ANXIETY 101
WHAT ANXIETY FEELS LIKE
UNDER THE SURFACE
FEAR LADDERS & EXPOSURE
COPING SKILLS
100

What is anxiety trying to do for us, even when it feels overwhelming?

Protect us from perceived danger.

100

Name one physical symptom of anxiety.

Racing heart, muscle tension, sweating, upset stomach, etc.

100

Anxiety often shows up on top of what deeper emotion?

Fear

100

What is a fear ladder?

Small steps to face anxiety gradually.

100

Name one grounding skill for anxiety.

5-4-3-2-1, deep breathing, temperature change.

200

True or False: Anxiety always means something bad is about to happen.

Answer: False — anxiety often overestimates threat.

200

Name one thinking symptom of anxiety.

Racing thoughts, “what ifs,” catastrophizing.

200

Name one feeling that can hide underneath anxiety.

Sadness, shame, anger, grief, loneliness.

200

True or False: Exposure means forcing yourself into panic.

False — exposure is gradual and intentional.

200

What’s one way to respond to racing thoughts without arguing with them?

Noticing, labeling, letting them pass.

300

What’s the difference between feeling anxious and having an anxiety disorder?

Everyone feels anxiety sometimes; an anxiety disorder is persistent, intense, and interferes with daily life.

300

Why can anxiety increase cravings even if you don’t want to use?

Anxiety is uncomfortable; the brain wants relief.

300

Why might anxiety show up instead of sadness?

Sadness feels vulnerable; anxiety feels more “active.”

300

Why is avoidance tempting but unhelpful long-term?

It shrinks life and strengthens anxiety.

300

What’s the goal of coping skills — to erase anxiety or manage it?

Manage it.

400

Why can anxiety show up even when things are “going well” in recovery?

The brain is adjusting; safety can feel unfamiliar.

400

Why might anxiety feel stronger in early recovery?

Substances previously numbed feelings; nervous system is recalibrating.

400

In recovery, anxiety sometimes protects us from feeling what?

Regret, guilt, loss, uncertainty.

400

What’s one way anxiety might actually show progress in recovery?

Feeling emotions instead of numbing.

400

You feel anxious before group and want to skip. What’s one coping step?

Attend anyway, ground, sit near exit, ask for support.

500

Name one way anxiety can be helpful in small amounts.

Motivation, awareness, preparation, self-protection.

500

What’s one sign anxiety is driving behavior instead of values?

Avoidance, isolation, impulsive choices.

500

Why is identifying the feeling under anxiety helpful?

It helps us respond with the right coping skill.

500

What’s a recovery-friendly rule for exposure?

You choose the pace; discomfort ≠ danger.

500

What’s one values-based action you can take even while anxious?

Showing up, communicating, asking for help.

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