The Paradox in Healing Anxiety
Barbara Heffernan • July 2, 2025

The very actions that will free you from anxiety might make you feel worse, temporarily, before they make you feel better.
This isn't often talked about, yet understanding this paradox could be the breakthrough you've been waiting for.
The Healing Paradox: Why Getting Better from Anxiety Might Initially Feel Worse
Picture this:
In order to heal your anxiety, you finally work up the courage to do that thing you've been avoiding or you resist a compulsive behavior that goes with your anxiety. Instead of feeling better, your anxiety skyrockets. You might think, "This isn't working—I must be doing something wrong." But actually, that spike in anxiety is proof you're doing something very right.
In order to heal your anxiety, you finally work up the courage to do that thing you've been avoiding or you resist a compulsive behavior that goes with your anxiety. Instead of feeling better, your anxiety skyrockets. You might think, "This isn't working—I must be doing something wrong." But actually, that spike in anxiety is proof you're doing something very right.
I'm going to explain why your brain responds this way, how you can work with this process instead of fighting it, and give you specific examples of how this paradox shows up across different anxiety disorders. More importantly, I'll show you how to navigate this temporary discomfort so you can reach the more lasting relief of recovery.
Understanding the Anxiety Paradox
Most anxiety disorders involve either avoidant behaviors or compulsive behaviors. True healing—the kind that actually rewires your brain—requires you to:
- Stop avoiding the things you typically avoid
- Stop engaging in compulsive activities that might temporarily lower your anxiety
Either of these changes will temporarily spike your anxiety. Engaging with things you usually avoid will make your anxiety increase in the short run. Same with holding back from compulsive behaviors.
At the end of this article, I'll share strategies for tolerating this increased anxiety, but first, let's look at specific examples to make this concept clear.
Examples of Anxiety Disorders with Avoidant Behaviors
**Agoraphobia**
A person with agoraphobia might avoid leaving their apartment entirely, or they might specifically avoid crowds. When they make the decision to avoid these situations, they get temporary relief—which feels reinforcing to the brain. However, this avoidance maintains the anxiety long-term.
Full recovery not avoiding these things because that's how you rewire the connections between your behaviors, thoughts, and feelings.
**Social Anxiety Disorder**
Someone with social anxiety will avoid social events because they fear doing something embarrassing or being rejected. They might attend events but hold back and not fully engage. Again, this avoidance provides temporary relief but reinforces the anxiety cycle.
Healing requires gradually engaging in social situations, which will initially feel more anxiety-provoking.
Examples of Disorders with Compulsive Behaviors
**Health-Related Anxiety**
This might involve compulsively researching every possible health problem on the internet. The research provides temporary relief—you feel like you're "doing something" about your concerns. However, since excessive research isn't actually solving the problem, it reinforces the anxiety cycle.
Holding back from this compulsive research will temporarily increase your anxiety.
**Obsessive-Compulsive Disorder (OCD)**
While OCD is no longer classified as an anxiety disorder, it follows similar patterns. Consider someone who compulsively washes their hands. Each time they wash, they get temporary relief from their anxiety. But this relief is brief, and soon they feel compelled to wash again.
To fully recover, they need to stop the excessive handwashing, which will temporarily increase their anxiety.
The Parentification Example
Last week, I published a blog
and video about parentification and anxiety, which actually inspired this piece. People who grew up parentified often compulsively:
- Take on excessive responsibility for others
- Worry constantly about other people's emotions
- Engage in emotional caretaking of others
This creates anxiety because while we can influence other people's emotions, we can't fully control or manage them. People who grew up parentified were essentially taught to attempt the impossible, and anxiety often relates to trying to control things we can't control.
Recovery requires holding back from:
- Constantly intervening in others' problems
- Giving unsolicited advice
- Taking on too much responsibility
- Jumping in to solve problems that other capable adults should handle themselves
Because these behaviors became so ingrained from such a young age, holding back from them will temporarily increase anxiety. However, changing these behaviors has the greatest influence on rewiring our brains.
