5 Tips To Help Anticipatory Anxiety

Barbara Heffernan • February 6, 2024

Anticipatory anxiety is a movie in your head that is making you miserable.

So, first, a secret:


All anxiety is anticipatory. 


Now for people who experience somatic anxiety, which means the physical symptoms of anxiety, they'll say, “No, that's not true. I’m not anticipating anything, I’m just feeling anxious.”


But even when those feelings are in your body, your brain is interpreting these feelings as a problem or as indicating a problem. (
And somatic anxiety is complicated! So, more on that topic is here: Somatic vs Cognitive Anxiety). So a feeling of dread might lead you to think,  “Okay, I'm not worried about anything... but there must be something I need to worry about in the future because my body is feeling this way.”


So, yes, the somatic feelings are happening right now, but they are connected to the anticipation of some type of danger. 


What is Anticipatory Anxiety?

Anticipatory anxiety is any kind of anxiety that is tied to a future event
. Sometimes it is a major event that you're worried about, and most people have that once in a while in their life. 


Other times it could be minor events, or it could be something that's related to a very upsetting or traumatic incident from your past. 


One problem with anticipatory anxiety is that if it is left unchecked, it might apply to more and more things, and, eventually, you develop
a fear of feeling fear. You develop an anxiety about, “Oh no, am I going to get anxious?” 


Let’s use the example of social anxiety to explain anticipatory anxiety further. People with social anxiety are not only anxious when they are at a social event.  Their anxiety starts before the event, well before it. And often it is a fear that they will show signs of anxiety at the event and other people will notice. Or it might be a fear that they will say something stupid. And thinking about these possibilities will make them even more anxious now, sometimes weeks or months before the event.


A common response to this anxiety is for the person to decide not to go to the event.  When they make that decision, they probably feel temporary relief. But, their self-criticism might kick in in a very strong way. They will feel more and more stuck in a rut. But the relief of that decision to avoid is very reinforcing, and it teaches the “old brain” that avoiding is the right answer.  [My blog next week will be on the Avoidance Anxiety Cycle, so check back!]. 


As I mentioned earlier, anticipatory anxiety is part of almost every single anxiety disorder.  Anticipatory anxiety is not a diagnosis in and of itself. Rather, it is an expression that describes the phenomena of the worrying. 


Now, anticipation is not all bad. In fact, the human brain is an anticipatory machine. That is one reason humans have been so successful on this planet.


When we see a potential problem coming up, we can think through steps to take care of it. That is healthy, reasonable, adaptive. A little bit of anxiety can be helpful. The innate biological responses of adrenaline kicking in a little bit helps us focus and plan. But when too large of a fear response kicks in when the fear is not present, it can lead to overwhelm, shutdown, or panic.


[Last week’s blog and video were on the difference between fear and anxiety. If you haven’t read it, you can access it
here]. 


In short, fear is in the moment. Anxiety is anticipatory. Let's say there's a dinosaur right in front of you, boom, your fight, flight, freeze response kicks in. You run, freeze or fight. That's appropriate. 


But when you have the thought of that dinosaur attacking you (or the thought of whatever it is that you're afraid of), your body is responding almost as strongly as if it was actually happening. But it's not. There's nothing to flee from physically. There's nothing to physically fight, and there's no reason to physically freeze. Doesn't mean we don't do one of those three things, but there's no immediate danger present to cause that.


So let's talk about the Anticipatory Anxiety Cycle.

The threat of a future problem creates anticipatory anxiety. There is an immediate chemical response in your body. Those fight, flight, freeze chemicals make you feel, “I have to do something!
Now!”


And since there is nothing to flee from and nothing to fight, that feeling often can lead to either a compulsive behavior or avoidance. 


And then you get temporary relief from the compulsive behavior or the avoidance.  This temporary relief reinforces this cycle and actually keeps the fear going. The temporary relief is training your old brain that that is a good response, the right response. Your old brain learns: “If this ever comes up again, that is the response I’ll choose.”


So eventually, this cycle leads to that fear of fear. 


It’s not just a fear of one event, it's fear of any event like that. And you begin to experience those anxiety symptoms earlier and earlier and earlier. And if we're anxious about future events, but we begin to anticipate it and feel the anxiety really, really early, we will always be feeling anxiety because there will always be something somewhat uncertain. There'll always be a future event. There'll always be something we don't like. So the anxiety just really feeds on itself. 


Alright, so what can help? I am going to go through five tips, but I just want to say they are all interrelated. They all go together. Working with them as a whole will be the most helpful for you. 


Tip #1:  Keep the word ANTICIPATORY in mind. 

When you feel anxiety, remind yourself that what you're imagining is not actually happening. Remind yourself that you are anticipating something that feels scary, but it is not scary now. It does not require your fight, flight, freeze chemicals now (and probably doesn’t require them at the time of the event either).


Now, anxiety convinces us fully that it (the anxiety) needs to be there.  It will convince us that this horrible thing is going to happen, and that you
must worry about it now. 


But this is a falsehood. It's actually not true. If there is something to do, you can do it (I call that productive worry). But that is not what develops into anxiety. The unproductive worry – the worry about things that you can’t do anything about – that is anxiety.



Tip #2: Mindfulness


Once we recognize that our anxiety is about something that is not happening now, we can bring our attention back to the present moment. Grounding techniques and diaphragmatic breathing are very helpful for this. Be aware of your feet on the floor; Look around the room for three items that are blue, three items that are red, three items that are yellow. These kinds of exercises really ground us in the present moment. 


Anticipatory anxiety is the opposite of being mindfully present. If we're mindfully aware with our senses, then we can't be lost in the anticipatory anxiety. So weaving mindfulness practices into your day on a regular basis is very, very helpful.


These practices aren't going to immediately solve this problem for you. It doesn't happen that way. But the gradual process of bringing your mind back to the moment with sensory awareness will make an enormous difference over time.


