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AreasWorry and anxiety

Worry and anxiety

Anxiety is not a character flaw and it is not weak faith. It is a body doing what it was built to do, at a moment when it is not needed. The practices here work on the loop itself: what worry promises and never delivers, what avoiding costs you, and how to let the body come down.

What works for this

Cognitive behavioural therapy

The treatment with the largest trial base for anxiety works on what you do about worry rather than on what you worry about. Catching it, postponing it, and testing a prediction instead of arguing with it.

One move, today

Pick one worry you had today. Write the exact thing you feared would happen, then write what actually happened. You are collecting evidence, not arguing.

What matches

10 practices

Narrow these down

Two weeks away is the point to stop waiting and ask for help. A year away is beyond what one appointment a week can carry.

Short absences often sort themselves out. Once a fortnight has gone, the pattern has usually begun to set, and the amount of practice needed to undo…

A minuteThe cost of avoidingCBTQur’an 29:69One line of research

Somewhere between five and ten children in every hundred struggle to get to school at some point, and one or two of those need real help with it. Your family is not a strange case.

It feels rare because nobody mentions it at the school gate. In a school of a thousand that is a dozen or more children needing active support at any…

A minuteThe cost of avoidingCBTQur’an 2:214One line of research

Avoiding something makes today easier and tomorrow harder. Say that plainly, to yourself and to whoever is in it with you.

Without that sentence, asking someone to face a frightening thing looks like cruelty, and every conversation about it goes badly. With it, the choice…

A minuteThe cost of avoidingCBTQur’an 62:8One line of research

Anxiety is the most common mental health difficulty of childhood, with something like a third of young people meeting the threshold at some point and a smaller group badly held back by it. Both halves of that are worth saying.

The first half is for the shame: this is ordinary, and keeping it secret is its own kind of avoiding. The second half is so that nobody hears…

A minuteThe cost of avoidingCBTQur’an 39:53One line of research

The target is getting through the door, not feeling calm about it. Calm tends to arrive afterwards, and mostly for people who went.

It is tempting to wait for a good week, a settled mood, a morning that feels different. Waiting hands the decision to the anxiety, and the anxiety…

A minuteThe cost of avoidingCBTQur’an 9:105One line of research

Offer school again at ten, and at eleven, and after lunch. One refusal at half past seven should not be allowed to decide the whole day.

Morning dread usually peaks around the time they would be leaving and then drains away over a couple of hours. A child who could not face it at half…

A minuteThe cost of avoidingCBTQur’an 12:87One line of research

Put it the way a grandmother would. Eat your peas and carrots and then you can have your pudding: go in, and then the thing you have been wanting.

Technical language falls out of your head at seven in the morning. A homely sentence survives, and it survives the argument too, because it is hard…

A minuteThe cost of avoidingCBTQur’an 41:35One line of research

Nobody is asking you to go cold. Comfort your child properly, and watch where it lands: alongside them as they go, rather than waiting for them if they stay.

A hug at the door and a hand on the back on the way to the car sit on the side of going. A whole afternoon of being looked after because they did not…

A minuteThe cost of avoidingCBTQur’an 2:155One line of research

When the words for feelings are not there, ask for a number instead. How much did the handwashing take over this week, one to ten, is a question someone can answer on a bad day.

A number asks far less of a person than a description, which matters when putting feelings into language is hard for them, and you still end up with…

A minuteObsessions and compulsionsCBTQur’an 2:286One line of research

Being told not to worry has never once stopped anybody worrying, including you. If a friend said it to you tomorrow you would carry straight on.

This is worth saying to a parent who feels they are failing at comforting their child. They are not bad at it. The words simply do not do that job…

A minuteBreaking the worry loopCBTQur’an 2:186One line of research

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