AreasWorry and anxietyFacing it a step at a time

Five minutesAny ordinary dayCBTWorry and anxiety

Rather than taking on someone else's routine, ask what actually makes you feel ready for a day, or better looked after. The answers tend to be specific and slightly odd, and they hold up better than anything prescribed.

For one person it is a shower before anything else. For another it is having the bag packed the night before, or eating something warm, or ten minutes with nobody talking at them. Write yours down while things are calm, because you will not think of them on a hard morning. Then treat the list as preparation for the step rather than as a replacement for it.

Before you use this

Facing a fear in steps works, and it works best with someone guiding the ladder. Read this as an explanation of how it works, and take the steps themselves to a therapist.

Qur’an and Sunnah

God willing, you will find me patient (Quran 18:69). Moses states his own commitment before a hard undertaking, in his words rather than anyone else's.

قَالَ سَتَجِدُنِيٓ إِن شَآءَ ٱللَّهُ صَابِرࣰ ا وَلَآ أَعۡصِي لَكَ أَمۡرࣰ ا

Moses said, ‘God willing, you will find me patient. I will not disobey you in any way.’

Qur’an 18:69read it in the library

Translation: M.A.S. Abdel Haleem, The Qur'an, Oxford University Press, 2004.

What the research says

A component network meta-analysis of treatment for panic disorder compared what relaxation, breathing retraining, cognitive restructuring, interoceptive exposure and real world exposure each contribute. The components are not equal, and the soothing ones are not where most of the work happens. So your own preparation is worth having and is scaffolding rather than the thing that shifts the fear.

Pompoli A, Furukawa TA, Efthimiou O, Imai H, Tajika A, Salanti G. (2018). Dismantling cognitive-behaviour therapy for panic disorder: a systematic review and component network meta-analysis.. Psychological medicine doi

Strength of evidence: one line of research. A single study, or a theoretical account.

Why it works

A routine you named yourself is the one you will still be doing in three weeks.

This one is still a draft. It is waiting on a scholar and a clinician to read it before it is published.

Near this one

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