Practices

Closed eyes are optional. If closing them makes you anxious, or the inside of your head gets loud, open them and look around the room.

Name a few things you can see, listen for the furthest sound you can hear, notice any smell in the air. Looking outward like this is a way of…

The first time you slow a rising panic with your own breathing, something changes that no amount of reassurance could have changed. You have evidence now.

Panic runs on the belief that the sensations are in charge and you are not. One demonstration to the contrary is worth more than a hundred…

Tap the fleshy outside edge of your hand and say something like: even though I feel this, I accept myself completely. Three times, in whatever words are actually true for you.

The shape of the sentence is the point. It names the problem and refuses to make your worth conditional on solving it, which is the exact opposite of…

The first twinge often brings back every previous episode with it, and that dread is not separate from the pain. Fear tightens the muscles and turns the volume up.

Catching the moment is what helps: this is the twinge, and here comes the film of the last three weeks I lost to it. You are not talking yourself out…

Slide one hand behind your head at the base of the skull and rest the other on your forehead. Let your hands take the weight for a minute.

The bony ridge at the back is where a lot of eye and neck strain gathers, and it rarely gets touched. Do not press or twist anything: just support,…

Add one small thing, then stop and let it filter through. A stretch, a bit of self massage, then nothing at all for a moment.

The pause is not wasted time. It is where the change actually happens. Piling technique on technique floods a system that was already overloaded, and…

Some situations do not move, and accepting that is itself a way of coping rather than a failure to cope.

Fighting an unchangeable thing adds a second layer of suffering on top of the first. Acceptance here does not mean approval or giving up on care. It…

You choose what to work on and how big a piece of it. A sore shoulder, a low mood, the belief that you are too much: all of them are allowed, and so is starting small.

The useful phrase is whatever is standing in the way of you being all right just now. Some days that is a headache and some days it is the thing you…

What you started with often changes as you go. The headache becomes sadness, the irritation becomes fear. Follow the new thing rather than dragging the old one along.

Say what is there now and adjust your words to match it. A shift like that is usually the most interesting moment in the whole round, because…

Deep change tends to follow self acceptance rather than the other way round. Waiting until you have fixed the thing before you are allowed to be kind to yourself usually keeps the thing exactly where it is.

This shows up most clearly with eating, drinking, and everything else people do to manage a feeling. Shame makes the feeling worse, and the behaviour…

Instead of a diet, take one craving and stay with it: the food, the moment, the pull. Tap or breathe through it until the pull itself loosens.

Pick a single situation rather than a whole eating plan. Six in the evening, the cupboard, the third biscuit. Restriction tends to make the forbidden…

Pick one word for what is bothering you and let that word stand in for the whole thing while you do the soothing. You do not have to run the memory to work on it.

The word can be plain: the hospital, that message, Sunday. Bring it to mind once, then let it sit in the background while your hands and your…

Picture somewhere peaceful and then walk in it. Feel the ground under each foot, your legs moving, and count the steps up to twenty.

The counting keeps you there instead of drifting off, and the feet are the important part. A calm scene that stays a picture in your head does very…

Cross your hands to the opposite shoulders and stroke slowly down to your elbows and hands, like a hug you are giving yourself. Three to five strokes, unhurried.

Then, if you want the rest of it: from the middle of your forehead out to the temples and along the hairline to the ears, from the crown down towards…

Pain is rarely one thing. There is the raw sensation, the memory of every other time, how you feel about it now, whether you think you can cope, and what you conclude about yourself.

Pulling those apart is useful because they do not all move together. You may not be able to change the ache itself, and you can often change how…

Ordinary harmless sensation competes with pain on its way up. Rubbing, squeezing or stroking near a sore place gives the nerves plenty of other traffic to carry.

This is why everybody rubs a banged elbow without being taught to. The useful part is that you can do it deliberately: firm strokes along the limb, a…

Squeeze slowly down one arm with the opposite hand, then the other, and work over whatever muscles you can reach. No table, no appointment, nobody else in the room.

Firm and rhythmic beats fiddly. Give the forearms, upper arms, shoulders and thighs a proper squeeze and release, a few seconds each. Doing it…

If something helped one part of your anxiety and did nothing for the rest, that is not proof it failed or that you are beyond help. Different parts of this run on different machinery.

The sudden bodily kind and the grinding thinking kind are handled by different systems, and a treatment that reaches one may have very little to grip…

Something that settles a surge of panic within minutes and something that changes how often the surges come are doing two different jobs. A person can need both, and it helps to say which is which.

The fast option is a rescue. It works quickly, it is meant for the worst moments, and its usefulness is measured in that hour. The slower option is…

Sedatives are good at damping the body down and much less good at quieting a mind that keeps going round. If the trouble is chronic worry, being made drowsy is not the same as being helped.

This is one of the commonest mismatches there is: something sedating given for grinding worry, leaving a person tired, foggy and still worrying.…