How Does Therapy Address Crisis: COVID-19
So much of my practice centers around anxiety, trauma, phobias, panic disorder, obsessions, compulsions, and unhealthy coping patterns related to...
7 min read
KD Holmes, LPC : Oct 30, 2019 7:26:13 PM
Do I Have an Anxious Mind? If the title above resonates with you, it’s likely that your mind is no stranger to relentless thoughts and constant “what if” scenarios. It’s a familiar and overwhelming mental pattern for many, one that often feels like a storm brewing just beneath the surface.
If you answered yes, you’re not alone. Many individuals with Generalized Anxiety Disorder (GAD) experience exactly this. Their minds tend to catastrophize, envisioning the most unfavorable outcomes and mentally bracing for the fallout. This kind of thinking hijacks your focus, keeping your mental energy locked on repetitive fears, like constantly waiting for the other shoe to drop. Call it Murphy’s Law in hyperdrive—always anticipating that anything that can go wrong… eventually will.
For the person experiencing this, it isn’t just exhausting—it’s all-consuming. These imagined outcomes feel as vivid and distressing as reality. But here’s the question I often pose in these moments to offer a different perspective: How often does the worst-case scenario happen?
Anxious minds often confuse thoughts with reality. The fear feels so tangible that it’s easy to forget a fundamental truth—thoughts are not facts. They are not actions, nor are they inevitable outcomes. They are simply constructs of the mind.
But recognizing this can feel impossible when the fear is gripping. Shifting this perspective, however, is key to overcoming the cycle of anxiety. It requires a blend of acknowledgment, practice, and something uncomfortable yet powerful—leaning into the very fears you want to avoid.
This process, is called inhibitory learning, doesn’t involve merely reassuring yourself that “this won’t happen.” Instead, it’s about deliberately exposing yourself to the possibility that it could. While this might sound counterintuitive and daunting, it’s by sitting with these fears and internalizing that you can handle them, no matter the outcome, that ultimately changes the way your brain reacts.
Most importantly, the “worst-case fear” won’t stay the same. Today, it might revolve around your job. Next month, a health concern. A year from now, your relationships. The object of your worry changes—but your reaction patterns don’t, unless actively addressed.
Perhaps your mind tends to catastrophize solely in social settings. Social anxiety feels like standing in the middle of a crowded room with nowhere to hide, every glance a spotlight, every word a potential misstep. The simple act of connecting with others—casual conversations, meeting new people, walking into a room—becomes a labyrinth of self-doubt and unease. For me, social settings once felt like stepping onto a stage without a script, my mind racing with what-ifs, my body betraying me with trembling hands and a pounding heart. I’d replay interactions in my head like a scratched record, fixating on every imagined flaw.
This experience, known as social anxiety disorder (SAD) or social phobia, goes far beyond shyness or occasional nervousness. It’s like carrying an invisible weight, a constant fear of being judged, of faltering, of not being enough. It shapes how you see yourself, how you show up in the world, and what you believe is possible.
The symptoms manifest physically—sweating palms, a racing heart, nausea that churns like a storm. Behaviorally, you might avoid social situations altogether, retreating into spaces where the anxiety can’t find you. And mentally, it’s a tangle of worry, overthinking, and self-criticism, like whispers that say, “You’re not good enough,” “You looked foolish,” or “Everyone noticed.”
Social anxiety, I’ve learned, is not a flaw or weakness. It’s a deeply human response, often tied to vulnerabilities we all carry. It’s isolating, yes, but also a chance to understand ourselves more deeply. For me, the journey through social anxiety has been one of small, brave steps—learning to stand in the discomfort, sit my fears without letting them define me. Like waves crashing against the shore, the feelings may come and go, but they don’t have to erode who you are.
Understanding social anxiety, recognizing its presence, and naming its impact is the first step toward finding solid ground. With compassion, patience, and the right tools, it is possible to reclaim those moments of connection and begin to thrive in spaces that once felt impossible to navigate.
Or perhaps your catastrophe centers on a particular object. A specific phobia is more than just a passing unease; it’s a weight that clings tightly, shaping how someone navigates the world. It’s an intense, consuming fear of a particular object, situation, or activity—one that whispers louder than logic, urging avoidance at all costs. This fear often feels disproportionate, like a shadow stretching long in the fading light, far larger than the actual risk it represents.
The way dogs (cynophobia), spiders (arachnophobia), or snakes (ophidiophobia) can evoke a fear that coils in the chest, as if bracing against unseen threats.