I do want to mention I have a free webinar called
Rewire Your Brain for Joy and Confidence. And it's all about using these kind of tools to rewire the pathways, right? Because if we have automatic anticipatory anxiety or automatic fear of an event or fear of an item or an object or anything, if we have these automatic responses, we are creating super highways in our brain.


The synapses get myelinated together. It actually is a superhighway. Those neurons and synapses get used to talking to one another and they do it super fast, before you can intervene. So the matter of retraining your brain really means bringing in some of these practices regularly. (A lot of people have found that webinar really helpful, so feel free to check it out!).


Tip #3: Practice somatic methods of calming yourself regularly. 


When that physical response to the anxiety kicks in, say to yourself, “Okay, I don’t need this physical response. I'm going to bring my mind back to the moment.” And then use physically calming techniques: diaphragmatic breathing, petting an animal, walking in nature, listening to the birds. Utilize any natural method of lowering your blood pressure, lowering your pulse rate, relaxing your muscles… (Not alcohol or medications – these are biphasic… let me know in the comments if you’d like a longer explanation of this!)


Tip #4: The Movie Technique. 


So we talked about how your brain is creating a story when you have anticipatory anxiety.  It is usually a pretty unpleasant story, possibly catastrophic. 


Let's see if you can come up with a different story and a different ending. Your inclination when I suggest this might be to create a really positive ending, which is ok, but then your brain might kick in and totally discredit that ending. Thoughts like, “No, that's never going to happen to me. I'm never lucky.” Or, it might be “No way, I'm not good enough,” or “I don't deserve that,” Whatever your habitual self-criticisms are, they will kick in if you try to make that ending too good.


So let's find a neutral ending. With most movies we watch or novels we read, some good things happen to the main character, and then some not so good things happen. Then good things and then not so good things… this is what makes an interesting story. 


Stories that are neutral are not very interesting.  Your brain won’t go there naturally.  Yet very often things are neutral. 


So, try and see if you can come up with a neutral story.  And bring in the awareness that your brain might be avoiding the neutral story because it doesn’t like to be bored! A catastrophic story is SO much more interesting!  But, as you well know, those catastrophic stories that our brains generate cause a lot of other problems for us.  And, they make our lives pretty miserable.


Now, the movie technique can be used even more extensively when you actually visualize watching a movie of a character that looks like you, but isn't you, going through the same kind of worries and concerns that you're going through. If you really take some time to picture this, you probably will feel compassion for the character going through what you are going through. 


You know why? Human life is hard. We have to deal with a lot of hard, uncomfortable things. There is a lot of uncertainty. There are many things we want to control that we can't control. 


So when you see it as a movie, you're more likely to have compassion for the character and then you can try to bring that compassion towards yourself. And self-compassion has actually been shown to help lower anxiety. 


Tip #5: Meditation


Many people don’t want to hear this suggestion. People with a lot of anxiety have a hard time meditating and will often say, “I can't meditate.” (And I do have a video on this that I will link here).  And one reason meditation is hard is that it is boring! Being bored can make people feel anxious. Yet, increasing your tolerance to that boredom, and increasing your tolerance to feel your anxiety without doing anything, over time, can help enormously. 


And when I say meditation, I want to clarify something. A lot of people use guided meditations. These can be very, very useful. Truly. But I see the guided meditations more in the category of my tip number three: generally they aim for somatic relaxation. Guided meditations help you feel calmer. They guide you and help you physiologically relax. 


Pure mindfulness meditation is where you sit, let's say for 10 minutes in silence, staring at a spot on the floor or with your eyes closed, and you continually try to bring your attention back to the present moment. This is hard, but it has benefits beyond the physiologically relaxing meditations. It dramatically increases your ability to stay present with whatever is happening – the good, the bad and the neutral. It significantly increases your ability to be aware of your thoughts. The Observer Mind is the part of our brain that observes what the rest of the brain is doing. The Observer Mind observes our thoughts. “Oh, there I go again, worrying about that again.” “Ah, here is the old ‘I’m not good enough theme.’


Yet, over time, you will begin to see things so much clearer. We strengthen our ability to differentiate between the fantasy that is happening in our thoughts and what is actually happening in the present moment. This is really the key to overcoming anticipatory anxiety. 


Over time, meditation has a dramatic impact on our ability to cut out excessive anticipatory anxiety. 


So I'd love to know what you think about this. If you have other tools and techniques that you find useful, please share them below. If you have any questions or if you want me to elaborate on something, let me know in the comments. 

Post Author: Barbara Heffernan, LCSW, Certified Coach is a psychotherapist who specializes in anxiety and trauma.  She had a private practice for 20 years in Connecticut before starting her YouTube channel and creating online programs to help people live more joyful lives.  She has an MBA from Columbia University, an MSW from Southern CT State University and a BA from Yale University. She is an LCSW and an EMDR Approved Consultant.




Blog Author: Barbara Heffernan, LCSW, MBA. Barbara is a licensed psychotherapist and specialist in anxiety, trauma, and healthy boundaries. She had a private practice in Connecticut for twenty years before starting her popular YouTube channel designed to help people around the world live a more joyful life. Barbara has a BA from Yale University, an MBA from Columbia University and an MSW from SCSU.  More info on Barbara can be found on her bio page.

