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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While closeness is wonderful and healthy, there's a point where family closeness can cross into something problematic called enmeshment. In an enmeshed family, individual identities blur, boundaries disappear, and family members aren't allowed to truly become the individuals they were meant to be. Here are seven warning signs that your family might be too close—and what that really means. Warning Sign #1: Different Beliefs Equal Betrayal Voting differently, trying out a new religion, or even having different financial priorities—it's not just that your family system disagrees with your choices. They treat those choices as an actual betrayal of them personally. Healthy families can discuss different viewpoints and allow each other to differ, because we all do differ. But an enmeshed family requires that all family members follow the same sets of values and priorities. Deviation isn't seen as natural individual development—it's perceived as disloyalty. Warning Sign #2: You Can't Be Happy Unless They Are This might also apply to other family members. For example, your mom can't be happy unless everybody else is doing well—or maybe her happiness requires that they are all doing what she thinks they should be doing. It might be that you absorb other people's emotions as if they're your responsibility. There are important subtleties here. Of course, we're all happier when our loved ones are happy. But we can't control other people's emotions. We can sometimes influence them, but it shouldn't reach the point where we are sacrificing our own critical values and needs. In an enmeshed family, there are usually one or two family members who absorb everybody's emotions and then try to take care of all those emotions as if it's their own responsibility. Warning Sign #3. There's a Double Standard Around Secrets In an enmeshed family, each individual within the system is supposed to keep nothing back from the family. If something is hidden, it would probably be seen as another betrayal. However, you're definitely not allowed to tell people outside the family what's happening inside. This is often to hide family dysfunctions—whether that's alcoholism, mental health issues, abuse, or personality disorders. Obviously, none of us want to spread our personal information everywhere. But being able to confide in friends, supportive people, and therapists is very important for health and growth. Enmeshed families prevent this kind of external support. Warning SIgn #4: Your Successes Are the Family's Trophies and Your Failures Are Their Shame The family system will have a particular way they want you to achieve. Your achievement is not r eally about them being proud of you and happy for you in terms of you achieving the goals you have in life and living the way you want to live. It is more about it being a trophy for them that can make them feel good and look good. Examples of this might include choosing a college major because it makes your parents happy or proud, or pursuing a career that you really do not want but you know will make them happy. This goes beyond the normal conflicts we all have—deciding between a more secure path versus something more fulfilling. All families, healthy or not, will likely have opinions on these topics. But in enmeshed families, it is not just advice. It is "you have to do that or else we will not feel good about ourselves. It will make us look bad." Warning Sign #5: Independence Is Punished In working with people over 20 years as a psychotherapist, I often saw people become aware of the enmeshment in their family once they had chosen a partner in life and begun to form their own nuclear family. TThe enmeshment would be highlighted by their partner. For example, a partner might say, "I love your family and they are great, but no, I do not want to spend every single Sunday with them" or "I cannot spend every holiday with them. We also have to spend holidays with my family." A partner might feel neglected if the enmeshed person is spending too much time with their family of origin. Yet, if the enmeshed person changes their behavior or priorities, there is a crisis in the family. However, please be aware that there are subtleties here! As a mom of young adults, I deeply understand that it can be very sad if one of your children moves across the country. Sometimes the choices a young adult makes might make a parent worry a little more or feel down - and that probably falls into the completely normal category. But if that young adult is made to feel like they are a bad person for the choice they are making or that they are directly their parents, then that is a significant warning sign. (Note: This discussion does not really apply to adolescence. The struggle with adolescents is different. There is often a pull for independence from the adolescent that might feel dangerous to the parent, and a caring parent is going to pull them back. Most of my material is geared toward adults—young adults all the way up to much older adults.) What Is Enmeshment? Before continuing with the remaining warning signs, let me define enmeshment. An enmeshed family system is one in which people are not allowed to truly individuate—to truly become the individuals they were meant to be. If you are new to my content, you will understand that I am not a big fan of the slogans and easy answers you often get online, because these things are not simple. But I want to give you the concepts to begin thinking about so you can decide what is the next step for you to grow, heal, and become the individual you want to be. Warning Sign #6: Someone in Your Family Is Playing the Wrong Role For example, perhaps a child is being a parent to the parent, or maybe one of the two parents is a parent to the other parent. Or perhaps there is too much emotional sharing from a parent to a child, where a child is inappropriately made a confidant of the parent. In enmeshed families, roles develop usually when the child is very young. That child will develop into a particular role, and these roles are