The dizzying pull of heights (acrophobia), the electric charge of a storm, or the vast, unknowable depths of water.
The confined walls of enclosed spaces (claustrophobia), the hum of a plane engine, or even the sterile chill of a dentist’s office.
The sharp edge of needles, the sight of blood, or the anticipation of pain.
Choking, vomiting, or the sharp jolt of a loud noise—all small moments magnified into mountains.
Living with a specific phobia is like carrying a storm inside. Sometimes it’s quiet, distant, easy to forget. Other times, it crashes in with full force, leaving you reeling. Just the thought of what you fear can stir a cascade of emotions:
A racing heart pounding against your ribs, hands trembling, sweat beading on your skin as if preparing for some unseen battle.
The urge to flee, to escape, to carve out a space where the fear can’t reach—even if that means altering the very shape of your life.
A quiet shame that lingers, knowing the fear doesn’t make sense but feeling powerless to quell its grip.
Phobias have a way of making the ordinary seem insurmountable. But perhaps there is a kind of resilience in the act of simply acknowledging them—a small, steady step toward understanding that fear, even when it looms large, doesn’t have to define the journey.
Work on managing your anxious thoughts starts with understanding your mind’s patterns and shifting the way you interact with those thoughts. Just as it took time to condition yourself into catastrophic thinking, or avoidance of phobias, it also takes time to recondition your mind to face these fears and learn you can you do it.
There isn’t a universal “one-size-fits-all” solution for anxiety because every individual experiences it differently, but several tools and therapeutic approaches have demonstrated consistent effectiveness in creating better relationships with anxiety: Dialectical Behavior Therapy (DBT) Skills, Radically Open DBT (RODBT) Skills, Exposure and Response Prevention (ERP), Mindfulness, Sensory Grounding (Neurodivergent Coping), and Cognitive Behavioral Techniques (CBT).
Our minds often default to negativity or fear because they’re wired for survival. But we need to cultivate habits that counterbalance this tendency. Thoughts, like muscles, can be trained to respond differently through daily practices like the following : Guided Meditation, Tolerating Emotional Extremes, Creative Distraction, and Exposure to fears.
Remember this grounding principle—a mind capable of imagining all those fears is equally capable of creating calm and safety when trained to do so.
Another key realization for anxious individuals is distinguishing between what you feel and what is fact. Feelings are transient and often misaligned with objective reality. Labeling a thought as, “Oh, that’s my catastrophizing brain talking,” can provide instant distance and clarity.
But, of course, this is easier said than done. Learning to challenge your thoughts doesn’t eliminate emotions overnight, but it does help prevent those emotional storms from completely taking over.
Over time, these small “interruptions” in thought patterns accumulate, along with gradual exposure to your fears, helps you gain mastery over your reactions to anxiety.
Mastering the anxious mind is a process, not an event—and like learning any new skill, it takes practice, consistency, and patience. Think about it this way:
The same is true of managing anxiety. It requires consistent skill-building, such as practicing mindfulness, challenging your fears, and revisiting ultimate truths like “thoughts are not actions.” Therapy can be an indispensable part of this process, acting as both a guide and an accountability partner, providing the structure needed to stay on track.
There is no “one solution” to managing an anxious mind because anxiety isn’t a problem to be fixed but a relationship to be redefined. The process will look different for everyone, but the common thread is taking steps towards your anxiety—and the understanding that change is possible with time and intentional actions.
Whether you work with a therapist to identify a tailored approach, explore strategies like DBT or ERP, or start small with simple mindful practices, the goal should always be progress, not perfection.
If you’ve spent years catastrophe planning in your own life, constantly preparing for the worst-case scenarios that rarely, if ever, happen, it’s time to turn towards your anxiety and face it head-on. Through this practice, you can begin to understand the patterns of fear that keep you stuck in a cycle of endless preparation. By confronting these thoughts repetitively you learn to let go or coexist with your fears. You can discover a different way of living—one that focuses on the present moment and doesn’t waste precious time and energy preparing for things that may never come to pass. At first, this practice may feel wrong and even a bit irresponsible, as it challenges the way you’ve always approached things. However, with time and consistency, it will shift your perspective, helping you see situations in a new and more constructive light. Embracing this shift can lead to greater peace, freedom, and a renewed sense of purpose. What if you took all that anxious energy and redirected it toward something productive or meaningful? Imagine channeling those restless thoughts into a creative project, a fitness routine, or even learning a new skill. What could be possible if you turned that energy into action and growth instead?
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