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By Barbara Heffernan August 14, 2025
If you grew up as a parentified child, it is likely that you were the most emotionally regulated person in your family. However, most people who grew up as parentified children actually have significant emotional dysregulation. It just looks very different than what we picture when we think about emotional dysregulation. This is a hidden cost of parentification, and it gets missed by everybody—often including the person who grew up parentified. Understanding this can help point you in the direction of a piece that might be missing from your healing journey. True emotional regulation has been tied to happiness in extensive research. When we feel emotionally regulated, we feel so much better. What Actually Happens to the Parentified Child The child who grows up emotionally parentified learns to suppress their own emotions in order to take care of others. They suppress whatever needs they might have—anger, disappointments, desires. Their emotions are not validated, acknowledged, or understood. They are just pushed down in order to not upset a volatile parent or to caretake for somebody else in the family. Long-term, if you were parentified, you probably struggle with significant anxiety. It is also likely you feel substantial guilt and resentment that can weigh you down and be very depressing. And, often, numbness kicks in. I think that when we suppress our emotions and we do not learn how to process them and understand them—when we are just pushing them down, pushing them down—the emotions that leak out are anxiety, guilt, resentment, and numbness. Anger as well. These are the emotions I saw the most in my work as a psychotherapist with people who grew up parentified. They did see themselves as the calm one, the competent one—which they were. But the backlash from all of that was a struggle with anxiety, depression, or some of those other difficult emotions. Why This Emotional Dysregulation Stays Hidden One reason that this cost of parentification stays hidden—that we do not recognize the emotional dysregulation—is that most of us tend to think of people with emotional dysregulation as those who have huge swings in emotions: big angry outbursts, or moods swinging from manic to depressed. Those are the situations we think of when we consider people who are very emotionally dysregulated, and they are. But that is the external manifestation of emotional dysregulation . We can also have significant emotional dysregulation that is all internal. Consider somebody with obsessive-compulsive disorder—many people can hide it completely, but internally there is substantial emotional dysregulation. Or the high-functioning people we know who have significant anxiety but do not let it out. Just because we appear emotionally regulated does not mean we are. Why This Emotional Dysregulation Happens Let me talk about why this emotional dysregulation happens in a child who grows up parentified. Ideally, a parent helps a child learn to emotionally regulate. If the parent has reasonable emotional regulation and was nurtured themselves, this is very instinctual. This parent knows how to soothe an infant to help them calm down, or to energize and interest the infant when awake. The parent's own ability to breathe and calm themselves is actually emotionally regulating for an infant (or any age child!). As the child grows up, the "good enough parent" helps the child identify emotions, label them, validate them, understand why they are happening, and then also problem-solve what to do about them. (And remember, no one does this perfectly!) Unfortunately, what happens if a parent is unable to emotionally regulate themselves? They will not have the skills to teach their child or the instincts to help the child regulate naturally. Sometimes, a parent without emotional regulation will look to the child to help them regulate. This is "emotional parentification." The parent regularly communicates to the child, verbally or not, "you cannot be upset, because I am upset." Or, "you have to take care of this for me because I cannot cope." I know people get anxious when I talk about this because they think, "well, in some situations you have to do that." And, yes, sometimes even the best parents have to do this. But I am talking about a consistent pattern where it is unreasonable for the parent to require that the child suppress their emotions so that they can take care of the adult's emotions. It is a consistent pattern, and the child is not helped to learn any emotional regulation. The child learns to read other people's moods so that they can help regulate them—calm this person down, help that person function, keep the siblings quiet so the parent does not get mad. The child develops significant emotional intelligence in terms of picking up on other people's emotions, but not much in terms of understanding their own emotions. The Critical Insight: Suppression Disguised as Regulation The most critical insight to take away here is this: when the emotional regulation system is reversed—when the child is supposed to help the parent regulate—the child is not learning emotional regulation. The child is learning emotional suppression. However, that suppression will be seen as regulation. I would love to know if that makes sense to you and if understanding that is helpful for you. The 7 Components of True Emotional Regulation Let me talk about what true emotional regulation is. If you want more on this topic, please drop me a note—I think it is a super important topic. So what is true emotional regulation instead of pseudo-regulation? As I go through these components of true emotional regulation, I also want you to keep in mind that nobody does this perfectly . And I do mean nobody. We are human. However, increasing your ability to do each of the seven things listed below can be very helpful. With healthy emotional regulation, our moods still go up and down, but they stay within a zone of tolerance. The term "zone of tolerance" comes from psychotherapist terminology, but I think it is intuitive what that means. When people get manic or way too excited, way too anxious (way too up), or way too depressed (way too low), it can cause significant problems. People can stop functioning. Those states are very painful. Allowing yourself to have whatever emotions you have—not suppressing them, not ignoring them—and learning how to listen to them and learning what to do when they are talking to you will help you stay within that zone of tolerance. People who have healthy emotional regulation still get angry. They still get sad, they still experience grief and might have an extended period of grief. This is not about shutting off our emotions—it is more about learning to see them as information that is very valuable. Emotions can guide good decision-making if we learn to think about them, understand them, understand when they are overblown and maybe were triggered by some event in the past. So we learn to calm down those overblown reactions, but not ignore them. **Seven Components of True Emotional Regulation** **1. Awareness** Noticing emotions as they arise, noticing the physical feeling that goes with the emotion. The sooner we are aware of "oh yes, that is what I am feeling," the easier it is to regulate our emotions. **2. Labeling the Emotion** This can be difficult. Sometimes we do not know what we are feeling, and that is okay too. Often we have many feelings at once, so it can be very confusing. You can have conflictual feelings about different situations, but labeling emotions actually engages a part of the brain that helps you regulate. I did a whole video on that topic, which I will try to link here. But label the emotion the best you can. Even if it is to say "I am feeling upset, I am feeling a lot of things, and I do not yet know exactly what"—that