Why Behavior Change Matters At Least As Much, If Not More Than, Thought Change
You'll hear a lot about needing to "change your thoughts," and yes, eventually changing thought patterns helps us escape anxiety cycles. However, it's not all about thoughts, and sometimes we can't change our thoughts without first changing our behaviors.
Actual behavioral changes probably have the greatest influence on rewiring our brains. If you're interested in learning more about the science behind this, I have a free webinar called "Rewire Your Brain for Joy and Confidence" that explores fascinating research on what happens in your brain when you engage in certain behaviors and how these changes can help you focus more on joy and reorient away from anxiety.
Helpful Behaviors To Heal Anxiety Might Also Temporarily Increase Anxiety
It's not just about stopping avoidant or compulsive behaviors. Sometimes implementing new, helpful behaviors can also make you feel anxious initially.
**Meditation**
I frequently hear from people with anxiety: "I can't meditate—it makes me more anxious."
And yes, if you have significant anxiety and try to sit still for 10 minutes focusing only on your breathing (especially without a guided meditation recording), you might experience intense anxiety.
And yes, if you have significant anxiety and try to sit still for 10 minutes focusing only on your breathing (especially without a guided meditation recording), you might experience intense anxiety.
However, understanding that the long-term cure involves learning to tolerate that anxiety and slow things down is crucial. Research consistently shows that meditation helps lower anxiety over time.
**Accepting Powerlessness**
Another anxiety-reducing strategy involves accepting powerlessness when you are genuinely powerless. Many people worry that accepting powerlessness will increase their anxiety, and it might temporarily. However, if you're truly powerless over someone else's behavior, addiction, or emotions—or powerless to achieve a certain outcome you desperately want—admitting that powerlessness becomes hugely relieving.
This acceptance helps you focus on what you can do now to create the best possible outcome, even when you can't control the final result. For most significant life situations, we can't control the ultimate outcome, but we can focus on what positions us best to get there. This approach is far more productive, and engaging in productive action lowers anxiety.
How to Tolerate Increased Anxiety
Now that you understand why anxiety temporarily increases during healing, here's how to work with it:
Suggestion #1: Learn to Sit with Discomfort and Investigate It
- What does the anxiety feel like?
- Where do you feel it in your body?
- What are you physically experiencing?
People feel anxiety in different places—some in their stomach, some experience muscle tension, others notice changes in heart rate. Really examine where you feel it.
When you identify the location, explore the qualities of the feeling. Approach this investigation with genuine curiosity.
Suggestion #2: Use Breathing Techniques
While investigating your anxiety, breathe diaphragmatically—slowly and evenly, with equal inhale and exhale periods. This breathing signals to your brain that you're safe and helps lower anxiety while you're experiencing and tolerating it. It's another paradox, but if you try it, you'll understand what I mean.
Suggestion #3: Practice Mindful Engagement
Whether you're engaging in behaviors you usually avoid or holding back from compulsive behaviors, investigate what that experience feels like. Let yourself feel the discomfort. I know it's extremely uncomfortable, but you can tolerate it.
Some people find it helpful to "invite your anxiety in for tea"—though if that feels too friendly, simply bring curiosity to the feeling of anxiety rather than resistance.
Suggestion #4: Professional Support Can Help
Several psychotherapy techniques excel at helping you sit with anxiety feelings, including somatic-based therapy techniques, EMDR (Eye Movement Desensitization and Reprocessing), and Exposure Therapy.
Suggestion #5: Visualization Practice
You can practice this on your own or with a therapist. Imagine tolerating the anxiety—picture yourself going into crowds, attending social events, giving speeches, or not obsessing over physical sensations. Imagine what that increased anxiety would feel like, then practice tolerating it, feeling it, and breathing through it.
Imagining ourselves doing things we know we're capable of but feel too anxious to attempt can be remarkably helpful.
