Conquering Anxiety with CBT: 5 Techniques That Actually Work

Your chest tightens. Again. The thoughts won’t stop spinning, and you try to focus on what your partner’s saying. Still, your mind’s already three steps ahead, imagining everything that could go wrong tomorrow. You tell yourself to calm down, but it doesn’t work.

Sound familiar?

You’ve probably been told to “just relax” or “stop overthinking.” Someone even suggested you try yoga or drink more chamomile tea. Those suggestions aren’t wrong, but they miss what’s actually happening in your brain when anxiety takes over.

Here’s what’s happening. Your brain’s threat system is stuck on high alert, and no amount of positive thinking can flip that switch off. But there is a way to retrain it using what’s known as Cognitive Behavioural Therapy (CBT).

What’s Really Happening in Your Anxious Brain

Let’s be clear: anxiety isn’t all in your head. Well, technically it is, but not in the way people mean when they say that.

Anxiety lives in a small, almond-shaped part of your brain called the amygdala. Think of it like a smoke alarm. When there’s actual danger — like a car swerving into your lane, a stranger following you at night — your amygdala does its job perfectly. It screams “THREAT!” and floods your body with adrenaline so you can react fast.

The problem?

In anxiety, that smoke alarm gets stuck on. It starts going off when you’re sitting at your desk. Or lying in bed. Or standing in the supermarket. No real danger… just panic.

At the same time, the logical part of your brain (your prefrontal cortex) gets overwhelmed. That’s the part that’s supposed to say, “Hey, we’re actually fine. No need to panic.” But it can’t get a word in because the alarm’s too loud. So you’re left with racing thoughts, a tight chest, sweaty palms, and a brain convinced that something terrible is about to happen.

Clients have described it as: “It’s like my brain is playing a horror movie on repeat, and I can’t find the remote.” That’s exhausting. And here’s what most people don’t realise. Avoiding the things that trigger your anxiety actually makes it worse, not better.

Every time you skip that social event or avoid that phone call, your brain learns: “See? That thing was dangerous. Good thing we avoided it.” The anxiety gets stronger. Your world gets smaller. But the good news is this: Your brain can learn new patterns. It can be retrained. And that’s precisely what Cognitive Behavioural Therapy (CBT) does.

Why CBT Works (And the Science Behind It)

CBT isn’t just positive thinking dressed up in psychology ‘feel-good’ language. It’s a systematic approach to rewiring the thought-feeling-behaviour cycle that keeps anxiety spinning.

Here’s how it works. CBT targets three things: your thoughts (“Everyone will judge me,” “Something bad will happen”), your physical sensations (racing heart, shallow breathing, tension), and your behaviours (avoidance, checking, reassurance-seeking). These three things feed each other—anxious thoughts trigger physical panic, which makes you avoid situations, which reinforces the anxious thoughts. Round and round.

CBT interrupts that cycle at multiple points. And the research backs this up. Studies using brain scans show that after a course of CBT, the amygdala (that overactive smoke alarm) becomes less reactive. Meanwhile, the prefrontal cortex (your logical brain) gets stronger at regulating emotion. In other words, CBT literally rewires your brain. Not metaphorically. Actually changes the neural circuits.

About 60-75% of people with anxiety see significant improvement with CBT. And those benefits last. In fact, most people maintain their gains months and even years after therapy ends. Why? Because CBT teaches you skills you can keep using. You become your own therapist.

The two most powerful components are cognitive restructuring (learning to fact-check your anxious thoughts) and exposure therapy (gradually facing feared situations instead of avoiding them). We’ll jump into both of these, plus three other techniques you can start using today.

But first, let’s validate something important. If you’ve tried CBT before and it “didn’t work,” that doesn’t mean you failed. Sometimes the approach wasn’t right for your specific anxiety. Sometimes you needed more support than a book or app could give. And that’s okay. These tools work best when they’re personalised, which is why working with a therapist who really gets anxiety can make all the difference.

5 CBT Techniques You Can Start Using Today

Are you ready? Choose one technique from the options below. Just one. You don’t need to master all five this week. Simply start small and build from there.

