How To Approach Anxiety with Cleverness: Part 2

Written by Reid Wilson, PhD


Act as though this is a brilliant idea.

I once worked with a bride who was hoping to rein in her rather severe blushing, which would cause her neck and upper chest to blotch, triggering embarrassment and shame. She wore a turtleneck or scarf to work every day, no matter the season, as a means of shielding herself. As her wedding day approached, she dreaded walking down the aisle with her neck and chest spotted red. She imagined herself standing at the rear of the church, arm in arm with her dad, thinking:

“Oh God, this is it. If I blush now, the wedding is ruined! Don’t blush, don’t blush!”

Spoiler alert: This tactic would not have served her well. Her insistence on not turning red—and her abject fear that she might—would generate what she fears the most. Instead, what she needed to do was shift her attitude and approach to anxiety.

What she needed to do was “act as though.”


When anxiety drums up some noise (needless worries that don’t signal you to action and therefore do not deserve your attention), hoping to distract and disrupt your best-laid plans, you can respond in one of two ways. You can choose to tussle with anxiety, which is what it wants. It wants to arm wrestle. It wants to struggle—because struggling casts doubt, causes us to second-guess our actions, and leaves us stagnant.

Or…you can “act as though” and persevere in the face of doubt. When we “act as though,” we move toward the feared situation as though it’s all going to work out. We behave as though there’s no major threat to fear.

Full disclosure: This is not a radical new concept. We act as though all the time, without even knowing that we’re doing it.

  • You order an espresso and act as though the coffee is fresh and uncontaminated.
  • You ride the elevator and act as though the vast team of architects, engineers, and contractors who built this moving metal box were experienced and able.
  • You purchase a self-help book and act as though this so-called psychologist knows his stuff.

We “act as though” every waking moment of our lives. If we didn’t, we would never accomplish anything. We couldn’t assume that the water from the faucet was clean. We couldn’t assume that gravity would continue to keep our feet on the ground. We make these assumptions without thinking about them. “Acting as though” allows us to take action, and it takes two forms.

  • Act as though the content of your worry is irrelevant.
  • Act as though you have the necessary skills to accomplish the task.


After introducing this concept and helping her shift her point of view, I asked the blushing bride to experiment with a wardrobe change. I asked her to forego the scarf and turtleneck at work.

But wait! How could she be sure ahead of time?! Showing up to work in a blouse—no scarf, no turtleneck—she didn’t know if she could handle people seeing her blush. If she started to feel ashamed or judged, she wasn’t sure she could cope with those intense emotions. So, we shifted to a higher-level mindset.

“I’m going to act as though I can cope with blushing, with people judging me, and with feeling ashamed.”

With this mindset, she can now step forward into her uncertainty.

Make no mistake: This revision of her attitude proved quite difficult. It took about 12 sessions over the course of four months to accomplish. But that is a profound change—to shift from “I can’t let myself feel ashamed” to “I’m going to act as though I can tolerate feeling ashamed.”

And when her worries popped up at the office, she would invite anxiety to give her precisely what intimidated her:

“Anxiety, I beg of you, please turn my neck bright red.
Make me blush until my cheeks are hot to the touch.
If you do that, I will be so happy.”

Once the bride mastered this tactic, she made great strides. And by the time her wedding day arrived, she had adopted a brand new point of view: “I can handle blushing during my wedding ceremony.” Once she took on that attitude, anxiety could no longer hold her hostage.

I don’t remember whether or not she blushed when she walked down the aisle. In truth, it doesn’t really matter, because it no longer mattered to her.

Text adapted from Stopping the Noise in Your Head: The New Way to Overcome Anxiety and Worry, HCI Books, 2016.

About the Author

Dr. Reid Wilson

REID WILSON, Ph.D. has spent his entire 30-year career in the field of self-help for
anxiety disorders and OCD. He is Director of the Anxiety Disorders Treatment Center and is an international expert in the treatment of anxiety disorders, with books translated into nine languages. In 2014 he was honored with the highest award given by the Anxiety and Depression Association of America, and he was presented the 2019 Service Award by the International OCD Foundation. 

To learn more about Dr. Wilson, click here.

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