Self Help Journal Prompts to Cope With Anxiety

Journaling is a highly effective, science-backed self-help tool for coping with anxiety.

Using a journal can help reduce racing thoughts, anxious cycles, cognitive load, racing thoughts and anxious cycles (see my article: Journaling to Help Relieve Stress and Anxiety).

Externalizing the noise: Journaling acts as a somatic release valve, allowing an anxious mind to transfer mental clutter onto the page and down-regulate the nervous system.

When anxiety feels overwhelming, writing in your journal helps to externalize your thoughts and feelings so you can look at them objectively.

Journal Prompts For Grounding Yourself in the Moment

You can use the following journal prompts when your anxiety is acute and you feel overwhelmed:

Grounding in the Moment Relief 

Use these prompts when anxiety is acute: 

• Where do I feel the anxiety in my body right now? Write down the physical sensations (e.g., tight chest, clenched jaw) without judging them. What is one thing you can do that would help you to soften your physical sensations (e.g., square breathing)?

• Look around the room: List 5 things you see, 4 things you can physically touch, 3 things you hear, 2 things you smell and 1 thing you can taste (this is the 5-4-3-2-1 Grounding Method).

• Describe anxiety as a passing weather pattern: Describe the storm, but remind yourself the sky remains intact beneath the clouds.

Challenging Your Anxious Thoughts

Use these prompts to challenge irrational fears and worst case scenarios:

• What is the worst case scenario going through my mind? After you have written down your worse case scenario, write down the best case scenario and the realistic middle-ground outcome.

• Am I confusing my fearful thoughts for facts? Write down observable evidence for and against this worry (see my article: Thoughts Aren't Facts).

• Look back on past challenges: When have I felt this anxious before and still managed to survive or get through it? What helped me to get through it back then?

• Are my thoughts productive or unproductive? Am I actively problem solving or am I overthinking things?

Identifying Triggers and Patterns

Use these prompts when you feel low-level anxiety and you're not sure where its coming from:

• Divide a page into two columns: "In My Control" and "Out of My Control" and then categorize your worries into these two buckets.

• What story is my anxious mind trying to tell me? Who is the villain in that story and what am I trying to protect myself from? 

• What have my energy levels, sleep habits and routines looked like over the past week? Are there physical triggers compounding my mental stress?

• When was the last time I felt safe, calm or content? Specifically, what made me feel that way and how can I recreate that today?

Developing Self Compassion and Healing

Use these prompts when your anxiety is paired with a harsh inner critic, guilt or perfectionism:

• If my best friend came to me feeling the same way I feel now, what would I say to them? Write down the comforting words for yourself.

• Write a letter to your anxiety. Treat your anxiety like an overprotective, deeply misguided entity. Acknowledge its intent to keep you safe, but tell it why its panic is no longer needed right now. 

• What would unconditional self acceptance look like today? How can I give myself permission to be a flawed, anxious, healing human being?

My Next Article: 

In my next article, I'll discuss how to develop a deeper understanding of your anxiety and the underlying issues that might be involved.

Get Help in Therapy

If self-help strategies aren't helping you to cope with your anxiety, you could benefit from working with a licensed mental health professional who can help you to go beyond the surface to overcome anxiety.

Rather than struggling on your own, working with a skilled psychotherapist can help you overcome anxiety so you can lead a more fulfilling life.

About Me

I am a licensed New York City psychotherapist, Hypnotherapist, and advanced practitioner specializing in IFS Parts Work, Somatic Experiencing, AEDP, EMDR, EFT Couples Therapy and Sex Therapy. 

I provide depth-oriented, experiential therapy to help individual adults and couples move past obstacles into authentic relational alignment.

To learn more about my clinical background, clinical philosophy, and healing approach, please visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

• Office Location: I see clients in-person at my Greenwich Village office (New York, NY 10011) as well as online via secure telehealth.
• Initial Contact: I provide a complimentary 15-minute introductory phone call prior to scheduling an initial appointment.
• Contact Information: You can reach me directly at (917) 742-2624 during standard business hours or email me.

