Coaching practices for What to Do for Severe Anxiety

Describe almost anything you are working through and IX Coach finds the practices whose real-world fit is closest. For What to Do for Severe Anxiety, these are the strongest matches in the current practice library.

Does this sound like the set of challenges you might be facing?

  • I always wait until I’m already in full panic to try to calm down, and by then it’s too far gone for anything to work
  • Even once the worst of it passes, I can’t get back into the room
  • My thoughts are racing in circles and I can’t think my way out of the spiral
  • The voice in my head when I’m anxious is brutal
  • I spend my days bracing for the next wave of it, scanning my body, dreading the moment it shows up

Practices that may help

  1. Use grounding before anxiety peaks, not after
    Start the technique at the first sign of anxiety — not once the wave is overwhelming.
    The 5-4-3-2-1 Grounding Technique
  2. Engage with the present moment
    Once the edge comes off, redirect attention fully into an activity or your surroundings.
    The DARE Response to Anxiety, Made Practical
  3. Run the full 5-4-3-2-1 sequence
    Work through all five senses in order: 5 things seen, 4 heard, 3 touched, 2 smelled, 1 tasted.
    The 5-4-3-2-1 Grounding Technique
  4. Balanced, compassionate self-talk
    Talk to yourself as you would to a friend — accurate and kind, not harsh or falsely cheery.
    The Anxiety Toolkit, Made Practical
  5. Run toward the feeling
    Actively invite more of the anxiety rather than waiting nervously for it to pass.
    The DARE Response to Anxiety, Made Practical
  6. The Anxiety Toolkit, Made Practical
    A practical anxiety toolkit pulls together a handful of evidence-informed skills — grounding, breathing, interoceptive awareness, behavioral experiments, and balanced self-talk — so you have the right tool for the moment instead of one move for every situation. Several of these rest on solid clinical and experimental support. They are self-help skills for everyday stress and anxiety; for severe or persistent anxiety, use them alongside professional care.
  7. Rehearse the response before you need it
    Learn and practice the four steps in low-stakes moments so they are available under pressure.
    The DARE Response to Anxiety, Made Practical
  8. Add interoceptive rungs for bodily fear
    If you fear the physical sensations of anxiety itself, include exposures that deliberately induce them.
    The Fear Ladder: Graded Exposure Made Practical
  9. Drop the safety behaviors
    Let go of the small avoidances and crutches you use to feel "safe" from anxiety.
    The DARE Response to Anxiety, Made Practical
  10. Combine worry exposure with relaxation skill
    After the exposure period, apply a relaxation practice to close each session with a deactivation phase.
    Worry Exposure, Made Practical

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