Body-Based Coping Tools for Anxiety

Sometimes the best way to calm your mind is to start with your body. These tools help regulate your nervous system from the outside in.

💪 Movement That Grounds You

- Stretch slowly and notice each muscle.
- Shake out your limbs for 30 seconds (like animals do after stress).
- Take a short walk and count your steps or match breathing to footsteps.

Even just standing up and rolling your shoulders can help reset your system.

Source: van der Kolk, B. (2014). The Body Keeps the Score.

💧 Cold Water or Ice

- Splash cold water on your face.
- Hold an ice cube in your hand.
- Place a cool cloth on the back of your neck.

This activates the parasympathetic nervous system—your body’s natural calming mechanism.

Source: Linehan, M. (2015). DBT Skills Training Manual.

🧘 Progressive Muscle Relaxation (PMR)

- Tense one muscle group at a time (e.g., feet, legs, stomach).
- Hold for 5–7 seconds, then release slowly.
- Notice the difference between tension and release.

This helps burn off excess anxious energy.

Source: Bernstein & Borkovec (1973). Progressive Relaxation Training.

🤲 Gentle Self-Contact

- Place a hand on your chest or over your heart.
- Gently hold your own hands.
- Cross your arms and apply a light pressure—like a self-hug.

These motions can offer physical reassurance and send calming signals to the brain.

Source: Dana, D. (2018). The Polyvagal Theory in Therapy.

🎵 Sound and Vibration

- Hum or sing to stimulate the vagus nerve.
- Try soft music or binaural beats.
- Use a weighted object or vibrating item (like a sound pillow or massager).

These help your body feel grounded and rhythmically soothed.

🧘‍♀️ Rhythmic Breathing with Movement

- Combine breath and movement:
  - Inhale with arms rising
  - Exhale with arms lowering
- Try yoga poses that match breath pace.
- Rocking gently while seated can also have a soothing effect.

🧾 Journal Prompt (Optional)

- What does my body feel like right now?
- What does my body need to feel supported or safe?
- When have I felt physically calm before—what helped?

📚 References

  • van der Kolk, B. A. (2014). The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma. Viking.

  • Ogden, P., Minton, K., & Pain, C. (2006). Trauma and the Body: A Sensorimotor Approach to Psychotherapy. W. W. Norton & Company.

  • Porges, S. W. (2011). The Polyvagal Theory: Neurophysiological Foundations of Emotions, Attachment, Communication, and Self-regulation. W. W. Norton & Company.

  • Siegel, D. J. (2010). The Mindful Therapist: A Clinician’s Guide to Mindsight and Neural Integration. W. W. Norton & Company.

⚖️ Disclaimer

This handout is for educational purposes only and is not a substitute for professional care. Consult a healthcare provider before beginning any physical exercises if you have medical conditions.

© Jessica Rosenbrook, LPC, CAADC

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Anxiety Coping Skills: A Practical Guide

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Self-Compassion Skills: Being Kinder to Yourself