is okay too. It sometimes can take a few days to figure out what you are feeling. Allow yourself that time. **3. Acceptance** Accepting your emotions, not judging them as good or bad. Not thinking "I should not have this one, I should have that one instead." Accept your emotions. Validating them would be another way to say this—validate the emotions that you are having. We tend to judge emotions as good or bad, reasonable or unreasonable, but honestly, it is the actions we take that can be reasonable or unreasonable. Right now we are just talking about listening to your emotions and accepting them. **4. Processing Your Emotions** Processing your emotions probably could be broken down into many other categories, but processing emotions is about understanding what information that emotion is giving you. All emotions give us information. Processing could be understanding a trigger or understanding why you had an emotion that was strong or perhaps overblown. What triggered you? Why? Processing the events and the emotions that came out of those events is part of emotional regulation, and it does require some emotional intelligence. Understanding what your emotions are telling you is crucial. I have many videos on different emotions—I have a playlist called " Emotional Intelligence ." In my Roadmap to Joy program, I actually have an entire section on deepening self-knowledge, which goes into what different emotions mean, why they come up, and how to interpret them. That is actually section number five of that program because the first parts of the program are about emotional regulation techniques, learning mindfulness, meditation, and learning healthy boundaries. All of this definitely goes together. **5. Self-Soothing** These components all work together because self-soothing is going to help you with your acceptance of emotions. It is going to help you with your processing of emotions. These are not necessarily in the order you have to follow, but these are all components of healthy emotional regulation. Learning various self-soothing techniques that are healthy—not, for example, alcohol or drugs, which might shift your mood very quickly but are biphasic and have a backlash—but learning how to breathe calmly, learning whether going for a walk helps you, petting an animal, or what helps you reregulate your physiology. I would put this into the category of physical regulation. **6. Choosing Your Response** Often our behavior is reactive—very reactive. For somebody who grew up parentified, the reactivity might be automatically helping somebody else, automatically saying yes to something you would rather say no to, automatically picking up that the other person is feeling anxious and then figuring out what you can do about it instead of recognizing your own anxiety. These reactive responses need to be transformed into conscious responses. Figuring out "okay, I had this emotion. What do I want to do?" Not every time that we are angry at somebody do we need to say something. Sometimes it is helpful, sometimes it is not. Being able to choose your response is crucial. Reactivity is where we go into fight, flight, or freeze mode. That is reactivity—the old patterns just triggering us and triggering our behavior. Once we have processed emotions and processed the situation, we can make a good decision about what behavior will come out of that situation. What response do we want to choose? Obviously, that is a very complicated topic, but I think that just thinking about it this way and looking for "what is the best response on my part to this situation?" rather than "what do I automatically feel like I have to do?" can be helpful. **7. Understanding Boundaries** Developing healthy boundaries will help you remain emotionally regulated long-term. Emotional regulation also helps you have healthy boundaries—they work together. Healthy boundaries involve understanding where you end and somebody else begins. What is your responsibility? What emotional realm is yours? Understanding that other people's emotions are their responsibility to take care of. It is about boundaries in terms of a deep understanding of how we operate as humans. It is about cutting that enmeshment that happens with parentification that I talked about last week. It is about healing from that enmeshment, I should say. Once we heal from that enmeshment, we can be individuated. We can be our own individuals, and we can care, and we can sometimes caretake and sometimes receive support. We can move toward more interdependence in our relationships. Moving Forward with True Emotional Regulation Understanding the difference between emotional suppression and true emotional regulation is crucial for anyone who grew up parentified. The skills you developed in reading others' emotions and maintaining family stability were survival mechanisms, but they came at the cost of your own emotional development. True healing involves learning to: - Recognize and validate your own emotions - Understand that your feelings matter just as much as others' - Develop healthy ways to process and respond to emotions - Create boundaries that protect your emotional well-being - Build relationships based on mutual support rather than one-sided caretaking Remember, developing true emotional regulation is a process that takes time and practice. Be patient with yourself as you learn these new skills. I hope this was helpful. Let me know—I am very interested to know your thoughts. Check out some of my other videos and consider the Roadmap to Joy program, which also has a significant component on boundaries. Many people have found it helps them lower anxiety, develop healthy boundaries, and improve their relationship with themselves, which is, long-term, our most important relationship. We are with ourselves our whole lives. What has been your experience with emotional regulation? Have you recognized some of these patterns in yourself? I would love to hear from you in the comments below.
By Barbara Heffernan August 7, 2025
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By Barbara Heffernan July 31, 2025
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An ultimatum might be a boundary that you're setting that has a very severe consequence that you intend to follow through with . Or an ultimatum might be a boundary that's combined with a threat . Understanding the distinction between boundaries, ultimatums, and threats can mean the difference between creating healthier relationships and inadvertently damaging them. Today's blog will help you understand when each approach is appropriate and how to navigate these challenging interpersonal dynamics. Understanding What Boundaries and Consequences Really Are You've probably heard that boundaries go with consequences. If we set a boundary, it usually has some type of consequence, and some of those consequences are very natural. There are natural consequences in terms of how we feel or what we might do. There are natural consequences on a relationship if somebody violates a boundary. We can also set a very specific consequence if a boundary is violated. But not all of those consequences have to be extreme. Not all of those consequences have to threaten the end of a relationship. The actual definition of a boundary is that it's a real or imagined line that marks the edge or limit of something. Boundaries are really about your limits—your structures for navigating the world. They can be purely about yourself and your own self-care, or they can be about what behaviors in relationships you will accept, which ones you won't be happy with, and which ones you absolutely will not accept. Your boundaries reflect your values, your needs, and your wants. Importantly, the consequences that come with boundaries are also about you and for you. Our consequences don't always change the other person's behavior, no matter how much we want their