Practice guide4–6 minutes5 sections

Things We Do That Make Anxiety Worse

Begin step 1

Things We Do That Make Anxiety Worse is a short visual guide for moments connected to anxiety avoidance.

It covers one core idea: avoidance, overcompensation, always having someone accompany you, and safety items prevent the brain from knowing that a person is capable of coping.

You will choose one gentle reduction in defensive behavior and observe the result, then choose what fits next.

The aim is More behavioral freedom through gradual, deliberate practice.

Edited aspractice guide·5 focused visual steps
Working edition 1Published July 22, 2026Last reviewed August 2, 2026Editorial standardsSuggest a correction
01
A person stepping from a softly lit doorway onto a quiet tree-lined path.

Step 1 of 5

Check your starting point: Things We Do That Make Anxiety Worse

When short-term relief is quietly making your life smaller…

Notice what fits this situation today:

  • avoidance does not allow you to gain corrective experience
  • Defensive behavior can become a condition for functioning
  • Repeating a new experience changes the brain's prognosis
  • I am not sure yet—I just want to understand
Next: Avoidance, overcompensation, always having someone accompany you, and safety items prevent the brain from…
02
A person stepping from a softly lit doorway onto a quiet tree-lined path.

Step 2 of 5

Avoidance, overcompensation, always having someone accompany you, and safety items prevent the brain from…

  • Avoidance, overcompensation, always having someone accompany you, and safety items prevent the brain from knowing that a person is capable of coping.
  • Repeated safe experience expands the zone of tolerance.
  • However, reducing defensive behavior should be gradual and meaningful.
Next: Choose one gentle reduction in defensive behavior and observe the result
03
A person stepping from a softly lit doorway onto a quiet tree-lined path.

Step 3 of 5

Choose one gentle reduction in defensive behavior and observe the result

  • Pause for a few seconds. Check whether this practice feels safe enough right now.
  • Choose one gentle reduction in defensive behavior and observe the result.
  • Notice what changed in your body or thoughts. Do not grade yourself—collect information.

Quick check after the practice:

  • What changed, even by 1%?
  • What stayed the same?
  • What do you need now: continue, stop, or ask someone for support?
Next: What this may change: Things We Do That Make Anxiety Worse
04
A person stepping from a softly lit doorway onto a quiet tree-lined path.

Step 4 of 5

What this may change: Things We Do That Make Anxiety Worse

More behavioral freedom through gradual, deliberate practice.

The useful shift is more clarity, less autopilot, and one available choice.

Next: Choose a next step: Things We Do That Make Anxiety Worse
05
A person stepping from a softly lit doorway onto a quiet tree-lined path.

Step 5 of 5

Choose a next step: Things We Do That Make Anxiety Worse

You do not have to resolve this whole situation today. You worked directly with “Things We Do That Make Anxiety Worse” and chose one possible response.

Choose what fits now:

  • “Save one next step”
  • “Come back later”
  • “I need support from a person”

After this guide

Keep the next step small.

More behavioral freedom through gradual, deliberate practice.

Where to go next

Choose the next useful idea

Choose one if it fits what you need now.

Sources & evidence

Where this guide comes from

The book is the editorial starting point. The research below checks or qualifies the broader ideas used in this guide.

Adapted from

Why Has Nobody Told Me This Before?

Chapter 23, “Things We Do That Make Anxiety Worse” · source pages 173–176

View publisher record (opens in a new tab)
Written by
Julie Smith (opens in a new tab)Clinical psychologist with NHS and private-practice experience; not a medical doctor.
Edition used
Michael Joseph, an imprint of Penguin Random House UK, 2022 · ISBN 9780241529737
Formal review
The edition does not identify a formal peer-review or clinical-review panel. Publisher praise is not formal review.
Public endorsements — not formal review

Lori Gottlieb (opens in a new tab) — Psychotherapist and author

Editorial limitations of this book source
  • Broad popular self-help reference, not an individualized formulation or treatment plan.
  • Exercises involving exposure, breathing, nutrition, or inward attention are not suitable for every reader.
  • Scientific claims paraphrased for a general audience still need claim-level checking against primary research.
  • The source PDF contains an unrelated and medically unreliable second book after page 308; that material is excluded.

Research context

Supporting and qualifying references

Reviewed 2026-08-04

  1. 01

    Peer Reviewed Meta Analysis · 2018

    Cognitive behavioral therapy for anxiety and related disorders: A meta-analysis of randomized placebo-controlled trials (opens in a new tab)

    What it supports: CBT is moderately efficacious for anxiety and related disorders compared with placebo controls.

    Limits and disclosures

    Limit: Evidence supports structured therapy, not the clinical equivalence of a short educational guide.

    Disclosure: No relationship to NotMyNoise identified.

  2. 02

    Systematic Review And Meta Analysis · 2014

    Meditation programs for psychological stress and well-being: a systematic review and meta-analysis (opens in a new tab)

    What it supports: Mindfulness meditation programs showed small improvements in anxiety, depression, and pain compared with nonspecific active controls.

    Limits and disclosures

    Limit: Heterogeneous programs and populations; limited or insufficient evidence for several other claimed outcomes.

    Disclosure: Independent evidence source; not specific to the books or NotMyNoise.

  3. 03

    Clinical Guideline · 2011

    Generalised anxiety disorder and panic disorder in adults: management (opens in a new tab)

    What it supports: Stepped-care assessment and evidence-based management for GAD and panic disorder, including when self-help is insufficient.

    Limits and disclosures

    Limit: UK guideline; local care pathways and emergency resources vary by country.

    Disclosure: Guideline committee conflict processes are governed by NICE.