DiscoverThe Anxious Truth - A Panic, Anxiety, and Mental Health PodcastMindfulness in Anxiety Treatment (Part 1) | EP 318
Mindfulness in Anxiety Treatment (Part 1) | EP 318

Mindfulness in Anxiety Treatment (Part 1) | EP 318

Update: 2025-06-043
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Three therapists specializing in anxiety and OCD discuss integrating mindfulness into therapy. They emphasize that mindfulness isn't about quieting the mind, but fostering a healthier relationship with thoughts and feelings. A role-play illustrates various mindfulness techniques used with an anxious client. The podcast highlights the effectiveness of mindfulness across different diagnoses, including Acceptance and Commitment Therapy (ACT) principles like radical acceptance and non-judgmental awareness. Listeners are encouraged to practice even small steps towards acceptance and mindfulness, and resources are provided for further learning.

Outlines

00:00:21
Introduction to Mindfulness in Anxiety & OCD Treatment

The podcast introduces three therapists and their perspectives on using mindfulness to treat anxiety and OCD. They discuss the challenges of integrating mindfulness and emphasize that the goal is not to quiet the mind, but to cultivate a different relationship with thoughts and feelings. The effectiveness of mindfulness across various diagnoses is highlighted.

00:03:09
Mindfulness Techniques in Action: A Therapeutic Role-Play

A role-play demonstrates how the therapists apply mindfulness principles with a simulated anxious client. Different approaches are showcased, highlighting the variability and adaptability of therapeutic techniques within a mindfulness framework.

00:37:05
Conclusion and Next Steps: Embracing Mindfulness

The episode concludes, reinforcing the importance of even small steps towards acceptance and mindfulness. Listeners are encouraged to continue their mindfulness journey and are provided with links to the therapists' websites and additional resources for further exploration.

Keywords

Mindfulness


The practice of present moment awareness without judgment. It involves observing thoughts, feelings, and sensations without reacting, fostering acceptance and reducing reactivity to anxiety.

Acceptance and Commitment Therapy (ACT)


An evidence-based therapy emphasizing acceptance of difficult thoughts and feelings, commitment to valued actions, and mindfulness. It helps individuals live a more fulfilling life despite challenges.

Anxiety Disorders


Mental health conditions characterized by excessive fear, worry, and anxiety. Examples include generalized anxiety disorder, panic disorder, social anxiety disorder, and obsessive-compulsive disorder (OCD).

Radical Acceptance


A core concept in ACT, involving accepting reality as it is, without judgment or resistance, even if unpleasant.

Non-judgmental Awareness


Observing thoughts and feelings without evaluation or criticism. A key component of mindfulness, allowing for acceptance and reduced emotional reactivity.

OCD


Obsessive-compulsive disorder, an anxiety disorder characterized by intrusive thoughts and repetitive behaviors.

Anxiety Treatment


Therapeutic interventions aimed at reducing the symptoms and impact of anxiety disorders.

Mindfulness Techniques


Specific practices used to cultivate present moment awareness, such as meditation, breathing exercises, and body scan meditations.

Q&A

  • What are the common misconceptions about mindfulness in the context of anxiety treatment?

    Many believe mindfulness aims to silence the mind or achieve perpetual peace. In reality, it's about developing a different relationship with thoughts and feelings, accepting them without judgment or resistance.

  • How can therapists effectively introduce mindfulness techniques to clients who are resistant?

    Therapists can start by clarifying what mindfulness is *not* (e.g., achieving a quiet mind). They can emphasize acceptance of current experiences and focus on building awareness of thoughts and feelings without immediate judgment or reaction.

  • How does mindfulness help in managing anxiety symptoms?

    Mindfulness creates space between stimulus and response, allowing for conscious choices rather than automatic reactions. By observing thoughts and feelings non-judgmentally, individuals can reduce their intensity and lessen the grip of anxiety.

  • What are some practical mindfulness exercises that can be used to manage anxiety?

    Labeling thoughts and feelings ("I'm noticing a feeling of anxiety"), focusing on physical sensations, and breathing exercises that emphasize making space for discomfort rather than trying to eliminate it.

Show Notes

What happens when three anxiety specialists get together to talk practically about how they use mindfulness in anxiety treatment? This week on The Anxious Truth, we find out.

I'm joined by Lauren Rosen, who practices in Los Angeles specializing in OCD and anxiety disorders, and Joanna Hardis from Cleveland, also an expert in treating OCD, anxiety, and anxiety disorders. Together, we break down how mindfulness in anxiety treatment actually works in real therapy sessions - not the Instagram version, but the practical, sometimes messy reality of applying these principles with actual anxious clients.

We tackle the biggest misconceptions about mindfulness (spoiler: it's not about achieving a quiet mind), discuss why it's often the "hardest sell" in therapy despite being incredibly effective, and demonstrate real techniques through live role-play. You'll hear us work through the difference between being "neck up" versus "neck down," learn about the labeling practice that creates a "speed bump" between sensation and catastrophe, and understand why non-judgmental awareness is a skill that requires genuine practice.

Lauren and Joanna take different approaches to applying mindfulness in anxiety treatment, and you'll hear both perspectives as we explore everything from the campfire analogy (anxiety doesn't have to become a wildfire) to the practical challenge of teaching clients to observe their thoughts without getting dragged along by them.

Whether you're dealing with panic attacks, social anxiety, OCD, or generalized anxiety, the principles we discuss apply across all anxiety presentations. This isn't about quick fixes or magic solutions - it's about developing psychological flexibility and learning to relate differently to your internal experiences.

Fair warning: we got so deep into this conversation that we had to split it into two parts. This is part one, and part two drops in episode 319.

If you're tired of surface-level advice about mindfulness and want to understand how it actually works in anxiety recovery, this episode delivers the real deal from three therapists who use these techniques every day with anxious clients.

Resources mentioned:

For Full Show Notes On This Episode: theanxioustruth.com/318

Send in a question or comment via text.

Support The Anxious Truth: If you find the podcast helpful and want to support my work, you can buy me a coffee.   Other ways to support my work like buying a book or signing up for a low cost workshop can be found on my website.  None of this is never required, but always appreciated!

Interested in doing therapy with me? For more information on working with me directly to overcome your anxiety, follow this link.

Disclaimer: The Anxious Truth  is not therapy or a replacement for therapy. Listening to The Anxious Truth does not create a therapeutic relationship between you and the host or guests of the podcast. Information here is provided for psychoeducational purposes. As always, when you have questions about your own well-being, please consult your mental health and/or medical care providers. If you are having a mental health crisis, always reach out immediately for in-person help.

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Mindfulness in Anxiety Treatment (Part 1) | EP 318

Mindfulness in Anxiety Treatment (Part 1) | EP 318

Drew Linsalata