Pause, Notice, Choose — Anxiety and the Need to Stay Busy: Interactive worksheet

Grayscale close-up portrait of a woman looking out reflectively — an image of pausing and turning inward rather than staying in motion
Online Therapy Clinic  ·  Photo: Ali Gabr / Pexels
Individual Therapy Worksheet  ·  CBT & Psychodynamic Perspectives

Pause, Notice, Choose

Anxiety and the need to stay busy — are you solving tomorrow’s problems today?
Ari Sotiriou, UK accredited psychotherapist  ·  enquiries@online-therapy-clinic.com Ari Sotiriou provides Individual and Couples psychodynamic therapy, including CBT-informed work, via secure Live Video. Dr Ruxandra Ion offers CBT courses and brings a psychiatric perspective, without providing psychiatric diagnosis or prescribing medication. UK practice  ·  50-minute sessions, on the hour.
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Complete the worksheet, then save or print your responses

“I think the cure for it for me at the moment… is giving myself more to do.” Anxiety often arises because we are trying to solve a problem that has not happened yet — and since it hasn’t happened, there is nothing concrete to resolve. The mind stays busy without becoming productive.

This worksheet uses both CBT and psychodynamic tools to help you notice when your thinking has drifted into the future, distinguish activity that nourishes you from activity that is simply keeping feelings at bay, and gradually build the capacity to remain with the present moment. You do not need to complete it in one sitting — your answers save automatically as you go.

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This worksheet has a companion article Anxiety and the Need to Stay Busy: Are You Solving Tomorrow’s Problems Today? — exploring anxiety as future-oriented problem solving, why staying busy sometimes helps, and when busyness becomes the only solution.
Exercise One Where Does Your Mind Live?

Anxiety frequently involves anticipatory thinking — rehearsing conversations that haven’t happened, anticipating failures that may never occur. Simply noticing where your mind spends its time is often the first step towards understanding your anxiety.

Exercise Two The Three Questions

Take the recurring worry you named above and examine it against these three questions. Many people discover that much of their worrying belongs to the third category — seeking certainty about something that cannot yet be known.

Is this problem happening now? Is there anything practical I can do today? Am I trying to obtain certainty about something that cannot yet be known?
Exercise Three What Absorbs You?

When we become fully engaged in an activity that requires our attention, mental resources are redirected away from repetitive worrying. This is not simply distraction — it is a shift from abstract thinking into direct experience.

Exercise Four Nourished or Compulsory?

Remaining constantly busy can reduce anxiety in the short term — but sometimes busyness becomes part of the problem. Donald Winnicott observed that some people find it difficult simply to be, because silence or rest allows unwanted thoughts and feelings to emerge. The question is whether you are choosing activity, or whether activity is choosing you.

Feels nourishing Feels compulsory
Exercise Five Pause, Notice and Choose

Before reacting to a worrying thought, pause briefly and ask yourself these three questions. This is not about eliminating anxious thoughts — it is about gradually increasing your capacity to notice anxiety without immediately responding to it.

Practise this the next time you notice worry rising
Pause, Notice, Choose

Pause before reacting. Notice what is actually here. Choose your next step deliberately, rather than automatically.

Exercise Six What Is My Anxiety Communicating?

Anxiety is not the enemy — it is information. Sometimes it alerts us to genuine danger, sometimes it signals unresolved emotional conflicts, and sometimes it reflects uncertainty that simply cannot yet be resolved. The task is learning to distinguish between these rather than responding to all of them the same way.

What does this anxiety seem to be asking for?

Closing What I Want to Bring to a Session

Lasting change comes not from eliminating anxiety altogether, but from changing your relationship with it. Self-help strategies help interrupt cycles of worry — but where anxiety is connected to deeper emotional experiences or longstanding ways of relating to yourself and others, therapy offers a space to understand what it means within the context of your own history.

Not eliminating anxiety altogether, but changing your relationship with it.
A closing reflection
Before you close this worksheet, take a moment to write — without editing yourself — whatever comes to mind in response to the questions below.

Individual Therapy via Secure Video

If working through this worksheet has brought something into focus that you would like to explore further in a confidential setting, an introductory conversation is available at no charge. Psychodynamic and CBT-informed individual therapy is offered via secure live video in English, French, and Greek.

Arrange a confidential introductory conversation → Individual & Couples Therapy via Live Video  •  CBT & Psychodynamic Work  •  UK Practice  •  English · French · Greek

A Note for Your Next Session

If you are working with Ari, bring this completed worksheet to your next session. The moments where you noticed yourself reaching for another task, or where sitting with a question felt uncomfortable, are often at least as useful as the answers that came easily.

To book a session or make an enquiry, contact: enquiries@online-therapy-clinic.com

The future will still be there tomorrow. Today only asks for today.

Online Therapy Clinic Clinical Team enquiries@online-therapy-clinic.com  ·  online-therapy-clinic.com  ·  UK practice  ·  50-minute sessions, on the hour
Ari Sotiriou provides Individual and Couples therapy, including CBT-informed work, via secure Live Video, from a psychodynamic clinical base. Dr Ruxandra Ion offers CBT courses and brings a psychiatric perspective; she does not provide psychiatric diagnosis or prescribe medication.