rigidly enforced by the family system. People are not llowed to grow and change outside of those roles. Warning Sign #7: Control Is Disguised as Concern Concern is lovely. We all have concerns about loved ones and their choices. We might even sometimes express those concerns. But we are not harping on them, repeating them, threatening relationship cutoffs, or taking them super personally. We are not employing manipulative tactics to get the person to do what we want them to do. But in an enmeshed family, the concern will be manipulative. It will be communicated and then enforced in a very heavy-handed manner. What This Means for You If you have recognized three or more of these signs, it is worth looking into whether your family system is enmeshed. Now, this does not mean you have to leave your family. It does not have to mean anything dramatic other than you have named a potential problem or issue. Recognizing an issue like this is the first step toward healing and toward your own personal growth. You can both love your family and recognize that some of these patterns are not healthy. This is also not about blaming your family, because many of these patterns are intergenerational. They have been passed from one generation to the next to the next. Your Next Steps The next step for you is to learn more about what enmeshment is. I have a whole playlist on this topic that you can access here . I also have videos on dysfunctional family roles—what they are, what they mean, and how you heal from them. Just remember: closeness is wonderful, but closeness allows you to be yourself. Enmeshment requires you to hide parts of yourself, sometimes even from yourself. Understanding this and understanding why this happens is critically important for your personal growth, happiness, and healing. A Question for You I am curious: Did you begin reading this because somebody else told you that they think you are too close to your family? Or were you beginning to feel suffocated by your family system? Or was there another trigger that got you to begin looking into this issue? Please share in the comments. Let me know if you have any questions. I love to hear from you!
By Barbara Heffernan February 11, 2026
Maybe you're always the one everyone turns to for help, or perhaps you're the one who always seems to cause problems no matter what you do. You might feel like you can't quite be yourself around your family, or that you automatically fall into certain behaviors when you're with them—these may even be behaviors you've decided you don't want to repeat anymore. If this resonates with you, you're not alone. Many people find themselves operating in rigid patterns that developed in their families of origin. These patterns made sense when you were younger—they helped you navigate your family dynamics and stay safe. But now, as an adult, these same patterns might be limiting your relationships, your sense of self, and your ability to live authentically. The good news is that recognizing these patterns is the first step toward change. Here are nine signs that you might be stuck in a rigid role from your family system. 1. You Operate with a Lot of "Shoulds" and "Have-Tos" Particularly with regard to your family, you find yourself constantly thinking: "I should do this. I should not do that. They should do this. They have to. I have to." These thoughts and phrases reflect a rigid family system with very particular rules and roles. The constant "shoulds" indicate that you're operating from internalized expectations rather than from your authentic desires and values. 2. You Regularly Feel Guilt and Resentment Particularly when it comes to your family system, you might feel like you have an internalized programming of guilt. Anytime you want to assert yourself or express a need, anytime you want to set a boundary or say no to something, you feel guilty. It might even be that your very existence makes you feel guilty within the family system because it seems to create so much havoc. These guilt feelings usually bring with them substantial resentment. You might resent the role you're forced to play within your family. You might resent the way you're treated, which might be different from how other people are treated. The resentment is tied to feeling that you're required to do something that either doesn't sit well with you or that other people aren't required to do. This connects directly to the first sign—all those "shoulds" and "have-tos." 3. You Have Automatic Behaviors and Emotional Responses When you're around your family or when you find yourself in a situation that mirrors your family of origin, you might suddenly find yourself doing something you've really decided you don't want to do anymore. Whether that's saying yes when you don't want to, exploding in anger, or shutting down entirely—these automatic responses that we develop when we're young because of the family dynamic stay with us for a long time. These reactions happen before you can consciously choose a different response. It's as if your body and emotions remember the old patterns and fall back into them automatically, even when your rational mind knows better. 4. You Feel Your True Self Is an Inconvenience You've probably been conditioned to feel that your beliefs, needs, and desires are actually secondary to the family system. You might hide parts of yourself from your family. You might feel like you have to present a false self to your family and perhaps in many other situations as well. This sense that who you really are is somehow too much, not enough, or simply unwelcome keeps you from showing up authentically in your relationships. 