behavior to change, and no matter how much their behavior should change. I think the difference between a boundary and an ultimatum will be clearer if you can really think about these in terms of them being for you, by you, about you , and about you in relationships . Consequences in Healthy Enough Relationships vs Toxic Relationships In healthy enough relationships, the natural consequences of boundary violations might be enough to maintain appropriate behavior patterns. In toxic relationships, stricter consequences are probably needed. And in truly intolerable situations, ultimatums might be needed. For example, i f you're in a relationship with someone who is abusive to you or somebody who lies to you all the time, the behavior and maybe even the relationship probably feel intolerable. In these situations, it is important not to threaten a severe consequence (eg the end of the relationship) unless you are ready to follow through on the consequence. IGenerally we feel ready to follow through with a severe consequence, when we are fully confident in our right to have this boundary, and we fully accept that we can't change the other person's behavior no matter how much you want to. The Problem with Threats In my 20 years working with people as a psychotherapist, what I observed—and I have certainly seen this in myself—is that we often use threats when we are exrtremely emotionally dysregulated. At these moments, we state what might sound like an ultimatum, and we might even believe at that moment that we will follow through with it. But when we've calmed down, all the problems of following through with that threat become clear and we back off. These threats can actually be very damaging both to ourselves and to the relationship. The definition of a threat is actually a statement of intention to harm the other person. We put threats out there when we're very hurt, angry, perhaps desperate. We desperately want the situation to change, but it's not a boundary, it's not an ultimatum, and it's definitely not a consequence for a boundary violation. Understanding Ultimatums: Final Demands The definition of an ultimatum is a final demand or final statement of what you need (or the negotiating party needs), and the rejection of that demand will end negotiations, It's essentially "THIS or no more discussion." If that's the case, make sure for yourself that you're okay with that outcome. Following through with an ultimatum might mean accepting a suboptimal outcome. It might not be the outcome you want, and that's why we often fall back into threatening and not following through. Avoid the Zero-to-Hundred Trap When you set consequences, it can be very helpful to start with natural and "in-between" consequences. I see so much online where people go from zero to a hundred—either you get walked all over or the other person has to do exactly what you want. Usually, there's something in between. There are smaller steps to take. Boundaries are not a means to control the other person; they are not a means to win a power struggle. Boundaries are meant to improve relationships if possible, and to keep you safe if it is not possible. Boundaries are about trying to make a relationship safe and appropriate for the roles of the people involved—keeping the level of intimacy and interaction appropriate to those roles. The Key Factor: Emotional Regulation The most crucial element in setting healthy boundaries—whether they're simple boundaries or more serious ultimatums—is your own emotional regulation. This is really the key to having healthy boundaries and knowing how to set them, express them, and enforce them. Most of the time, it's not about what information you need or what boundaries you should set. While confusion can certainly come up because boundary-setting can be very confusing in many situations, it's more about the emotional response we have when we go to set these boundaries and the emotional triggers that might make us not do that well or fold and not do it at all. I focus extensively on emotional regulation in my boundary program, along with how to set boundaries appropriately and enforce them effectively. The program addresses not just the mechanics of boundary-setting but the inner work needed to maintain them consistently. Information on the program is here: The Ultimate Boudary Course . Moving Forward with Clarity Understanding the difference between boundaries and ultimatums helps you approach relationship challenges more effectively: Remember, healthy boundary-setting is a skill that improves with practice and self-awareness. The goal isn't to control others but to create relationships that honor your values and needs while maintaining appropriate connection with others. I'd love to hear your thoughts on ultimatums versus boundaries. Do you have a specific example or question? Drop it in the comments below and I'll take a look—I might even create a video and blog about it.
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June 24, 2025
How Parentification Creates Adult Anxiety (And How to Heal) If you grew up parentified, you most likely experience a fairly high degree of anxiety as an adult. This connection exists because parentified children are trained from a very young age to take care of other people's emotional needs—an impossible task—and often to handle household responsibilities that are far beyond their developmental capacity. Being responsible for things that are beyond your ability creates a perfect storm for anxiety, both in childhood and adulthood. At its core, anxiety involves trying to control the uncontrollable. When we attempt to manage things we're powerless over—especially other people's emotions—we set ourselves up for chronic anxiety. This is a complex topic, and I'll explore it more deeply as we go. Core Characteristics of Parentified Adults Most people who grew up parentified share certain characteristics. While these traits can have positive aspects, they also create a foundation for persistent anxiety. Let's examine these patterns: **Chronically Overcommitted** Growing up, you had too much on your plate, and these patterns persist into adulthood until we actively work to heal them. As adults, we continue to take on more than we can reasonably handle. Being chronically overcommitted leads to overwhelm, constant stress, and persistent anxious feelings. **Difficulty Relying on Others** People who grew up parentified struggle to depend on others. As children, they learned they couldn't trust others to handle important responsibilities—they could only rely on themselves. This becomes an ingrained pattern that follows you into adulthood. While developing strong self-reliance can be positive in many ways, extreme self-reliance creates unbalanced relationships. The healthiest relationships involve interdependence—sometimes we depend on others, and sometimes they depend on us. There's a natural give-and-take. When we resist relying on anyone else, we prevent this healthy interdependence from developing. This leaves us without adequate support, which increases anxiety. Everything feels like it rests on our shoulders, and we end up believing that other people's behaviors and problems are our responsibility to manage. Reframing Your Childhood Experience In my 20 years of working with clients as a therapist, I often heard, "But I was the most capable person in my family. I was the only one I could rely on." You probably were the only reliable person in that family system. Learning to depend on others as an adult will be challenging, but it's absolutely worth the effort. However, believing you were the most capable and intelligent family member likely reflects seeing yourself through your parent's eyes. Your caregiver(s) viewed you as the most capable and you internalized that perspective. You are most likely not viewing the experience through a child's lens. From a child's perspective, while you may have gained some self-esteem from taking care of others, you were also carrying an enormous burden far beyond your years. This responsibility limited your ability to play, prevented you from being carefree, and kept you constantly focused on what you needed to accomplish for others. All of these factors contribute significantly to anxiety. How to Heal Your Anxiety from Parentification While standard anxiety reduction techniques can certainly help, I believe you'll find it very difficult to fully recover from this type of anxiety unless you address the root cause of parentification and understand how it has shaped you. ** 1. Identify Your Negative Core Beliefs ** The first step toward healing involves understanding what negative core beliefs you developed as a result of parentification. The most common belief is: **"My needs don't matter as much as everyone else's needs."