Mental Health GuideFamily & Caregivers

Supporting Someone with Anxiety

Actionable advice for family members and friends on how to offer genuine support without enabling avoidance behaviors.

By Dr. Ashish Chepure • Chief Consultant Psychiatrist
8 min read
Published: November 15, 2023

Understanding Their Experience

Anxiety is more than just feeling stressed. For someone with an anxiety disorder, the perceived threat is intensely real, and the physical symptoms (racing heart, shortness of breath) are genuine. The first step in supporting them is validating their experience without necessarily agreeing with their fearful thoughts.

What to Say (and What Not to Say)

Instead of saying "Calm down" or "There is nothing to worry about" (which can feel dismissive), try saying "I see that you are overwhelmed, I am here with you." Ask them what they need in the moment. Sometimes they need space, sometimes they need a distraction, and sometimes they just need someone to sit quietly with them.

The Trap of Accommodation

It is natural to want to protect a loved one from distress. However, constantly helping them avoid anxiety-provoking situations (like making phone calls for them or leaving social events early) can actually reinforce the anxiety long-term. This is called accommodation. A mental health professional can guide you on how to gently encourage them to face their fears.

Self-Care for Caregivers

Supporting someone with chronic anxiety can be exhausting. You must set boundaries and ensure you are taking care of your own mental and physical health. You cannot pour from an empty cup.

Key takeaways

  • Validate their feelings without validating their irrational fears.
  • Avoid phrases that dismiss their anxiety, like "just relax".
  • Be careful not to enable avoidance behaviors, which worsens anxiety over time.
  • Prioritize your own mental health to remain an effective support system.

Frequently asked questions

If the anxiety is significantly interfering with their daily life (work, school, relationships, sleep), or if they are experiencing frequent panic attacks, it is time to encourage them to seek professional help.

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