Moving Forward with the Paradox
Understanding this healing paradox is liberating. When your anxiety spikes as you implement healthier behaviors, you'll know you're on the right track rather than assuming something's wrong.
Remember:
- Temporary anxiety increases during healing are normal and expected
- Your current coping strategies (avoidance or compulsions) provide short-term relief but maintain long-term anxiety
- True healing requires tolerating temporary discomfort
- Professional support can make this process more manageable
- The discomfort is temporary, but the healing is lasting
The path through anxiety involves moving toward the discomfort rather than away from it. This might seem counterintuitive, but it's how you build genuine confidence in your ability to handle whatever life presents.
I don't provide therapy anymore, but I have several resources available. I'm an affiliate of two online therapy platforms BetterHelp
and Online-Therapy, and there's also an online program called VirtualEMDR
that guides you through a self-help EMDR process.
I'm curious about your thoughts on this paradox. Does this explanation make sense? Have you noticed this pattern in your own healing journey? Let me know in the comments—I'd love to hear from you.
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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The main thing that drives rumination is actually the BELIEFS we have about the FEELINGS that come up from a difficult situation. Rumination is driven by the habitual patterns of thinking combined with our judgments about whether we can handle the emotions, both of which can be changed to experience relief.
You can probably recall a time when you were with someone who was intensely anxious—and within minutes, you began to feel anxious yourself. Perhaps your heart rate increased. Your breathing became shallow. The knot in your stomach tightened. Or maybe you remember the opposite: a time when you were with someone who was truly grounded and calm, and their presence actually calmed you down. Your shoulders dropped. Your breathing deepened. The tension you had been carrying began to dissipate. This is not your imagination. This is emotional contagion, and it is scientifically proven. Understanding how your own emotional regulation—or lack thereof—impacts other people, and how other people's emotional states impact you, is essential for healthy relationships. Learning emotional regulation tools can improve your relationships significantly. Learning how to lower your susceptibility to emotional contagion can help as well. In this article, I will explain what emotional contagion is, how it impacts relationships, and provide five specific strategies for improving regulation in your own relationships. What Is Emotional Contagion? Emotions are contagious. Extensive research—both behavioral research and neuroscience—shows that we pick up the emotions of the people around us. The closer our relationship with them and the more invested we are in that relationship, the more this phenomenon occurs. This may not always feel accurate because we also tend to balance each other out. If someone is very upset, we might suppress our own emotions in response. But as I will explain, that suppression is actually part of the same dynamic. Three Pathways to Emotional Contagion There are three pathways that lead to emotional contagion: Pathway 1: Automatic Mimicry Unconsciously, when we see facial expressions in another person, we mimic them. If someone smiles, we tend to smile immediately. If someone frowns, we might make the same expression. This happens not just with facial expressions but also with voice, tone and body posture. Pathway 2: Autonomic Mimicry This involves our autonomic physiological system which works in synchrony with other people. Our heart rate, our breathing rhythm, and even our pupil dilation tend to mimic each other. Our nervous systems influence each other constantly. Pathway 3: Affective Convergence This is the convergence of feelings. When our facial expressions and body posture mimic another person's, and our physiological system aligns with theirs, we develop the same affective feelings. We end up experiencing a version of that emotion ourselves. The Suppression Trap: Why "Staying Calm" Can Make Things Worse If someone is extremely upset, you might calm way down. If this happens almost automatically, you are probably suppressing your emotions rather than regulating them. Extensive research shows that when one person suppresses their emotions, it actually makes the other person more anxious. And the person who is suppressing—while they might appear calm externally - is experiencing all the physiological signs and symptoms of anxiety or a heightened emotional state. Even when we are trying to be the balance in the room, we might actually be escalating the emotions present. This is particularly true for those who grew up parentified. Adults who were parentified as children often feel their emotional regulation is better than anyone else's in their families. While that might be true to some extent, without substantial self-awareness and genuine emotional regulation tools, you are likely using