** If you were emotionally parentified, you learned very early that your parent's emotions (or perhaps both parents', or even the entire family's emotional state) took priority over whatever you were feeling. So the belief of "My emotions don't matter" is also likely to resonate. Other common core beliefs include: - "I can't trust others" - "I can't rely on anyone but myself" Before healing can happen and before meaningful changes can be made to your habitual patterns, you must genuinely believe that your needs matter. {I've created a free PDF that helps you identify your specific negative core beliefs and provides practical methods for transforming them. You can access it by clicking here .} You'll need a deep conviction that your needs matter to successfully implement the following steps and change your patterns of worrying about things beyond your control. ** 2. Accept Your Powerlessness Over Others ** I understand that the concept of powerlessness frightens many people. Many people have an immediate reaction of, "No way, I don't want to admit I'm powerless!" However, accepting reality is super helpful in many ways! We are completely powerless over the weather (at least immediate weather conditions, not commenting on climate change). We are equally powerless over other people's emotions. While we can influence others' emotions and certainly offer help, we cannot control how others feel or respond. Consider this example: If a child grows up feeling responsible for preventing their mother's depression, they might occasionally succeed in cheering her up or motivating her to take care of responsibilities. These small victories feel incredibly reinforcing. However, the child cannot cure their mother's clinical depression. The same principle applies to a parent with addiction or an anger problem. A child might sometimes prevent dad from losing his temper or temporarily stop a family member from using substances, but ultimately, controlling someone else's temper or addiction is impossible. When we truly accept that something is impossible, this acceptance becomes profoundly liberating. It can bring enourmous relief to admit to oneself, "I really can't control this outcome, so I don't need to exhaust myself trying!" ** Creating Emotional Boundaries ** For people who still feel responsible for managing others' emotions, I recommend visualizing your emotions as existing within a bubble around you, while the other person's emotions exist within their own separate bubble. I've developed a guided meditation on this concept, and I explore it extensively in my boundary program (Click here for the Ultimate Boundary Course ). This work helps you develop a solid sense of your emotional boundaries—understanding where they begin and end, and clarifying what you are and aren't responsible for managing. **3. Release Attachment to Outcomes You Cannot Control** The third step involves letting go of excessive attachment to results that lie outside your control. Typically, people become most attached to outcomes involving family members with self-destructive behaviors. I completely understand the desire to help and make a positive difference. However, if you believe you're responsible for someone else's choices and behaviors, you'll remain trapped in anxiety because you'll continuously attempt to control something that someone else actually controls. Other adults have agency over their own behavior, whether that leads to positive or negative consequences. Real-World Examples Let me illustrate how these three principles work together with concrete examples: **Example 1: Your Young Adult Child's Career Choices** Imagine you're a parent whose young adult child is pursuing what you consider a disastrous career path. You believe they won't be able to support themselves financially, and you desperately want them to choose a different professional direction. You spend enormous mental energy strategizing how to convince them to change course. This constant worry is probably damaging your relationship because your young adult wants autonomy over their decisions, while you're consumed with fear about their future. Your motivation stems from genuine care, but it's manifesting as anxiety and attempts to control something beyond your influence. **Example 2: A Friend in What You Perceive as an Abusive Relationship** Another common scenario involves a friend who remains in what you believe is an abusive relationship, and you feel an urgency to help them recognize this. Speaking up and sharing your observations is appropriate and caring. However, if you become convinced that it's your responsibility to ensure they leave this relationship, you'll experience tremendous anxiety trying to control someone else's major life decisions while potentially damaging your friendship. These situations are genuinely difficult. When we witness someone making choices that appear destructive, stepping back feels almost impossible. The Healing Paradox: Embracing a Temporary Increase in Anxiety...! Here's a crucial aspect of healing that many people don't anticipate: as you begin changing your behaviors and establishing healthier boundaries, your anxiety will temporarily increase. Currently, your anxiety drives you to worry about others and intervene (or desperately want to intervene) or obsessively analyze their situations. Your anxiety is the engine behind these behaviors. This anxiety drives your actions. These actions reinforce the anxiety. Examples of the actions that come from "parentification-based" anxiety could be: researching someone else's problem extensively, taking care of what they should be taking care of as an independent adult, lecturing and continually bringing up your opinion about what they should do, etc. Changing these behaviors and restraining from interventions will be needed in order to lower your anxiety in the long run. However, restraining from these familiar responses will initially heighten your anxiety. Learning to tolerate this temporary spike in anxious feelings is essential for changing your behavioral patterns, which is what ultimately transforms this entire cycle. Your Roadmap to Freedom Here are the essential steps for healing anxiety rooted in parentification: 1. **Understand how parentification affected you** and identify the negative core beliefs that developed as a result, then begin the work of healing those beliefs 2. **Accept your powerlessness over others** and develop clear emotional boundaries 3. **Release attachment to outcomes** involving other people's behaviors and choices 4. **Prepare for and tolerate the temporary anxiety increase** that occurs when you stop trying to control others—and learn to sit with this discomfort Remember, if you grew up parentified, these patterns developed as survival mechanisms. They served an important purpose in your childhood environment, but they no longer serve your well-being as an adult. With understanding, patience, and the right tools, you can heal from this anxiety and build healthier, more balanced relationships. Healing from parentification requires time and often benefits significantly from professional support. Please be patient and compassionate with yourself as you learn to prioritize your own needs and trust others to manage their own lives. I'd love to hear whether this information resonates with your experience and what insights emerged for you. If you found this helpful, please share it with others who might benefit from understanding this important connection between childhood parentification and adult anxiety.
