How to Support Someone With Anxiety (Without Making It Worse)

Supporting someone with anxiety? Learn what helps, what to avoid, and how CBT-informed approaches can make a real difference.

When Someone You Care About Is Struggling

It can be difficult to watch someone you care about experience anxiety.

You might notice they are:

  • Overthinking or worrying constantly

  • Avoiding situations

  • Feeling overwhelmed or on edge

  • Seeking reassurance

  • Struggling to cope with everyday tasks

Naturally, you want to help.

But many people find themselves asking “Am I helping… or accidentally making it worse?”


Why Supporting Anxiety Can Feel Confusing

Anxiety doesn’t always respond to common-sense solutions.

You might try to:

  • Reassure them repeatedly

  • Encourage them to avoid stressful situations

  • Solve problems for them

  • Push them to “just face it”

While these responses come from a good place, they can sometimes maintain the anxiety cycle.


Understanding Anxiety

From a CBT perspective, anxiety is maintained by a cycle of:

  • Thoughts (e.g. “Something will go wrong”)

  • Feelings (fear, tension)

  • Behaviours (avoidance, reassurance seeking)

Short-term relief (like avoiding or being reassured) can make anxiety feel better briefly but it often keeps the problem going long-term.


What Helps (CBT-Informed Support)

Be Calm, Not Corrective

It’s tempting to say “You’ll be fine” or “Don’t worry” but anxiety isn’t always logical.

Instead:

  • Stay calm

  • Acknowledge how they feel

  • Avoid dismissing or minimising

Validate Without Reinforcing Fear

There’s a balance between:

  • Validating emotions

  • Reinforcing anxious beliefs

Helpful: “I understand why this feels hard.”

Less helpful: “Yes, that situation is really dangerous.”



Reduce Reassurance Loops

Repeated reassurance can unintentionally:

  • Increase dependence

  • Prevent the person from learning they can cope

Instead of answering the same question repeatedly, try “What do you think would help you handle this?”


Encourage Gentle Steps (Not Avoidance)

Avoidance reduces anxiety short-term, but strengthens it long-term.

You can support by:

  • Encouraging small, manageable steps

  • Focusing on progress, not perfection

Focus on Coping, Not Removing Anxiety

The goal isn’t to eliminate anxiety completely.

It’s to help the person feel:

  • More able to cope

  • Less controlled by fear

Shift from “How do we stop this?” to “How can you get through this?”



Be Consistent

Anxiety often improves when responses are:

  • Predictable

  • Calm

  • Consistent over time

Mixed responses (sometimes reassuring, sometimes pushing) can make things more confusing.


What to Avoid (Common Pitfalls)

Over-Reassuring

Feels helpful, but can maintain anxiety over time

Encouraging Avoidance

Reduces anxiety short-term, increases it long-term

Taking Over

Can reduce confidence in the person’s ability to cope

Dismissing Feelings

Statements like “just relax” or “it’s not a big deal” can feel invalidating


Supporting Without Burning Out

Supporting someone with anxiety can be emotionally demanding.

It’s important to:

  • Set gentle boundaries

  • Take care of your own wellbeing

  • Recognise what is (and isn’t) within your control

You are supporting them not responsible for fixing everything.


When to Encourage Professional Support

It may be helpful to suggest therapy if:

  • Anxiety is persistent or worsening

  • It’s affecting daily life (work, school, relationships)

  • The person feels stuck despite support

  • You feel unsure how to help further


How Therapy Can Help

At Shire Therapies, we use Cognitive Behavioural Therapy (CBT) to help individuals:

  • Understand their anxiety patterns

  • Reduce avoidance and reassurance cycles

  • Build confidence in coping

  • Make gradual, meaningful changes

We can also support family members or partners in understanding how to help effectively.


Final Thought

Supporting someone with anxiety isn’t about having the perfect response.

It’s about being:

  • Calm

  • Consistent

  • Supportive of small steps forward

That steady approach can make a meaningful difference over time.


Need Support?

If you or someone you care about is struggling with anxiety, support is available.

At Shire Therapies, we work with:

  • Anxiety and overthinking

  • Avoidance patterns

  • Stress and overwhelm

Get in touch to learn more or book an initial session.

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What If It Goes Wrong? A CBT Approach to Overthinking and Worst-Case Thinking