Also See My Articles:

What is the Difference Between Anxiety and Fear? 

Debunking Common Myths About Anxiety 

How to Quiet Your Overthinking Mind

Overcoming Recurring Patterns of Self Sabotaging Behavior

Becoming aware of your recurring self sabotaging behavior requires a willingness to explore your patterns with self compassion.

What is Self Sabotaging Behavior?

Self sabotaging behavior often begins with unconscious thoughts and emotions that create roadblocks to your personal growth, well-being, goals and success (see my article: Making the Unconscious Conscious).

Overcoming Recurring Patterns of Self Sabotage

Self sabotaging behavior usually involves a conflict between what you want and your unconscious fears or insecurity.

What Causes Self Sabotaging Behavior?

The root of self sabotaging behavior often begins in early childhood. This might include early messages from parents that you're not good enough or you're unlovable. 

These traumatic messages usually get internalized at a deep unconscious level so that, as an adult, you might not recognize the origin of your self sabotaging behavior (see my article: Overcoming Trauma: You're Not Defined By Your History).

Overcoming Recurring Patterns of Self Sabotage

Growing up in a chaotic, unpredictable environment can create a fear of change so that you remain stuck in unhealthy ways of being (see my article: How Does Shame Develop at an Early Age?).

In addition, you might equate what is familiar to you, including self sabotaging behavior, as "safety" even if you are aware that it's unhealthy. In other words, you might prefer what is known, including unhealthy behavior, to what is unknown, including trying to develop healthier ways of coping.

Self sabotaging behavior is often triggered by stressful situations. 

When you have little to no awareness about what triggers your behavior, your pattern continues because, instead of exploring what triggered the behavior, you fall into the trap of continuing to enact the same self destructive patterns (see my article: What is Self Abandonment?).

What Are Examples of Self Sabotaging Behavior?

The following are a few examples of self sabotaging behavior:

• Procrastination: Delaying tasks to avoid potential failure or judgment including self judgment (see my article: Overcoming Procrastination)

• Perfectionism: Setting unrealistic standards which causes stagnation (see my article: Overcoming Perfectionism)

Overcoming Recurring Patterns of Self Sabotage

• Escapism: Using unhealthy coping skills to avoid dealing with uncomfortable emotions. These unhealthy coping skills might include excessive drinking, illicit drugs, compulsive gambling, overspending and other attempts to escape

• Relationship Sabotage: Pushing people away, avoiding vulnerability or creating conflict in a relationship as a way to create emotional distance

• Negative Self Talk: Self criticism which erodes your self esteem

• Avoiding New Opportunities: Ignoring or withdrawing from new challenges or opportunities for growth (see my article: Opening Up to New Possibilities in Your Life)

• Remaining Stuck in Unhealthy Familiar Patterns : Refusing to try new things because what is familiar feels "safer" even if it is self destructive

How to Overcome Recurring Patterns of Self Sabotaging Behavior

• Awareness: In order to change any kind of unhealthy pattern of behavior, you must first become aware of the pattern. This means that, instead of blaming others or "bad luck", you need to look at how you are contributing to your problems. Self compassion is an important part of this step because if your awareness triggers self criticism, you can get stuck in a loop of unhealthy behavior. This involves taking a step back and looking for recurring patterns of behavior. For instance, if you have problems with relationship sabotage, you become aware of your contribution to recurring problems in relationships.

Overcoming Recurring Patterns of Self Sabotage

• Identify Triggers and Recurring Patterns: Track your actions to identify your triggers and recurring patterns. For instance, you might realize in hindsight that a pattern of procrastination starts with your fear of failure. You can do this by journaling about your thoughts, emotions and behavior, including recurring unhealthy patterns. After you have identified the patterns, write about how you want to handle these situations.

• Challenge Your Negative Thoughts: Replace negative thoughts with realistic positive thoughts (see my article: Overcoming Habitual Negative Thoughts).