1. Deep Breathing (Diaphragmatic Breathing)

When anxiety hits, your breathing changes. You start taking short, shallow breaths from your chest, and this sends a signal to your brain: Danger. Something’s wrong. Deep belly breathing does the opposite; it activates your parasympathetic nervous system, your body’s built-in “calm down” system.

How to do it:

Find a quiet spot and sit or lie down comfortably. Place one hand on your chest, one on your belly. Breathe in slowly through your nose for a count of 4. Your belly should rise, not your chest. Hold for 2 counts, then exhale slowly through your mouth for 6 counts. The exhale is longer than the inhale, and that’s key. Repeat for 5-10 minutes.

Why it works:

Slow, deep breathing physically changes your body chemistry. It tells your nervous system, “We’re safe. Stand down.” Your heart rate slows, your muscles relax, and the panic starts to ease. One client does this in their car before walking into work—three minutes, that’s it. It changes their whole morning.

What to look for:

Use this when you notice the early signs of anxiety—tightness in your chest, racing thoughts, feeling on edge. Don’t wait until you’re in complete panic mode. Catch it early.

2. Cognitive Restructuring (Challenging Anxious Thoughts)

Your anxious brain loves to catastrophise. It jumps to the worst-case scenario every single time. “I’ll fail this presentation.” “They think I’m incompetent.” “Something terrible is going to happen.” Here’s the problem: Your brain treats these thoughts like facts. They’re not. They’re predictions. Guesses. Often wildly inaccurate ones.

Cognitive restructuring is a fancy term for fact-checking your anxiety. When an anxious thought pops up, write it down. Get it out of your head and onto paper. Then ask yourself these questions:

  1. What’s the evidence for this thought?
  2. What’s the evidence against it?
  3. What would I tell a friend who had this thought?
  4. What’s a more balanced way to think about this?

Example:

Anxious thought: “Everyone at this meeting will judge me and think I’m incompetent.”

Fact-check: Evidence for: I feel nervous and might stumble over words. Evidence against: I’ve been to hundreds of meetings. Most people are focused on their own stuff, not judging me. Last time I was nervous, no one even noticed. Balanced thought: “I might feel anxious, but I’ve handled meetings before. Most people probably won’t even notice my nerves, and even if they do, that’s okay.”

This isn’t about pretending everything’s fine. It’s about getting out of the all-or-nothing thinking trap and finding the middle ground between “disaster” and “perfect.” One client told me she used to spend an hour lying in bed at night, running through every possible disaster for the next day. Now she writes down the thought, fact-checks it, and usually realises it’s her anxiety talking… not reality.

3. Progressive Muscle Relaxation (PMR)

Anxiety doesn’t just live in your mind; it lives in your body. Tight shoulders. Clenched jaw. Fists balled up without even realising it. Your body holds tension, which feeds back into your anxious thoughts. Progressive Muscle Relaxation breaks that cycle.

How to do it:

Find a comfortable position, either sitting or lying down. Starting with your toes, tense the muscles as tightly as you can for 5 seconds, then release. Notice the difference between tension and relaxation. Work your way up: feet, calves, thighs, stomach, chest, hands, arms, shoulders, neck, face. The whole process takes about 10-15 minutes.

Why it works:

By intentionally tensing and then releasing, you teach your body what relaxation actually feels like. Most of us walk around tense all day without even realising it. (Check your shoulders right now—I bet they’re up by your ears.) PMR gives your nervous system a clear signal: “We can let go now.”

What to look for:

This works exceptionally well if you carry anxiety physically—headaches, back pain, stomach issues, and constant muscle tension. Try it before bed if racing thoughts keep you awake. Your body relaxes, your mind follows.

4. Exposure Therapy (Gradual Facing of Fears)

Here’s the counterintuitive part: the thing you’re avoiding to feel safe is actually what’s keeping you anxious. Avoidance feels like relief in the moment, but in the long term, it trains your brain to believe the feared thing is actually dangerous. Exposure therapy flips that script. You gradually, safely face the situations that trigger anxiety—and teach your brain a new truth: “I can handle this.”

