← All Handouts

Handouts · Anxiety

Calming Your Fight-or-Flight Response

Anxiety is your body's alarm system doing its job — just at the wrong time. Understanding it, then using a skill, helps the alarm switch off faster.

🚨

The Alarm Is Not Dangerous

When your brain senses a threat, the amygdala trips an alarm before you can think. Your body floods with adrenaline and cortisol. This is the fight-or-flight response — built to protect you.

Racing heart, fast breathing, tight chest, shaky hands, and churning stomach are all normal effects of these chemicals. Uncomfortable, but not harmful.

⏳

What Happens, Second by Second

  • 0–3 sec: alarm fires, adrenaline releases.
  • Seconds–minutes: heart and breathing speed up, muscles tense, senses sharpen.
  • Peak: most panic surges crest and start to fall within a few minutes.
  • Reset: once the trigger is gone, the stress chemicals take roughly 20–30 minutes to clear from your body.

That's why you can still feel shaky after the scary moment passes — the chemistry just hasn't drained yet. It will.

🟩

Square Breathing

Slow breathing switches on the calming (parasympathetic) system. Trace the square:

Breathe in — 4 Hold — 4 Breathe out — 4 Hold — 4 Repeat 4×

Breathe in through your nose, out slowly through your mouth. Repeat for 1–2 minutes.

⚓

Grounding: 5-4-3-2-1

Pull your mind out of the worry and back into the room. Name:

  • 5 things you can see
  • 4 things you can feel / touch
  • 3 things you can hear
  • 2 things you can smell
  • 1 thing you can taste
❄

Other Quick Resets

  • Cold: splash cool water on your face or hold something cold — it slows the heart.
  • Move: a brisk walk burns off adrenaline.
  • Feet on the floor: press them down and feel the ground hold you.
  • Long exhale: make the out-breath longer than the in-breath.
💬

Talk Back to the Alarm

Anxious thoughts feel like facts but are only predictions. Try telling yourself:

  • “This is uncomfortable, not dangerous.”
  • “I've felt this before and it always passes.”
  • “My body is doing its job. I can wait it out.”
Remember: avoiding what scares you calms the alarm now but makes it louder next time. Facing fears gradually — with these skills in your pocket — is how the alarm learns to quiet down for good. Your clinician can help you build a step-by-step plan.