• Set Manageable Goals: Since feeling overwhelmed can trigger avoidance behavior, break down big tasks into smaller parts to reduce the likelihood of feeling overwhelmed.

• Learn to Be in the Present Moment: Develop healthy habits, like practicing breathing exercises and mindfulness, to be in the present moment rather than allowing your thoughts to project too far into the future. 

Get Help in Therapy

Recurring patterns of ingrained self sabotaging behavior can be difficult to identify and even more challenging to change on your own because these patterns often start at a young age before you realize it.

Get Help in Therapy

Rather than struggling on your own, seek help from a licensed mental health professional who has an expertise in helping clients to change self sabotaging behavior.

Once you have freed yourself from these unhealthy behaviors, you can live a more fulfilling life.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Parts Work (IFS and Ego States Therapy), Somatic Experiencing and Certified Sex Therapist.

I have over 25 years of experience helping individual adults and couples (see my article: What is a Trauma Therapist?).

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

Also See My Article:

Overcoming Self Sabotaging Behavior 

What's the Difference Between Emotional Regulation and Controlling Your Emotions?

I've written about emotional regulation in prior articles (see the links listed at the end of this article).

What's the Difference Between Emotional Regulation and Controlling Your Emotions?

Many clients have asked me this question, especially clients who are learning how to identify and express their emotions (see my article: Alexithymia - Also Known as Emotional Blindness).

Emotional Regulation vs Controlling Your Emotions

Emotional regulation is the healthy process of identifying, feeling and expressing your emotions without being overwhelmed or overwhelming others.

Controlling your emotions involves forcefully suppressing or hiding emotions which often stems from shame. Controlling your emotions usually leads to long term stress which, in turn, can turn into medical problems including headaches, irritable bowel syndrome, hypertension and other stress-related physical problems.

Whereas when you regulate your emotions, you are doing it with self awareness, controlling your emotions is a restrictive, temporary fix.

Core Differences Between Emotional Regulation and Controlling Your Emotions:

• Approach: Emotional regulation acknowledges and accepts your emotions. This allows you to experience them so you can choose a balanced reaction. Conversely, control involves denying, suppressing or forcefully pushing away emotions. 

• Goal: The goal of emotional regulation is to process, learn from and move through emotions in a. healthy way. The goal of control is to minimize or eliminate the outward expression emotions to avoid vulnerability and appear to be "strong". As part of emotional regulation, you also recognize that emotions have a natural life cycle that last about 90 seconds if you don't feed them by ruminating, overanalyzing and continuing to tell yourself negative stories about them (see my article: Managing Your Emotions: What is the Life Cycle of an Emotion?).

Emotional Regulation vs Controlling Your Emotions

• Impact on Self: Whereas emotional regulation builds self compassion and mental health, control often leads to increased anxiety, including panic attacks, shame and physical stress.

• Flexibility vs Rigidity: Emotional regulation is adaptive and flexible, which allows emotional expression that is appropriate to the situation. Control is rigid, which often leads to a limited range of expressed emotions. 

Clinical Vignette

The following clinical vignette illustrate the difference between emotional regulation and controlling emotions:

Tom

When he was a boy, Tom would get punished by his parents if he cried. They told Tom that "boys don't cry" and punished him whenever he showed any signs of sadness--even when he was a young child.

Neither of Tom's parents showed any signs of sadness or grief. The only emotion they expressed was anger.

When the family dog died, they remained stoic and discouraged Tom from expressing sadness or grief--even though the dog was Tom's constant companion from the time he was a toddler.

As an adult, when Tom got into a serious relationship, his girlfriend, Ann, asked him why he hardly ever showed any emotions except anger. She told him she often felt alone with her feelings because Tom was so aloof.  She also pointed out that Tom's body seemed so rigid and she was concerned for his physical health.

Tom didn't respond immediately to what Ann said, but he began to reflect on her words. He decided to talk to a mental health professional about it.