emotional suppression, not regulation. Where Emotional Regulation Patterns Come From The means by which you emotionally regulate—and whether you are highly regulated or highly dysregulated—is largely due to how you were raised. I am not saying this to assign blame, nor do I want you to spiral into worry about what you may have done to your own children. These are intergenerational patterns, and all we can do is work with the present. However, it can help to recognize that if you feel your own emotional regulation is lacking, you probably learned from dysregulated caregivers. If you have a partner who is very dysregulated, the same is likely true for them. This understanding allows us to remove blame and accusation from the discussion. We can approach this with compassion, recognizing that these are skills that should perhaps be taught in school or more seriously in our society—but they are not. The good news is that you can learn them now. Five Practical Tools to Improve Emotional Regulation in Your Relationships It truly is possible to improve your own emotional regulation and have a postiive impact on your relationships. These tools are helpful even for the partner that feels they are the one who is more emotionally regulated. And as a heads up, Tools 1 and 5 require substantial work - but gradual improvement is helpful! Tools 2, 3, and 4 are easier to implement immediately. Tool 1: Develop Your Emotional Boundaries Because emotional contagion is so strong—particularly if you grew up in a caretaker role in your family—it is important to begin recognizing when the emotions you are feeling are the ones you are absorbing from someone else. Begin to visualize a see-through bubble around you which represents you and your emotional boundary. Begin to think of your emotions as existing within that bubble. And picture another bubble around the other person - give it a light, see-through color. Picture that all their emotions are within their bubble. Differentiate between what you are feeling and what they are feeling. Bring in your observer brain to look at what you are feeling. For example... "Wait a second. I am feeling anxious because my partner is anxious about their interview tomorrow. What is my anxiety about?" You can begin to see whether your anxiety is about getting them to calm down so they can perform well in their interview. Perhaps you don't want them to be disappointed, or you have a vested interest in them getting a job. Once you understand why you are feeling anxious, you can apply tools to reduce your own anxiety, rather than focus on theirs. Because if we get anxious about making sure someone else is not anxious, it simply escalates the anxiety in the room. Part of developing emotional boundaries is understanding that other people's emotions are not ours to solve. We can be empathetic without feeling responsible for calming the other person down or changing their emotional state. Your observer brain can help you think through, "I do not have to convince them. I can recognize the impact their emotional state has on me, but I do not have to spiral into desperately trying to fix something I cannot fix." Tool 2: Use Your Breathing Deliberately If you learn diaphragmatic breathing and use it during difficult moments in relationships, you can keep your physiology within a tolerable range. In EMDR therapy, there is a concept of keeping your emotions within a "window of tolerance." They can still fluctuate, but you remain relatively regulated throughout. Diaphragmatic breathing is a powerful way to help yourself do that. When you breathe in a calm, regular manner, it is actually helpful to the other person as well. Your regulated physiology can support theirs. Tool 3: Establish a Guideline for Taking Breaks Put in place for yourself a boundary about taking a break from a conversation if you become too emotionally dysregulated. What typically happens in couple relationships (and I saw this extensively during 20 years of couples counseling) is that one person is visibly out of control upset, and the other says, "We need to take a break until you calm down" (and there's usually a finger point that goes along with the "you"). Generally, this escalates the emotions in the room. In actuality, even if you are the one who appears less upset externally, you are probably very physiologically activated internally. There is a marriage and family therapist and researcher who has a rule: if your pulse rate is 10% above its normal resting rate ), you need to take a break. ( John Gottman, PhD, Seven Principles for Making Marriage Work ) The problem with telling the other person they need a break to calm down is that it will make things worse. It feels like criticism and attack. It makes someone defensive. It increases their fight-flight-freeze response. Instead, say: "I am having a hard time regulating myself in this moment. Can we take a 10-minute break? I will be right back. I just need 10 minutes to do some slow breathing. We can set our alarm." You must put a time frame on it. Take a five-minute break, a 10-minute break, or if you are extremely dysregulated, revisit the conversation in the morning. Without a time frame, the other person will feel