How to Stop Catastrophizing: A Therapist's Guide to Managing Anxiety
Stop Anxiety Spiral: A Therapist's Guide

For the nearly 40 million Americans living with an anxiety disorder, and countless others experiencing situational stress, the mind can become a relentless engine of worry. This unease can be triggered by daily hassles like traffic jams or work presentations, or by persistent, overwhelming concerns about finances, relationships, or global events.

Understanding the Catastrophic Spiral

One of the most debilitating aspects of anxiety is a cognitive distortion known as catastrophizing. This is the mental habit of spiraling into the belief that the absolute worst-case scenario is not only possible but inevitable, despite a lack of evidence. Psychotherapist Rene Gonzalez recently explained this phenomenon to hosts Raj Punjabi and Noah Michelson on HuffPost's "Am I Doing It Wrong?" podcast.

"Your mind is going to the worst-case scenario, and in the process you’re getting really, really anxious," Gonzalez said. This pattern prevents individuals from seeing a situation accurately, trapping them in a cycle of fear and blocking the path to practical solutions.

Practical Steps to Regain Perspective

Fortunately, Gonzalez outlines concrete strategies to interrupt this spiral. The first step is simple yet powerful: label the behavior. "One of the first things we can do is labeling when we’re doing this," he advises.

In therapy sessions, he directly asks clients to articulate their deepest fear. "What is the worst-case scenario in your mind?" This act of vocalization can itself be therapeutic. "I find sometimes just talking about it can desensitize people," Gonzalez notes. He then prompts a crucial reality check: "What is actually the most likely thing to happen here? Is that worst-case scenario actually the thing that’s going to happen?" The answer, he finds, is almost always no.

The Power of the Long-Term View

Gonzalez employs another potent technique: asking clients to project themselves into the future. He instructs them to imagine their feared outcome has actually occurred. After exploring the specifics, he asks a series of progressive questions:

  • "A week after this, how do you think you’re going to feel?"
  • "What about in a month? Or three months?"
  • "Or even a year?"

This timeline exercise consistently reveals a path to resilience. "The vast majority of the time we get to a year and they say, 'I won’t even be thinking about it at that point,'" Gonzalez shared. This process helps people internalize that they will pass through the difficulty and survive, which significantly de-escalates their immediate anxiety.

Beyond Catastrophizing: A Toolkit for Calm

This discussion was part of a broader conversation on the podcast about managing anxiety. Gonzalez and the hosts also explored other valuable tools, including the use of a "big list of pleasurable activities" as a weapon against distress, and offered guidance on the initial steps to finding a suitable therapist.

For those struggling with anxious thoughts, these strategies offer a way to step off the mental treadmill of catastrophe and back into a more balanced and manageable reality.