Tom's therapist talked to him about the difference between emotional regulation and controlling his emotions. After she asked him about his family history, she helped Tom to make the connection between how his parents suppressed their emotions, how they discouraged his expression of emotions and how he also learned to suppress emotions.

The work was challenging for Tom because his usual way of handling uncomfortable emotions was to suppress them, but in therapy he gradually learned how to identify and express his emotions in a healthy way.

Initially, he felt like he was doing something wrong, especially when he allowed himself to feel sadness. He could hear his parents voices in his head saying "Boys don't cry". But he realized that uncomfortable emotions are like waves--they ascend, peak and subside eventually. He also realized that he felt much better when he allowed his emotions to release.

Over time, Ann noticed the difference in Tom and she felt much closer to him.  Tom also felt closer to Ann and more relaxed with himself.

Conclusion

Managing your emotions is part of developing emotional intelligence which is essential for your own well-being as well as maintaining healthy relationships.

Emotional Regulation vs Controlling Your Emotions

If you're having problems with emotional regulation, you could benefit from working with a licensed mental health professional who can help you to develop emotional regulation skills.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Parts Work (IFS and Ego States Therapy), Somatic Experiencing and Certified Sex Therapist.

I have over 25 years of experience working with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

Also See My Articles:

Emotional Regulation: How Do You Know What You Need When You Feel Emotionally Distressed?

What's the Difference Between Emotional Co-regulation and Self Regulation?

What's the Difference Between Feeling Calm and Being Emotionally Numb?

How to Manage Your Emotions Without Suppressing Them  

Managing Your Emotions While Working Through Trauma 

Self Acceptance as the Antidote to Shame

Shame is a painful emotion which is part of a deep sense of being flawed, unworthy and unlovable (see my article: Overcoming the Emotional Pain of Feeling Unlovable).

Self Acceptance as the Antidote to Shame

Shame often stems from early childhood experiences of trauma including abuse and emotional neglect (see my article: What is the Difference Between Childhood Abuse and Neglect?).

Shame is feeling bad about who you are as opposed to guilt which is feeling bad about something you did (see my article: Understanding the Difference Between Guilt and Shame).

Core Concepts About Shame

• Childhood/Developmental Trauma: Abuse, neglect and punitive parenting often leads to long lasting feelings of inadequacy.

• The Internal Critic: Negative messages from parents and other authority figures are internalized. This creates the internal critic which devalues the individual and makes them feel ashamed of themself (see my article: Making Friends With Your Internal Critic).

• Cultural Expectations: An inability to meet cultural, societal or religious expectations can create feelings of shame.

• Fear of Disconnection: Shame is a response to the fear of being rejected by others. 

• Trauma and Mental Health: Shame is a common outcome of trauma. Shame is also at the root of many other mental health issues (see my article: Shame is at the Root of Most Emotional Problems).

• Social Media and Comparison: Social media can fuel shame through constant comparisons with regard to perceived shortcomings about looks, success or other issues (see my article: Comparison and Judgment Are the Thieves of Joy).

How is Self Acceptance an Antidote to Shame?

Self acceptance is an antidote to shame because it can dismantle a harsh inner critic as well as feelings of isolation and inadequacy.

By developing self acceptance you can overcome the toxic effects of shame.

You can also develop emotional resilience to develop a kinder, more loving relationship with yourself.

How to Develop Self Acceptance

There are many ways you can develop self acceptance including:

• Focusing on your strengths (see my article: Focusing on Your Strengths).

• Journaling to increase your self awareness and self compassion

• Develop an external perspective: Ask yourself what your best friend would say about you

• Meditation: Mindfulness meditation can help to deepen self awareness and compassion

Getting Help in Therapy

If self help strategies aren't working for you, consider getting help from a licensed mental health professional who is trained as a trauma therapist.

By working through unresolved trauma related to your feelings of shame, you can free yourself of your traumatic history so you can live a more fulfilling life.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Parts Work (IFS and Ego States Therapy), Somatic Experiencing and Certified Sex Therapist.