By Barbara Heffernan June 19, 2025
You might be walking along, not thinking about anything that would make you anxious, when all of a sudden you're filled with anxious feelings. There's a reason this happens, and I'm going to share it with you today. Understanding subconscious triggers can help you understand yourself and calm your anxiety. The Frustrating Reality of Somatic Anxiety We're often told that anxiety starts with thinking, with our cognitions. People or doctors will say, "You must have been thinking about something that made you anxious. There must be something happening in your life that makes you anxious." This can be incredibly frustrating and invalidating for people who experience somatic anxiety—anxiety that manifests in the body. Very often, people who experience anxiety this way become frustrated because the anxiety management tools shared by therapists, doctors, YouTubers, and friends don't relate to their experience. In this blog, I'll help you make the connection between how you experience anxiety and how these tools actually can help you, when applied correctly. Understanding Subconscious Memories Very intense experiences become linked in our memory bank with the physiological feelings we experienced at the time. This can happen with positive memories and with very negative and upsetting memories. Our hippocampus, one of the key parts of our brain that handles memory, encodes our memories with sights, sounds, feelings, smells and tastes—but not always with a complete "story" of the event. Positive Memory Links On the positive side, there might be a particular smell—like cinnamon or something your grandmother cooked—that brings you a lot of pleasure. Or it could be the way the landscape feels and smells during the first snow. You might have many positive memories, and when those sensory elements recur, you feel that positive response. Sometimes this links to an something you do remember, but not always. Traumatic Memory Links With traumatic memories, these links can be formed in a very intense way. For both major traumas and smaller traumas, we can have encoded memories that don't reach our conscious mind, but these memories are encoded with the physiological feelings of the experience. When these physiological responses are triggered, they can feel completely out of your control, making you feel powerless to stop or change the feelings. The intensity of the link between sensory information and emotional response is related to the intensity of the initial trigger event. The link is also strengthened each time you experience the trigger. Preverbal memories can also be encoded this way and trigger these feelings. However, the practices needed to calm these responses is the same whether the initial experience is conscious, subconscious or preverbal.
By Barbara Heffernan June 12, 2025
Physical Symptoms of Anxiety: Understanding Your Body's Response If you're experiencing physical symptoms from anxiety, these can be very strong and very scary. You're probably wondering: could these really be anxiety? Maybe you weren't particularly worried and you're still having these very strong physical reactions. Or perhaps you weren't worrying at all and the physical reactions just hit you out of the blue. This can be very confusing, and many people wonder: is this anxiety or is it something else? In this article, I'm going to cover physical symptoms of anxiety in detail, explain why your body responds this way (understanding this can really help you calm yourself about the symptoms you're having), and discuss what you can do about it. First Things First: See a Doctor If you're having serious symptoms, you always want to see a doctor and get everything checked out. There are a number of conditions that can look similar to anxiety symptoms. However, if you've been given a clean bill of health, this blog will help you understand why these symptoms arise from anxiety and confirm that they are from anxiety! Now, I want to reiterate: **anxiety is not all in your head.** Even if a doctor says there's "nothing wrong with you and these symptoms are anxiety," know that anxiety does cause real physical symptoms . They are uncomfortable, they can be very scary, and they are real. You are really physically feeling something. How Anxiety Affects Your Entire Body Anxiety can impact almost every one of our major physiological systems. Anxiety can impact our: - Cardiovascular system - Respiratory system - Gastrointestinal system - Muscular skeletal system - Other parts of our nervous system Cardiovascular Symptoms include: - Increased heart rate - Pounding heart or racing heart - Palpitations (sometimes fluttering or a skipped beat) - Chest pain - Lightheadedness or dizziness - Feeling faint or unsteady As I mentioned earlier, if you're having these symptoms, have them checked out by a doctor. However, if they're tied to anxiety, you can then begin to treat them as anxiety. Gastrointestinal Symptoms include: - Difficulty swallowing - Change in appetite (some people when they get very anxious can't eat at all, while other people just want to do nothing but eat - it really can impact you either way) - Upset stomach - Nausea - Diarrhea - Other digestive problems - Constipation Respiratory Symptoms include: - Shortness of breath - Hyperventilation Muscular Skeletal Symptoms include: - Muscle tension (very common) - Tremors or shaking - Tics (for example, a little pulse in your eye, which is pretty common, or in your hand - it can happen in different places) - Headaches (very common with anxiety) - Muscle aches, pains, and cramps Other Symptoms include: - Numbness or tingling in your extremities - Sweating - Dry mouth - Fatigue - Insomnia You can really see how the physical symptoms of anxiety can impact your whole body. Understanding the Adrenaline and Cortisol Cycle Let me explain briefly about the adrenaline and cortisol cycle, because all of these symptoms actually have a common cause when they're caused by anxiety. When you have a stressor, your adrenaline begins to spike. This isn't necessarily a bad thing - if you have a saber tooth tiger you need to run away from, you want your adrenaline to kick in. Sometimes a small amount of adrenaline can be motivating to study for an exam, prepare for a big work meeting, or motivate yourself to get off the couch and do what you need to do. A certain amount of adrenaline helps us get up in the morning, so a little bit can be helpful. Too much can be problematic. When adrenaline kicks in, shortly thereafter a hormone called cortisol kicks in and begins to rise. As cortisol peaks, the adrenaline starts to drop. So the cycle goes: stressor → adrenaline goes up → cortisol goes up → then they both drop, hopefully followed by a period with no stressors. When another stressor hits, it happens again. Our bodies are built to deal with this. If your stressors are happening and your adrenaline is spiking once in a while, often you won't have major physical symptoms. However, if you have continual stressors, how you manage your stressors will impact this cycle as well. And this is not to minimize stressors. Some are very serious, some can be minor. The more you can make sure you aren't overreacting to the minor stressors, the more energy and wherewithall you will have to deal with the serious ones. And many serious ones require