abandoned, which escalates their emotional dysregulation. You may also be feeding into your flight mode—your reactive pattern of running away from conflict. Set the boundary for yourself, not for the other person: "If I get too upset, I will take a mini timeout to calm myself down." I recognize this does not work in every situation. You cannot simply walk away from a young child. But you can incorporate this thinking to develop creative strategies of your own. Tool 4: Validate Before You Fix or Problem-Solve One of the most regulating things you can do for someone else is help them feel truly heard. Acknowledging their emotional experience before moving to "let's fix this and problem-solve" will de-escalate their emotional response and prevent the conversation from escalating out of control. I know I said you are not in charge of their emotional regulation—and you are not. However, knowing strategies that benefit the relationship benefits you. These are basic relational tools. If you have a partner who has difficulty validating your emotions, and you are emotionally regulated, you can say: "I am very upset about this, but I do not want to jump into problem-solving. I simply want to feel heard." There is an element where we sometimes have to help train people how to be in relationship with us. If you are in couples counseling with a therapist facilitating this, excellent. But if you are not, sometimes it helps to explain these concepts to your partner. Let them know what will help you calm down when you are upset. You might have to remind them, and I know that takes substantial emotional regulation on your part. But honestly, that is the big picture here: the best thing you can do for your relationships with others—as well as your relationship with yourself—is learn emotional regulation tools. Tool 5: Practice Honest, Regulated Communication This can be understood as assertive communication that is also compassionate. If you are feeling overwhelmed, I understand. These concepts can seem complex and somewhat unattainable. I have an online boundary program that addresses emotional regulation as the foundation for healthy boundaries. It includes an exercise on visualizing emotional boundaries to strengthen that skill, and an entire section on assertive communication so you can set and maintain boundaries. Healthy boundaries are not about keeping people away or controlling other people's behavior. Healthy relationships actually require good boundaries. Good boundaries are about knowing yourself—where you end and the other person begins—and knowing it is acceptable for you to have needs. Compassionate, assertive expression of whatever needs to be communicated will help the relationship. It can be done in a way that supports your own emotional regulation and possibly helps the other person—or at minimum, does not contribute to escalation. Suppressing your own emotions and needs will escalate the negative cycle of conversation. This is not about suppression. It is definitely not about lashing out, exploding, or releasing everything you have been suppressing because you are angry and frustrated. If you have taken that timeout when needed, if you have been aware ("my heart rate is way up; I am in fight-flight-freeze mode"), you will not reach that explosion point because you will have taken your break and calmed down. All these steps are interrelated. Expressing what you feel in a regulated manner keeps you in connection with the other person. Remember: it is not just what you say but how you say it, and even how you are feeling when you say it. A statement like "I am feeling overwhelmed right now with too much to do" will enable you to stay in connection far more effectively than exploding because your partner has not done what they were supposed to do. Anytime we explode with attack or criticism, we contribute to emotional dysregulation in the room. Bringing It All Together Consciously keep track of your own emotional regulation Visualize your emotional boundary Use breathing techniques to stay within your window of tolerance, aware that you might need to take a mini timeout for yourself if you cannot stay within that window Validate the other person's feelings, emotions, and experience. Pay attention to: "This is me and my emotions, and that is them and theirs." Practice assertive communication which includes compassion for yourself and the other person This is not easy work. I know that. But what I want you to understand is that emotional contagion is real, and there are tools you can use to work with it. You can understand the other person without fully absorbing their emotional state. We are not individual emotional islands. Each one of us impacts those around us. Let me be very clear: Impacting others is not the same as causing their emotions or being responsible for their emotions. They are not responsible for ours. We are responsible for our own emotions and what we do with them. Yet there is this framework of interconnectedness among us, and knowing how to work with it can improve your life and your relationships significantly. Please share in the comments if you found this valuable. What resonated with you? What questions do you have?