How to do it:

First, make a fear hierarchy. List situations that make you anxious, from least scary to most scary, and rate them 0-10 (0 = no anxiety, 10 = panic attack level). Then start at the bottom—pick something that’s a 3 or 4 out of 10. Face it. Repeatedly. Stay in the situation until your anxiety naturally starts to decrease (it will—anxiety can’t stay at peak levels forever, it always comes down). Once that situation feels manageable, move up to the next level.

Example hierarchy for social anxiety:

  1. (3/10) Send a text to a friend
  2. (4/10) Make small talk with a cashier
  3. (5/10) Call to make a doctor’s appointment
  4. (6/10) Attend a small gathering with close friends
  5. (7/10) Go to a work lunch with colleagues
  6. (8/10) Speak up in a meeting
  7. (9/10) Give a presentation to the team

Why it works:

Every time you face a fear and nothing catastrophic happens, your brain updates its threat database. It learns: “Oh, that wasn’t actually dangerous.” Over time, the amygdala calms down, and the fear response weakens. One client I worked with avoided parent-teacher nights for years because their anxiety convinced them everyone would see them as a failure.

They started small, just walking into the school building for five minutes. Then staying for ten. Eventually, they attended the whole evening, and you know what happened? Nothing. No judgment. No disaster. Just a regular school event. Their anxiety had been lying to them the whole time.

Important note:

Start small. Don’t jump straight to your biggest fear—that’s overwhelming and can backfire. And if you have severe anxiety or specific phobias (like panic disorder or PTSD), work with a therapist for exposure. They can guide you through it safely.

5. Behavioural Activation (Doing the Opposite of What Anxiety Wants)

Anxiety wants you to stay small. Cancel plans. Stay home. Avoid anything that feels uncertain. Behavioural activation is simple: You do the opposite. Not recklessly, but intentionally.

How to do it:

Notice what anxiety is telling you to avoid, then ask: “Is this actually dangerous, or is it just uncomfortable?” If it’s just uncomfortable (not dangerous), do it anyway.

Examples:

  • Anxiety says, “Don’t go to that party. You’ll embarrass yourself.” You do: Go for 30 minutes. Leave if you need to, but show up.
  • Anxiety says, “Don’t apply for that job. You’re not qualified enough.” You do: Apply anyway. Let them decide if you’re qualified.
  • Anxiety says, “Stay in bed. The world is too overwhelming today.” You do: Get up. Shower. Take a 10-minute walk.

Why it works:

Action creates evidence. When you do the thing anxiety says you can’t… and survive… your brain learns. Plus, staying active boosts your mood, movement, and social connection, and accomplishing small tasks all combat anxiety at a neurological level. They tell your brain: “We’re functional. We’re capable. We’re okay.”

One client said they started saying yes to one thing per week that anxiety said no to. Coffee with a friend. A work presentation. Driving on the highway. Small steps, but they added up. Six months later, they looked back and realised their world had gotten bigger again.

hat This Means For You

Here’s the truth: Anxiety is widespread. And very treatable. About 3 million Australians live with anxiety, and one in four of us will experience it at some point. You’re not stuck with this forever.

These five techniques—deep breathing, cognitive restructuring, progressive muscle relaxation, exposure, and behavioural activation are backed by decades of research. They work consistently; they rewire your anxious brain.

That tight chest you’ve been carrying around can ease. Those spiralling thoughts? You can learn to interrupt them. The situations you’ve been avoiding? You can face them again. It starts with one small step. One technique. One moment of doing something different.

Pick one from this list. Try it this week. Notice what happens.

You Don’t Have to Do This Alone

Self-help tools are powerful, but they’re not a substitute for professional support when you need it. If your anxiety is overwhelming, if it’s affecting your work, your relationships, your ability to function, reach out to a professional for help. There’s zero shame in that. You wouldn’t feel guilty about seeing a doctor for a broken bone, and this is no different.

Therapists are guides. They personalise these CBT techniques for your specific situation, keep you accountable, and help you navigate the complex parts. One client told me, “I tried all the techniques on my own. They helped a bit. But working with someone who really understood anxiety? That changed everything.”

