The "What If" Game: Breaking Free From Anticipatory Anxiety
By James Okafor, LMFT • 4/12/2025
I've been thinking about this topic for weeks, and I keep coming back to the same thing.
Why This Matters More Than You Think
I want to be careful here because this gets oversimplified a lot.
Here's what the data actually says — and I'm going to be more nuanced than the clickbait headlines. A 2024 systematic review looked at 47 studies and found significant but modest effects. Translation: this stuff works, but it's not a miracle cure. You need to pair it with other strategies.
What's Really Going On
A 2023 meta-analysis in the Journal of Clinical Psychology looked at this exact question. Here's what they found.
Here's my "right now" emergency list — things you can do in the next 60 seconds:
- Splash cold water on your face. This triggers the mammalian dive reflex and immediately slows your heart rate.
- Hold something cold. An ice cube, a frozen water bottle. The sensation interrupts the anxiety circuit.
- Do the physiological sigh. Two quick inhales through your nose, then one long exhale through your mouth. Repeat three times.
- Push your feet hard into the floor. This activates your proprioceptive system and grounds you in your body.
- Hum or sing. The vibration stimulates your vagus nerve, which controls your parasympathetic (calming) nervous system.
Moving Forward
A 2023 meta-analysis in the Journal of Clinical Psychology looked at this exact question. Here's what they found.
Here's my "right now" emergency list — things you can do in the next 60 seconds:
- Splash cold water on your face. This triggers the mammalian dive reflex and immediately slows your heart rate.
- Hold something cold. An ice cube, a frozen water bottle. The sensation interrupts the anxiety circuit.
- Do the physiological sigh. Two quick inhales through your nose, then one long exhale through your mouth. Repeat three times.
- Push your feet hard into the floor. This activates your proprioceptive system and grounds you in your body.
- Hum or sing. The vibration stimulates your vagus nerve, which controls your parasympathetic (calming) nervous system.
You deserve to feel better than this. Not in a toxic positivity way — in a genuine, "your suffering matters and there are things that can help" way. Start small. Be patient. And know that literally millions of people have walked this exact path and come out the other side.
This article is for educational purposes only and does not replace professional medical or mental health advice. If you're in crisis, please contact your local emergency services or crisis helpline.