What is anxiety?
Anxiety is a natural human emotion characterized by feelings of tension, worried thoughts, and physical changes like an increased heart rate.
Name one physical sign of anxiety.
Your heart beats faster as part of your body's natural fight-or-flight response.
“Everyone is going to judge me.” Is this a fact or an anxious thought?
Examine the Evidence
Name one coping skill you can use anywhere.
Box Breathing:
Inhale slowly for four counts.
Hold your breath for four counts.
Exhale steadily for four counts.
Hold again for four counts before repeating.
You have a big test tomorrow and start worrying. Name one healthy response.
A healthy response to test worry is practicing deep breathing exercises to calm your nervous system
Situation: You're lying in bed Sunday night thinking about everything that could go wrong at school Monday. Your anxiety is 8/10, your heart is racing, and you can't sleep.
Challenge: Identify one anxious thought, one emotion, one body sensation, one coping skill, and one balanced replacement thought.
“I'm thinking tomorrow is going to be terrible. I feel scared and overwhelmed, and my heart is racing. I can use slow breathing and grounding. A more balanced thought is: ‘Tomorrow may be stressful, but I don't know that anything bad will happen. I can handle one thing at a time.’”
Why might your heart beat faster when you're anxious?
The Fight-or-Flight Response
Change “I’m going to fail” into a more balanced thought.
“I am feeling nervous, but I have prepared and can do my best.”
Name a breathing technique that can calm your body.
The 4-7-8 breathing technique helps calm your body by slowing your heart rate and activating your nervous system's relaxation response. [1, 2]
How to Do It
You want to avoid school because of a presentation. What could you do instead?
Instead of skipping school, you can talk to your teacher about alternative options or coping methods to handle the presentation.
True or False: Anxiety is always bad.
False
Name three physical symptoms anxiety can cause.
“My friend didn't text me back. They must be mad at me.” What thinking trap might this be?
This thought is a classic example of mind reading, which is a specific type of jumping to conclusions. It also overlaps with personalization
Explain the 5-4-3-2-1 grounding technique.
The 5-4-3-2-1 Grounding Technique is a simple mindfulness exercise that uses your five senses to help calm acute anxiety and bring your focus back to the present moment.
5 - See: Notice five things around you. Pick small details, like a pen, a shadow, or the texture of a ceiling.
4 - Touch: Acknowledge four things you can physically feel, such as your feet on the floor, your shirt fabric, or a cool desk.
3 - Hear: Listen for three external sounds, like traffic outside, a humming refrigerator, or birds chirping.
2 - Smell: Identify two scents around you, such as coffee, soap, or fresh air. If nothing is nearby, you can think of two favorite smells.
1 - Taste: Notice one thing you can taste, even if it is just the lingering flavor of toothpaste or coffee, or the inside of your mouth
Finish with one more slow, deep breath to center yourself.
Your friends are hanging out without you and you immediately think they don't like you. What should you do before reacting?
Before reacting, you should pause to calm your emotions and recognize that an unverified assumption is not a fact.
What would you say to a friend who told you, “I'm anxious and I can't handle this”? What is one thing you wish other people understood about anxiety?
Answers Vary
True or False: Avoiding everything that makes you anxious usually makes anxiety disappear permanently.
False
“If I don't get an A, my future is ruined.” Identify the thinking trap and create a healthier thought.
The thinking trap in your statement is catastrophizing, which means expecting the absolute worst possible outcome from a single event.
Give three coping strategies you could use during a stressful school day.
Deep Breathing
Grounding Techniques
Short Physical Breaks
You feel a panic attack starting during class. Walk us through what you could do.
When a panic attack starts during class, you can pause, step out for air, and use grounding techniques to calm your body.
Inhale slowly through your nose for four seconds, hold for four, and exhale slowly through your mouth for four to six seconds.
Feel your feet: Press your feet flat against the floor to anchor your body to the physical space.
Use silent grounding: Try the 5-4-3-2-1 method by mentally naming five things you see, four you can touch, three you hear, two you smell, and one you taste.
Name three situations that commonly trigger anxiety in teens.
Academic and Performance Pressure
Social Media and Peer Comparison
Major Life Transitions
Family Stressors
Trauma
Name two people you could go to if your anxiety becomes overwhelming.
Answers Vary
Your thought is: “I'm going to embarrass myself, everyone will laugh, and I'll never live it down.” Challenge this thought using evidence for, evidence against, and a balanced thought.
You can challenge a fear of embarrassment by looking at the facts for and against your worry to build a calm and realistic view.
Evidence For the Thought
Create a personal 3-step anxiety plan you could use when your anxiety reaches 8/10.
Step 1: Stop and Reset the Body (0 to 2 Minutes)
Step 2: Use the 3-3-3 Grounding Rule (2 to 5 Minutes)
Step 3: Shift Focus to a Neutral Task (5+ Minutes)
You have been avoiding something because of anxiety for several weeks. Describe how you could gradually face it rather than continuing to avoid it.
You can gradually face an avoided situation by breaking it down into small, manageable steps instead of trying to fix everything at once.