Managing Your Anxiety with Externalization

By Julie Levin, MA, MFT

When anxiety takes over, it can feel like you're possessed. You may become paralyzed and unable to make decisions. You may question your every move. You may find yourself playing that tired old song, "What-if..." over and over till you get a headache.

If you suffer from anxiety, there are lots of tools you can use to feel better. Meditation, relaxation techniques and positive self-talk are some examples. But it can also be helpful to externalize your anxiety - to see it as something separate form your essential self.

Externalization is a process developed by Narrative therapists. The idea is that we often confuse people with problems. For example, we may say, "I'm anxious," instead of "I'm feeling some anxiety." Changing your language can make a subtle but powerful difference. Notice how the two statements above can make a difference in how you feel about yourself. You are not anxiety. Anxiety is a feeling that can come and go.

You can take this process a step further by giving your anxiety a separate identity, it's own personality, if you will. Imagine your anxiety is an actual person. Is it male or female? How old? How tall? What kind of voice does it have? How does it dress? How old is your anxiety?

When you have a full picture of your anxiety, it may feel good to name it. This removes your anxiety even further from your true self. What would be a good name for your anxiety? One person I know named hers Eunice. She liked this name because to her it was a little bit silly. The name Eunice helped her take her anxiety less seriously. When she felt anxious, she could say to herself, "Oh, that's just Eunice. She's a worrier." This freed her to do many of the things that would have been difficult in the past - from helping her kids choose a college to advocating for herself at work.

Sometimes, when Eunice would get very loud and big, she would imagine Eunice shrinking. Other times, when Eunice got very scared, she would imagine soothing her - like one of her own kids. By dis-identifying with her anxiety, she was much better able to take care of it - and ultimately herself.

Some people find it helpful to think about their anxiety as a young version of themselves - like a self stored within a memory - from a time when they were too little or inexperienced to handle an adult sized problem. This frees the part of them that is now an adult to see the old memory through new eyes. They can see that now they have the skill, wisdom and ability to try new things, ask questions, get support and handle whatever comes up in the moment.




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Julie Levin offers psychotherapy, coaching and hypnotherapy to the online community as well as cities in the East Bay area of San Francisco including Pleasant Hill, Martinez, Concord, Walnut Creek, Benicia, Lafayette, Clayton, Alamo, Pittsburg, and Antioch. Specialties include anxiety, shyness or social anxiety, addictions and compulsions including problem drinking, overeating, over spending, and hoarding or compulsive clutter.