My clients often tell me that they feel worried. And, while I understand what they mean, I always tell them that worry is not a feeling – it’s a thinking process linked to the feeling of anxiety. So, really, what they are telling me is that they feel anxious about something and have gone into worry mode to try and think their way out of the anxiety.

In schema therapy, the part that feels anxious is your Vulnerable Child mode – Little Jane or James. This is the emotional part of you, which gets triggered whenever you feel sad, anxious, stressed, hurt, upset, down… It’s also the part of you that holds all your painful memories from childhood and can get triggered when you feel threatened by something – especially if that reminds you of a stressful event from childhood.

Worry is a symptom

Let me give you an example. *Helen comes to see me because she can’t stop worrying. It’s driving her crazy, because she worries about every little thing. ‘If I have a meeting at work, I worry beforehand, about what I’ll say, whether my boss is annoyed with me, whether my colleagues like me, what I’m wearing, what I say in the meeting… You name it, I’m worrying about it,’ she tells me.

And this worry is exhausting for Helen. It makes her feel stressed before, during and after the meeting. She just can’t stop thinking about these problems. It’s like her mind is a vice – it grips on to the problems and won’t let go. ‘The other problem is that it’s driving my husband crazy,’ she adds. ‘He tries to reassure me but it doesn’t work, so I go on and on about these petty things until we’re both ratty and exhausted.’

Of course I feel for Helen – her worry is causing huge problems in her life. It maintains her low self-esteem, because she doesn’t believe she will ever do anything well enough, and that people think she’s rubbish at her job, even that she will get fired because her boss doesn’t rate her. But in our first session, I tell her something surprising and counterintuitive – even though it’s driving her nuts, worry is not the problem. It’s a symptom. And the root cause of her worry is anxious Little Helen.

Anxiety warns us about threats

I ask her to tell me more about her boss, to see if he reminds her of anyone from her past. She thinks about it, then has one of those lightbulb moments. ‘Ohhh,’ she says, ‘He is just like my dad!’ Helen goes on to tell me that her dad was highly critical when she as a child, telling her that nothing was ever good enough. If she got a B on a test, he would ask impatiently why it wasn’t an A. If she came second in a cross-country race, he would berate her for not being first. And so on.

So when she goes for a meeting with her boss, Little Helen feels highly anxious – just like she did around her dad as a child. And that’s what anxiety is for – it’s an alarm-bell emotion that warns us about potential threats. Her Worrier part then kicks in, with lots of ‘what if…’ thoughts to try and problem-solve the threats. ‘What if you say the wrong thing?’ ‘What if your boss criticises you?’ ‘What if you get fired?’

Trying to help. Trying to protect her from this nit-picking, critical, perfectionistic boss who is just like her dad. Not mean, or horrible, but trying to help Helen deal with the anxiety-provoking situation.

Comforting your little self

In order to help Helen, in schema therapy we do a few things. First, we work with the Worrier, helping Helen see where it came from, what its function is, the pros and cons of worrying, and so on until we can help it calm down a bit. Second, we help Little Helen feel safe, comforted and genuinely, deep-down reassured (not the temporary fix of reassurance that worry provides). There are many ways to do this – plenty of which are provided in this blog – but a simple first step is to use this self-compassion practice to help your little self feel calmer and more at peace.

Third, we build up Helen’s Healthy Adult, so she feels stronger, more rational, having better perspective – seeing the big picture rather than obsessing about the details. If you are a worrier by nature, you need to do all three things, rather than just focusing on the worry. Otherwise, you’re treating the symptom, not the cause, so the worry will just keep coming back.

Warm wishes,

Dan

*All of the case studies on this blog are composites of actual people – I would never reveal any personal or identifying information about my clients.

Humans are thinking creatures. More than any other animal on Earth, we have the ability to think, reason, analyse, remember our past and imagine a future that hasn’t even happened yet. That is because of the cortical layer of our brain, especially the prefrontal cortex – the most evolved part of our brain, which is involved in high-level, executive functions like impulse control, rational thought and predicting the consequences of behaviour.

And this miraculous supercomputer in our skulls is what allowed humans to write symphonies, build the Pyramids and fly to the Moon. That uniquely human brain is also what allows me to practice psychotherapy, or write this post. And it helps you problem-solve your way out of difficult situations – a vital and sometimes lifesaving skill.

When thinking is not your friend

But if you are struggling with your mental health, feeling highly stressed, anxious or depressed, thinking may not be your friend. That’s because the kind of thinking we do when we’re experiencing high levels of painful emotion can be deeply unhelpful. Let me give you an example.

Jane is a highly anxious, frequently worried type of person. And when she hits bumps in her life, she tries to think her way out of them. Jane engages that thinking brain and then worries, obsessively, projecting into the future with hundreds of ‘what if’ thoughts (‘What if my boss doesn’t like my work and I get sacked?’, ‘What if I can’t find another job?’, ‘What if I lose my home and end up on the street?’).

These obsessional, catastrophic thoughts are especially bad at night, when Jane lies there for hours worrying, worrying, worrying. This just makes her more anxious, stressed and, of course, exhausted. So the next day her resources are low and she feels ten times worse.

Keep it simple

In schema therapy language we would say Jane has a Perfectionistic Overcontroller mode, which tries to be in control all the time, hates uncertainty or feeling out of control, and believes that there is always a perfect solution if she just thinks long and hard enough! If I were helping Jane I would work with this mode to help it calm down a bit and give her a break from the relentless worrying.

I would then help Jane to develop a range of activities that did not involve thinking. This would first involve drawing up a list of coping skills. Try this yourself – write ‘coping skills’ on top of a blank sheet of paper. Then come up with 10 skills, with different types of activities you can use at different times. The first four skills I teach clients are always my Posture, Compassionate Breathing, Supportive Touch, Compassionate Self-Talk sequence (read all about those in this post).

Use what works for you

The other six are negotiated with my client, depending on what they find helpful, calming or relaxing. Yoga is fantastic, if it works for you. Mindfulness or other forms of meditation often go on the list. We might also add taking a long, luxurious bath; watching a TV show or movie you find comforting; calling a trusted friend; getting a hug from someone you love; stroking your favourite pet; drinking a warm, milky drink; going for a walk, preferably in some green space; reading a blog like this one, which focuses on improving mental health; listening to a song you find moving or joyful…

The list is endless, really. It’s just about finding ten things that will help you feel (depending on the emotion you are struggling with) calmer, more peaceful, more grounded, happier, more energised, or mindfully in touch with the present moment. Try it now – write up a list and then stick it on the wall next to your computer, on in your bedroom, where you will see it every day.

Then practice those skills, on a daily basis, until they become so familiar it’s like muscle memory. Over time, you will find that you are able to take the edge off whatever painful emotion you are feeling – that also gives you a strong foundation to begin therapy, use self-help books, or whatever way you choose to work on the deeper wounds that cause those painful emotions to bubble up.

I hope that helps. In my experience, it really does, so I hope it benefits you as much as it has hundreds of my clients.