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· 6 min read

Journaling for anxiety: worry time and a worry journal that help

How to journal when you're anxious without making it worse: a daily worry time, a simple four-line worry journal, and 12 prompts for anxious days.

Writing about anxiety can help a lot, or it can turn into an hour of going over the same fears on paper. The difference isn't how much you write. It's how the writing is shaped.

This guide gives you two tools that come from CBT, worry time and a worry journal, plus prompts for the days when you don't know where to start.

Does journaling help anxiety?

It can, and the research is encouraging, if modest.

  • In a 12-week trial, adults with medical conditions and raised anxiety wrote for 15 minutes, three times a week, about positive experiences and what was going well. After a month, they had less anxiety and fewer depressive symptoms than people who got usual care (Smyth and colleagues, 2018).
  • A meta-analysis of 146 studies found that writing about personal, emotional topics has a real but small positive effect on average (Frattaroli, 2006).

So journaling isn't a cure. It's a useful habit, and it works better with some structure. Without structure, anxious writing tends to loop: you write the worry, then the worst case, then a worse case. Writing that ends with a fact, a next step or a kinder sentence is what makes the difference.

Tool 1: Worry time

Worry time means giving your worries a daily appointment instead of letting them interrupt you all day. It was first tested in the 1980s by the psychologist Thomas Borkovec as a way to help chronic worriers.

In a later trial, people who worry a lot spent two weeks postponing their worries to one 30-minute worry period each day, at the same time and in the same place. Compared with a group who were told not to avoid their worries, they had bigger drops in worry, anxiety and sleep problems (McGowan and Behar, 2013).

How to do it:

  1. Pick a time and a place. 15 to 30 minutes, same time every day, not right before bed. Late afternoon works for many people. Sit in the same chair, not in bed.
  2. During the day, catch and postpone. When a worry shows up, write it in a few words on a list or in your phone, and tell yourself: I'll deal with you at 5:30. Then bring your attention back to what you were doing.
  3. At worry time, go through the list. For each item, ask: is this still bothering me? If not, cross it out. If yes, is there something I can do? Write the next step. If there isn't, write nothing to do yet and let it be.
  4. Stop when the time is up. Anything left can wait until tomorrow's slot.

It feels strange for the first few days. Often, by the time worry time comes, some of the list no longer matters. That in itself is useful information.

Tool 2: A four-line worry journal

For a worry that won't wait, use this page. It takes about five minutes.

  1. The worry: What exactly am I worried about? One sentence.
  2. The fear: What am I afraid will happen? Be specific.
  3. What I know for sure: facts only, the things you'd accept in a courtroom.
  4. What I can do: one small step, or Not mine to solve today.

Before you start and after you finish, rate your anxiety from 0 to 10. It doesn't need to reach zero. Going from 8 to 6 is a good session.

Here's what it looks like filled in:

The worry: The test results from my doctor aren't back yet.
The fear: It's something serious and I'll need surgery.
What I know for sure: The doctor said the test was routine. Results usually take a week. It's been five days.
What I can do: Call the surgery on Friday if I haven't heard. Until then, it's not mine to solve.

If the worry is a thought that keeps repeating, rather than an event, the CBT thought record goes one step further and helps you write a more balanced version of it. For loops that run all day, see how to stop overthinking.

12 journal prompts for anxious days

Pick one. Write for five minutes. Stop.

  1. What is my anxiety trying to protect me from right now?
  2. What's the worst case, the best case and the most likely case?
  3. If a friend told me this worry, what would I say to them?
  4. What has helped, even a little, the last time I felt like this?
  5. Which part of this is in my control, and which part isn't?
  6. What would I do today if I felt 10% less anxious?
  7. What am I avoiding, and what is avoiding it costing me?
  8. Which thinking trap might be hiding in this worry?
  9. What does my body feel like right now, from head to toe?
  10. What is one thing that went okay today?
  11. What would "good enough" look like here?
  12. What do I want to remember the next time this happens?

For more ideas for calmer days too, see our list of journaling ideas.

What not to do

  • Don't journal your worries in bed. Do it earlier, so bed stays for sleep. If thoughts race at night, try the tips in racing thoughts at night.
  • Don't reread old worry pages when you're anxious. That's rumination with a bookmark. Reread them on a calm day, when you can notice how many of the fears never happened.
  • Don't grade your writing. Spelling, neatness and length don't matter.
  • Don't force it. If writing makes you more upset session after session, stop and try a different approach, or talk to someone.

Paper notebook or anxiety journal app?

Either works. What matters more than the format:

  • Privacy. You need to feel safe writing the true version. A notebook in a drawer, or an app that keeps everything on your device.
  • Structure. A few questions in the same order make it easier to start and easier to stop.
  • Low friction. If it takes more than a few seconds to open, you'll skip it on the days you need it most.
  • No feed. Anything with likes, followers or notifications pulls your attention away.

If you're starting from scratch, our guide on how to start journaling keeps the first week to five minutes a day.

When journaling isn't enough

If anxiety is taking up most of your day, keeping you from sleeping, or making you avoid people and places, please talk to a doctor. Anxiety is very treatable, and CBT, which these tools come from, is one of the main treatments. Our plain guide to CBT explains how it works. If you feel unsafe, contact your local emergency number or find a helpline at findahelpline.com.

A worry journal you can sit in

Leaf by Leaf is a pixel-art journal built on these ideas. In Untangle a thought you write what happened, the thought that keeps coming back and how strong the feeling is, check it for thinking traps and weigh the facts, one plain question per page. At the end you rate the feeling again and the tree lets the leaf go. Your pages stay on your computer.

You can try all seven pages on the home page without buying anything. Nothing you write there is saved or sent.