I have over 25 years of experience as a trauma therapist helping individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

I provide a free 15 minute phone call before setting up an appointment.

I see clients in my office in Greenwich Village, New York City and online.

You can call me at (917) 742-2624 during business hours or email me.

How to Build Your Self Esteem

What is Self Esteem?

Before we discuss how to build your self esteem, let's start by defining self esteem.

Building Your Self Esteem

Self esteem includes 

• A sense of self worth and value

• Self respect

• An overall sense of yourself

What Affects Your Self Esteem?

Your self esteem is shaped by many aspects including

• Early childhood experiences 

• Personal relationships and prior experiences

• Thoughts

• Relationships

• Motivation

• Resilience

• Acceptance of imperfections, mistakes and challenges

What Are the Key Aspects of Self Esteem?

• Self evaluation including your subjective thoughts and beliefs ("I am lovable" or "I am capable") and other feelings about yourself

Building Self Esteem

• A foundation of well-being that supports your mental health and relationships

What is the Difference Between Healthy Self Esteem vs Low Self Esteem?

Healthy Self Esteem: 

• You accept your strengths.

• You recognize areas where you need to improve and accept this with self compassion and without judgment.

• You are resilient to constructive criticism.

Low Self Esteem: 

• You experience self doubt.

• You might have a fear of failure. 

• You might engage in people-pleasing. 

• You might engage in negative self talk. 

• Other possible behavioral dynamics

How is Self Esteem Different From Self Confidence?

Self esteem and confidence are related; however, self esteem is your general sense of self worth and self confidence is usually related to certain skills.

For instance, your overall self esteem might be good, but you might feel less confident in your public speaking ability and more confident in your ability to solve problems.

How to Build Your Self Esteem

Building your self esteem includes:

A Healthy Mindset

• Practicing Self Compassion: Treat yourself with the same compassion and kindness you would treat a loved one. 

Building Self Esteem

• Challenge Negative Self Talk: Become aware of your inner critic and reframe negative thoughts into more realistic positive thoughts.

• Stop Comparing Yourself to Others: Focus on your own journey and progress instead of comparing yourself (see my article: How to Stop Comparing Yourself Unfavorably to Others).

• Identify Your Strengths: Write down your strengths and focus on them.

Actions and Habits

• Set Achievable Goals: Start small and celebrate your victories as you build momentum to bigger goals (see my article: Celebrate Your Success).

• Engage in Enjoyable Activities: Engage in hobbies and activities you enjoy and you're good at.

Building Self Esteem

• Prioritize Self Care: Get enough sleep, eat nutritious meals, exercise at a pace that's right for you (see my article: Taking Time For Self Care).

• Be Assertive: Recognize the difference between healthy assertiveness and aggression (see my article: What is the Difference Between Assertive and Aggressive Behavior?).

• Learn to set healthy boundaries and ask for what you need without guilt.

• Help Others: Volunteering and engaging in acts of kindness can give you a sense of purpose and meaning.

Relationships

• Choose Supportive People: Choose people who value you and treat you well.

Building Self Esteem

• Limit Negativity: Reduce your exposure to negative influences, including social media.

• Communicate With Trusted Loved Ones: Share your struggles with trusted loved ones to build connection and realize that others often struggle with the same problems.

Deeper Self Esteem

• Clarify Your Values: Understand what values matter to you (e.g., kindness, learning, connection and belonging).

• Take Action: Take steps to build your self esteem rather than waiting for it to happen.

Get Help in Therapy

If you have tried to build your self esteem and you feel stuck, rather than struggling alone, consider working with a licensed mental health professional who has an expertise in helping clients to overcome obstacles that are getting in your way.

Get Help in Therapy

Building your self esteem can help you to live a more fulfilling life.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Parts Work (IFS and Ego States Therapy), Somatic Experiencing and Certified Sex Therapist.

With over 25 years of experience, I have helped many individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

Healing From Regret

Living with regret can be one of the most challenging experiences of your life, but there are ways to heal.

