of helpful writing exercises. This is not part of the self-compassion literature, but could serve as a great complement to Neff's writing exercises above.