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Dr. Laura LehmannPsyD, LP · Clinical Psychologist · Franklin, MIMichigan License #6301016040

Michigan Anxiety and Depression Guide · Part 2: Coping, treatment options, relationships and work

Managing Constant Worry: What Can Help

Clinically reviewed by Laura L. Lehmann, PsyD, LP · · Published

The short answer

Constant worry often eases when you give it structure instead of fighting it. Common self-help steps include writing worries down, setting a short daily worry time, sorting problems you can act on from what-ifs you cannot, making a specific plan for the first kind, and cutting back on caffeine and alcohol. If worry still disrupts sleep, work or relationships, professional help is worth seeking.

Why worry is so hard to switch off

Worry is the mind trying to prepare for problems. That is useful when it leads somewhere: you notice the furnace is making a noise, you call someone, the worry stops. Constant worry is different. It jumps from one topic to the next, rarely reaches a decision, and comes back as soon as you put it down.

Cleveland Clinic describes overthinking as focusing on the negative, dwelling on the past and worrying about the future without arriving at solutions, and notes it can be a symptom of stress, anxiety or depression. It points to a few common thinking errors that keep worry going:

  • Catastrophizing: jumping to the worst-case outcome and overestimating how likely it is.
  • All-or-nothing thinking: seeing a situation as a total success or a total failure, with no middle ground.
  • Overgeneralizing: treating one setback as proof that things always go wrong.

Trying to simply stop worrying rarely works, and many people find that pushing a thought away makes it louder. The approaches below work differently: they give worry a time, a place and a job.

A hand writing with a red pen in an open book

Step 1: Get it out of your head

The NHS Every Mind Matters guide to tackling worries starts with writing them down, on paper or in a notes app. A list is finite in a way that a spinning mind is not. Seeing "the email to my manager, Mom's test results, the car payment" on a page can make it easier to deal with one item at a time.

Step 2: Set a daily worry time

"Worry time" is a short, scheduled period for worrying on purpose. The NHS suggests about 10 or 15 minutes a day, for example before bed, to write worries down and look for solutions. Cleveland Clinic describes a similar worry period of about 30 minutes. The length matters less than the routine.

The other half of the technique happens during the rest of the day. When a worry shows up at 2 p.m., you note it and tell yourself, "I'll deal with that at worry time," then bring your attention back to what you were doing. The NHS acknowledges this feels hard at first and says it usually gets easier as the habit settles in. Pick a time that is not right before sleep if bedtime worry is already a problem for you.

A man in a knit cap looking out at a rough sea

Step 3: Sort what you can act on from what you cannot

During worry time, go through the list and ask of each item: is there anything practical I can do about this? The NHS calls this the "worry tree." It separates real, current problems from hypothetical ones.

  • "My car registration expires this month" is a solvable problem.
  • "What if I lose my job next year?" is a hypothetical worry, at least until there is concrete news.
  • "My brother is upset with me" may be partly solvable: you can reach out, but you cannot control his response.

For the solvable ones, the NHS suggests writing a specific plan: what you will do, how and when. If you can do something right now, do it. If the worry returns later, you can remind yourself that you already have a plan. For the ones you cannot control, the NHS suggests acknowledging that, and then shifting attention to something else rather than circling back.

Step 4: Turn "what if" into "if, then"

Cleveland Clinic suggests changing each "what if" worry into an "if, then" statement with a concrete response. "What if the furnace dies in January?" becomes "If the furnace dies, then I will call the repair company and stay at my sister's for a night." The point is not that the bad thing will not happen. It is that you have a plan, so your mind has less reason to keep rehearsing it.

Cleveland Clinic also suggests checking the evidence: is this thought helpful, what supports it, and is there another possibility? Some people find it useful to ask what they would say to a friend with the same worry.

Step 5: Take care of the body that is doing the worrying

Worry is harder to manage when you are exhausted or wired. The NHS lists steps that may ease anxiety symptoms: calming breathing exercises, yoga or similar activities, enough sleep, regular exercise such as walking or swimming, and regular meals. It advises against drinking lots of coffee, tea, cola or energy drinks, and against using alcohol, cigarettes, gambling or drugs to relieve anxiety.

The National Institute of Mental Health (NIMH) adds a useful caution: healthy habits like cutting caffeine and getting enough sleep can reduce anxiety when paired with treatment, but they cannot replace it. Stress management techniques such as exercise, mindfulness and meditation can reduce anxiety symptoms and support therapy. Mindfulness and Meditation for Anxiety and Depression looks at what the research shows.

What does not tend to help

  • Seeking reassurance over and over. It can bring relief for a moment, but many people find the worry returns soon after and the urge to ask again comes back with it.
  • Searching online late at night for answers to a health or money worry.
  • Avoiding the situations that set worry off. The NHS advises against this and suggests slowly building up time spent in them instead. Why Avoidance Makes Anxiety Grow explains why.

Worry that keeps returning to the same past event, rather than to the future, often looks more like rumination. Cleveland Clinic notes that anxiety tends to be future-oriented, while overthinking about the past is more connected with depression.

When worry needs more than self-help

Cleveland Clinic suggests seeking professional help if you cannot manage how much you worry, if it interferes with your ability to function, or if it makes it hard to concentrate at work or fall asleep at night. NIMH puts it simply: when anxiety starts causing problems at work, at school or with friends and family, it is time to seek help. Worry that is excessive, hard to control and present most days for months may be part of generalized anxiety disorder, which a clinician can assess.

A primary care visit is a reasonable first step, especially if worry comes with physical symptoms. In anxiety therapy, Dr. Lehmann, a licensed clinical psychologist in Franklin, combines practical help with day-to-day worry and an insight-oriented look at where the pattern came from and what it may be protecting. If you are interested in a specific approach, such as cognitive behavioral therapy, ask any therapist about their training in it.

If you are thinking about suicide or feel unable to keep yourself safe, call or text 988 (the Suicide & Crisis Lifeline) or text HOME to 741741. In Oakland County, Common Ground is available at 1-800-231-1127. Call 911 for any immediate danger or medical emergency. Dr. Lehmann's practice is not an emergency service and does not offer after-hours crisis care.

Common questions

Is worry time just postponing the problem?

Partly, and that is the point. Many worries feel smaller or have resolved by the time worry time arrives. The ones that remain get proper attention at a time you chose, instead of interrupting a meeting or a dinner.

What if I worry about worrying?

That is common, and it can make worry feel uncontrollable. It can help to treat "I can't stop worrying" as one more thought to note and set aside for worry time. If it persists, it is a good thing to raise with a clinician.

Do apps or self-help books help?

The NHS suggests recommended self-help books, online tools and courses as options for anxiety. Look for ones based on established approaches and from reputable sources, and treat them as support rather than a substitute for care when worry is severe.

Can worry cause physical symptoms?

Yes. Cleveland Clinic notes that excessive worry and stress can bring irritability, fatigue, trouble concentrating, insomnia, digestive problems and tension in the neck and shoulders. A doctor can check for other causes.

If worry has been running your days for a while, the New Clients page explains how to reach Dr. Lehmann.

Anxiety →

Sources

  1. NHS Every Mind Matters: Tackling your worries
  2. Cleveland Clinic: How To Stop Overthinking
  3. NHS: Generalised anxiety disorder (GAD)
  4. NIMH: Generalized Anxiety Disorder: What You Need to Know

This guide is general education and is not medical advice, a diagnosis, or a substitute for care from a qualified professional. Back to Michigan Anxiety and Depression Guide.

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