In Australia, you have options. Talk to your GP about a Mental Health Care Plan. Call Beyond Blue (1300 22 4636) for support. Find a psychologist who specialises in CBT for anxiety. And if you’re based in South West Sydney, ProActive Psychology offers CBT-based treatment plans tailored to your situation. We have experienced psychologists who get anxiety, and who can teach you these techniques step by step in a safe, supportive space. You can learn more or book an appointment with ProActive Psychology.

Sometimes that first step—saying “I need some guidance”—is the bravest thing you’ll do.

Your Journey From Here

You’ve been fighting this uphill battle, chest tight, thoughts spinning, feeling trapped in your own mind. You’re dealing with an overactive threat system in your brain. That’s biology, not character. This week, commit to one thing: three minutes of deep breathing each morning, or writing down one anxious thought and fact-checking it, or staying at that social event for just ten minutes longer than anxiety wants you to. Pick one. Start small.

Here’s what happens if you take action: Gradually, the panic attacks become less frequent. You do things you’ve been avoiding. You sleep better. Most importantly, you gain confidence, not because the anxiety disappeared, but because you learned you can better handle it. Your world gets bigger. Thousands of people with anxiety have walked this path. You can too.

The alternative? If you keep avoiding the things that scare you, the anxiety likely continues. It may get worse. Your world could get smaller, with fewer social events, fewer opportunities, and more isolation. The people who take action (even messy, imperfect action) have a chance to get better. The people who wait for anxiety to magically disappear stay stuck. You don’t have to be perfect at this. You just have to start. And if you need more support, reach out. There’s no timeline for healing.

You’ve learned a lot here. Now comes the most crucial part: practice.

This week:

  1. Choose one technique from this article
  2. Try it three times (yes, just three)
  3. Notice what happens in your body and mind

That’s it. No pressure. No perfection required.

If it helps, keep going. If it doesn’t, try a different one. And if you’d like support figuring out which approach is best for you, we’re here. Anxiety is treatable, and you deserve to feel better.

References

  1. Australian Psychological Society. (2024). Evidence-based psychological interventions in the treatment of mental disorders: A review of the literature (5th ed.). Retrieved October 2024, from https://psychology.org.au
  2. Better Health Channel. (2024). Anxiety disorders. State Government of Victoria. Retrieved October 2024, from https://www.betterhealth.vic.gov.au
  3. Beyond Blue. (2024). Anxiety. Retrieved October 2024, from https://www.beyondblue.org.au/mental-health/anxiety
  4. Craske, M. G., et al. (2023). Optimising inhibitory learning during exposure therapy. Behaviour Research and Therapy, 161, 104238. https://doi.org/10.1016/j.brat.2022.104238
  5. Curtiss, J. E., et al. (2021). Meta-analysis of cognitive behavioral therapy for anxiety disorders in primary care. Journal of Anxiety Disorders, 84, 102481. https://doi.org/10.1016/j.janxdis.2021.102481
  6. Hofmann, S. G., & Gómez, A. F. (2017). Mindfulness-based interventions for anxiety and depression. Psychiatric Clinics of North America, 40(4), 739-749. https://doi.org/10.1016/j.psc.2017.08.008
  7. Nakao, T., et al. (2021). Gray matter volume abnormalities in ADHD: Voxel-based meta-analysis exploring the effects of age and stimulant medication. American Journal of Psychiatry, 168(11), 1154-1163. https://doi.org/10.1176/appi.ajp.2011.11020281
  8. Porto, P. R., et al. (2009). Does cognitive behavioral therapy change the brain? A systematic review of neuroimaging in anxiety disorders. Journal of Neuropsychiatry and Clinical Neurosciences, 21(2), 114-125. https://doi.org/10.1176/jnp.2009.21.2.114
  9. Weitz, E. S., et al. (2018). The effects of psychotherapy for depression on anxiety symptoms: A meta-analysis. Psychological Medicine, 48(13), 2140-2152. https://doi.org/10.1017/S0033291717003622

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