Living With and Healing From Regret

What is Regret?

Regret is a feeling of sadness, repentance or disappointment over something that has happened or has been done.

Examples of Regret

Here are some of the most common types of regret:

• Not being true to yourself
• Not expressing love or appreciation to a loved one
• Neglecting important relationships
• Hurting a loved one
• Not acknowledging your part in an interpersonal problem
• Losing touch with friends
• Working too hard and missing out on important events
• Bad health habits
• Failed relationships (either not valuing a good relationship or staying in a bad relationship)
• Poor judgment
• Wasting time worrying instead of enjoying the present
• Saying "yes" too much and not knowing how to say "no"
• Saying "no" too much and not knowing how to say "yes"
• Not pursuing passions
• Not taking any risks
• Living a small and unfulfilling life

How to Heal From Regret

Living with regret can be a painful experience, especially if you haven't forgiven yourself.

Most people are inclined to want to run from their feelings of regret rather than allowing themselves to feel it as the first step in healing.

Here are some suggestions you might find helpful:

• Don't Run From Your Emotions, Feel Them: Although it's tempting to push aside feelings of regret, you can take the first step in healing by feeling them rather than running from your emotions (see my article: What Are the Benefits of Experiencing Your Emotions?).

• Accept the Past: You can't change the past, so you need to accept whatever you did or didn't do that causes you to feel regret. Depending upon the circumstances, you might have behaved in a certain way due to whatever information or capabilities you had at the time. Acceptance doesn't mean you like what you did. It means you accept the fact that you did it and you will do better in the future.

• Learn and Reframe: Find the lesson in whatever you did. Journal about what happened and what you learned from it (see my article: Developing a Different Perspective Through Reframing).

• Create Meaning From Your Regret: Allow your regret to motivate you to make a commitment to do better (see my article: The Power of Making a Commitment).

Living With and Healing From Regret

• Be Aware of Your Thoughts: Are you telling yourself that you don't deserve to forgive yourself or you don't deserve to have others forgive you? (see my article: What is Self Reflective Awareness and Why Is It Important to You?).

• Have a Dialog With the Internal Critic Within You: If you have been hard on yourself, you can do a writing exercise where you have a dialog with your inner critic. Acknowledge what your inner critic has to say, ask this part of yourself what it would like you to learn from the experience, make a commitment to do better and ask it to let go of its harshness so you can heal. When I do Parts Work Therapy with clients, I ask them to practice having a dialog in our therapy sessions with the parts of themselves that keep them from forgiving themselves or keep creating obstacles to their well-being. Often these parts want to be acknowledged first before they can let go (see my article: Making Friends With Your Inner Critic).

• Practice Self Compassion: What would you say to a close friend or loved one who had problems forgiving themself? If you can feel compassion for them, can you extend compassion to yourself? Recognize that making mistakes is part of being human (see my article: Acceptance and Self Compassion).

• If Possible, Make Amends: If it's possible without crossing a boundary with others, apologize or make things right.  If it's not possible to make amends because to do so would be violating another's boundary or it would be unsafe for yourself, act in their honor or help others. Examples of this might include:

• Engaging in Acts of Service: This includes volunteering or helping in your community.

• Creating Unsent Letters: If you can't have direct closure, you can write letters that you will not send because to do so would be crossing a boundary. The act of writing an unsent letter can be healing.

• Focus on the Present: Since you can't change the past, focus on the present. Create new goals for yourself that align with your values.

• Get Help From a Mental Health Professional to Change Your Behavior and to Heal: If you're having problems understanding why you acted in a way that you now regret, you can gain insight, make changes and forgive yourself with the help of a licensed mental health professional who helps clients with overcoming regret.

Also See My Articles: 

Balancing Fear of Failure vs Future Regret 

Strategies For Making Changes in Your Life

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, Parts Work (IFS and Ego States Therapy), EFT (for couples), Somatic Experiencing and Certified Sex Therapist.

I have over 25 years of experience helping individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.