Irina Komarova

Psychologist for Adults

Knowledge base

What to do with anxiety when it is already here

Portrait of psychologist Irina Komarova
Irina KomarovaGestalt therapist
Short answer
When anxiety is already in the body, the least useful move is to scold yourself for having it. More useful is shrinking the catastrophe: find support, lengthen the exhale, pick one small action, and postpone rehearsing the future. That is not a “cure”; it is hygiene for the moment while the nervous system looks for ground.

What is it?

Practical steps with anxiety are not an off-switch; they are a negotiation with the body: “I am here, the floor is here, I do not have to run from the thought.” Gestalt adds contact — naming what is happening instead of fighting yourself as an enemy.

Signs

  • A wave of heat or cold when a decision is needed
  • An urge to do everything at once to “close” anxiety with action
  • Getting stuck in imagined conversations that never happened
  • Avoiding a call, an email, or leaving home “until I calm down”

Causes

  • Anxiety demands instant resolution of uncertainty
  • The body treats a pause as danger if pauses once meant a blow
  • Feeds and news fuel the sense that you must react now
  • Self-criticism adds a second layer of tension on top of the first

What can I do myself?

  • Sit, feel your feet, and make the exhale longer than the inhale for a few cycles
  • Say a fact sentence: “I am anxious right now, and I can take one step”
  • Break the task into a ten-minute piece and set a timer
  • If a dialogue is looping, write it down and delay the reply for an hour

When to seek professional help

If self-help only brings short relief and life still shrinks, it is time to add contact with a professional. An online session can be a place to practise these steps without being alone with them.

Frequently asked questions

Why do breathing exercises sometimes make anxiety worse?

If attention drops inward without support, the body may fear the sensations. Then start with the outside: feet, chair back, an object in the room — and only then the breath.

Can I talk anxiety down with logic?

Logic helps with facts. The body does not always follow an argument. Safety in contact and sensation comes first, then decisions.

What helps at night when thoughts will not stop?

Get up, drink water, write one worry for the morning, return to bed without the phone. If night after night sleep collapses, that is a reason for therapy and, if needed, a medical consult.

Should I force myself through what I fear to “overcome it”?

A sharp dive without support often cements fear. Small steps with the option to stop teach the nervous system that choice exists.

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This text is educational and does not replace a psychiatrist or emergency care.