planning, which is more effective when you are not in the middle of an adrenaline-cortisol spike. If we respond to minor stressors with a lot of anxiety and worry (which is really what an anxiety disorder is), we're continually responding to every stressor, whether it's big or not, with adrenaline. Then cortisol kicks in. With continual stressors and the way we respond, the cortisol never gets a chance to come down. Cortisol can remain elevated chronically on an ongoing basis, and that has actually been implicated in a number of major diseases. I'm not saying this to frighten you, but to give you motivation that you can have agency over your anxiety. Anxiety is very treatable . When I worked with people as a therapist for over 20 years, working with anxiety was very satisfying for me as a therapist, and it was satisfying for the client because people could make major progress. So I want to give you that hope. The Health Impact of Chronic Stress: Continually elevated cortisol levels are tied to: - Diabetes - Osteoporosis - Cardiovascular disease - Weakened immune system - High blood pressure - Impact on sexual desire and libido - Reproductive functions Why This Happens: Your Body's Design Your body is designed to deal with dangerous situations. Our brains evolved this way. We have an amygdala and a fight, flight, and freeze response. If we're actually being chased by a dinosaur or a scary dog, we're designed so that our fear response will kick in: - Our adrenaline will spike - Our muscles will tense - Our heart rate goes up - We have digestive issues (you don't need to be digesting your food if you're being chased by a wild animal - you need to not digest that food and just run) - We get a very single-minded focus I want to come back to that single-minded focus because I think it's quite important and we don't always talk about that being an impact of this fear response. We need this fear response - we want it in some situations. The problem is when we think about that dinosaur, when we think about that scary thing happening, our body has the same response. Simply thinking about being attacked by whatever the danger is produces the same response: our adrenaline spikes, our muscles tense, our heart rate goes up, we have digestive issues, we get a single-minded focus. That single-minded focus is problematic because most of the problems we face today really need our whole brain online. We need to be able to think creatively, pull in solutions, and be aware of what we can do right now and what we want to do to be prepared to face problems in the future. You want the whole brain working, not just that overactive amygdala, and you want to be thinking creatively. That's not what happens when you have to run away from a wild animal. How All Physical Symptoms Connect All the physical symptoms of anxiety have a common thread - they can all be tied to a fight, flight, or freeze response: - Your inability to swallow or eat: if you have to fight, flee, or freeze, you're not eating a meal - Digestive issues: if you have to fight, flee, or freeze, you're not digesting your food - in fact, the opposite - Constipation can be tied to the fight or flight response - Diarrhea is more tied to the freeze response The freeze response kicks in when we can't fight and we can't flee. You'll see this with animals - if an animal is being attacked by a larger animal and can't run away, it will go into a freeze state. A number of symptoms that you might not think were anxiety-related are actually freeze state related, such as dizziness, lightheadedness, and passing out. The opposite - heart rate going way up and heart palpitations - is part of the fight or flight response. What You Can Do About This **Identify Your Symptoms as Anxiety** If you've had everything checked out and you are having these symptoms, or if you know that these are tied to anxiety, you can begin to treat them that way. As you begin to try to relax your physiological being, you will probably see an improvement in your symptoms. Treating the symptoms as anxiety allows you to take care of them, and then they won't be making you more anxious. You won't be worrying about the symptoms, which is what tends to happen and why they tend to worsen your anxiety cycle. **Practice Healthy Relaxation Techniques** Practice techniques that help you relax in a healthy way. This does not include things like alcohol or benzodiazepines - those have a biphasic impact. They might give you a feeling of relaxation, but when their half-life is through and they're processing through your body, they leave you more anxious than you were before. They have two phases and aren't going to help you get over anxiety in the long run. Instead, focus on techniques like: - Yoga - Diaphragmatic breathing - Progressive muscle relaxation - Grounding techniques - Mindfulness practices All of these can help you be here now and pull your mind back away from all the projected problems. Even if your anxiety is hitting you physically, it's going into a cycle where you begin to worry about the physical symptoms. Understanding Your Anxiety Cycle Whether your anxiety starts with thoughts or physical feelings, it creates a cycle. If you start with physical feelings, you might say, "Well, I didn't have a story. There wasn't something I was worried about. I just got hit with these physiological feelings." But then because you were hit by them, you started to worry. That's where your cycle starts. Whether it starts with thoughts or physical feelings doesn't matter in terms of how you approach healing - if it starts with physical feelings, you need to help it not lead into worry about those physical symptoms. I think that's one reason to understand that these symptoms could actually be anxiety. If they are, you don't have to worry about them - you have to calm yourself. The anxiety cycle can start in two fairly typical ways: 1. **External Problem Starting Point**: There's some kind of external problem and our minds jump into trying to figure that problem out. We jump into the future and might catastrophize. 2. **Sensory Event Starting Point**: There's some kind of sensory event (sometimes below your awareness - it could be a smell or something you weren't even aware of) that causes a physiological reaction. That anxiety makes you think, "I'm feeling anxious, there must be something I should worry about." Then you jump into the cycle of wondering what you have to worry about, or your mind goes through all your problems. Wherever it starts, it goes into this entire cycle: anxious feelings lead to anxious thoughts or increase the ones you're having already. They also lead to anxious behaviors (which can be either compulsive or avoidant). Both anxious thoughts and anxious behaviors then increase those physiological and emotional feelings of anxiety. It's really key to understand your cycle - your anxiety cycle - where it starts, where it goes, how it works, and how you can learn to interrupt it. Looking Ahead This video is part of a three-part series. Next week, I'll be releasing a video about anxiety when there is no story - for people who feel anxious but can't identify what they're worried about. We'll talk about how our past experiences get linked deep in the brain, creating connections between certain sensory information and emotional responses. This link can be either positive or negative and can often be the trigger for anxious physical symptoms, sometimes out of your conscious awareness. **Remember: anxiety is very treatable.** You can definitely make improvement and lower your anxiety. If you're getting value from this information, please share it with others who might benefit. Let me know what you thought of this article and whether it was helpful. Understanding that your physical symptoms might be anxiety-related is the first step toward managing them effectively and breaking the cycle that keeps you stuck.