5. You Don't Really Know Your True Self This depends somewhat on where you are on your healing journey. If you've done substantial healing work and spent time analyzing the role you played and making changes in your behavior, you might feel like you do know your true self—you just can't let it out or can't seem to access it when you're within your family system. However, if you're at the beginning of your journey, you might feel like you don't even really know who you are. The reason for this is that when we hide parts of ourselves from our family system and learn to do this as children, we actually cut those parts of ourselves off. This connects to all those "shoulds," "have-tos," and "should-nots" because you can not exhibit the traits or behaviors that go with the cut-off parts. For example, if we cut off the part of ourselves that feels needy, we might develop a belief that "I should not prioritize my needs. I should not express my needs. I should not appear needy at all." Because we learned very young that we should not be needy, that part of ourselves becomes completely cut off. Yet, we all have needs. 6. You Feel Love Is Conditional and Must Be Earned This feeling probably extends to all your relationships, even those outside your family system. But it arose from a pattern of being within a family where you felt that love and acceptance—the ability to be cared for or valued—was tied to how well you fulfilled the family's expectations and how well you performed your role. You learned that love isn't freely given; it must be earned through compliance, achievement, caretaking, or whatever your particular role demanded. 7. You Feel Inherently Flawed in Ways Related to Your Role Let me highlight some of the common rigid roles within dysfunctional family systems and the deep-seated beliefs that often accompany them: The Caretaker If your role is the caretaker, you might have very deep-seated beliefs that "my needs don't matter" or "my needs are not as important as other people's needs." You might also believe "I can't count on anyone else" or "I'm not worthy of being cared for." The Hero Child If you were the hero child, you might believe that you're only worth as much as your achievements. While this might seem to the outside world like a positive trait—after all, you learned to achieve—it can actually leave you feeling very insecure, empty, and deeply lonely. There might also be an underlying feeling that "inherently I'm worthless if I don't keep doing these things and achieving." This can create intense anxiety—even unconscious or subconscious anxiety—about what happens if you stop achieving. The fear becomes: "If I don't keep achieving, then I truly am worthless and nobody will love me, not even myself." The Scapegoat The scapegoat in the family generally feels like they are inherently bad. No matter what they do, they're bad—so why bother trying? The Lost Child The lost child probably has a deep feeling of not being important, of almost being invisible. Changing These Beliefs: A significant part of the healing work to recover from these dysfunctional family roles and reclaim those other parts of yourself so you can live a fuller life is healing these negative core beliefs. If you're new to my content, I have a free PDF, Transform Your Negative Core Beliefs . It helps you identify what your true deepest core beliefs are and gives you three methods for transforming them. Many people have shared that it's been incredibly helpful. 8. You Recreate These Patterns in Your Adult Relationships You might find yourself in midlife suddenly realizing, "I'm still playing this role now in this new family that I have." Perhaps you married someone who is just like one of your parents or siblings—or some odd combination of those. No matter what, you're still in the same role. You might also find the behaviors that go with this role showing up in your work environment or with friend groups. Becoming aware of how and where you're recreating this pattern outside of your family system is incredibly useful for your healing journey. 9. You Feel Extreme Anxiety When You Try to Change These Behaviors You might feel this anxiety and discomfort when you're changing the behavior within your family system, but you might also feel it when you're trying to change behaviors with a friend group, at work, or with your partner at home. That learned and deeply embedded reactivity—whether it's anxiety, rage, or shutdown (the freeze state)—reflects the fight-flight-freeze response. Our deepest survival response can emerge when you're trying to change behaviors, even if your frontal lobe knows it's the right thing to do and wants to do it. This deep reactivity also points toward the solution: to change these behaviors and truly begin living the full life you want, learning to calm your reactivity is critically important. Suggestions Based on Where You Are on This Journey If this is new information to you but you're not really sure exactly what your role is, I'd like to point you to my video and blog on dysfunctional family roles ( Video Here , Blog Here ). From that video, you can access the videos I have on all the specific dysfunctional family roles—the scapegoat, hero child, mascot, and lost child. Each one of those videos has healing steps within it. If you're partially on your way on this journey—meaning you know what your role is and you've been trying to change it but you're frustrated either with your family, yourself, or both because you don't seem to be able to change it—I just released a video for you called " Why Is It So Hard to Change My Role? " and the blog is Here . For everyone, I just released a video and blog that will help you break out of this restricting role: 7 Steps to Break Free from Dysfunctional Family Role video and the blog is here. Final Thoughts Recognizing these signs in yourself is not about shame or blame—it's about awareness and empowerment. These roles developed for good reason when you were young. They helped you survive and navigate a challenging family system. But now, as an adult, you have the opportunity to choose differently. Please share your thoughts in the comments. Was this helpful? Which signs resonated most with you? I'd love to hear from you.
communication styles of dysfunctional families
By Barbara Heffernan February 5, 2026
Four communication patterns are common in dysfunctional families. Move from the dysfunctional communication style to a healthy communication pattern. This is based on the groundbreaking work of Virginia Satir who identified the placater, blamer, distractor, computer and leveler communication styles common to families