Coping with Anxiety Using "Bottom-Up" Techniques
- Lori Brown

- May 4, 2025
- 1 min read
Updated: Jul 13, 2025

Bottom-up techniques for overcoming anxiety focus on regulating the body and nervous system to influence emotional and mental states. These approaches work by targeting physiological responses first, helping calm the brain's threat detection system (especially the amygdala) before engaging in cognitive processing.
Key bottom-up strategies include:
Breathwork: Deep, slow breathing (e.g., diaphragmatic or box breathing) activates the parasympathetic nervous system, reducing anxiety symptoms.
Progressive Muscle Relaxation (PMR): Systematically tensing and releasing muscle groups helps discharge physical tension linked to anxiety.
Somatic Experiencing: Increases awareness of bodily sensations to release stored trauma and regulate arousal levels.
Grounding exercises: Techniques like the 5-4-3-2-1 method anchor attention in the present moment, helping to interrupt anxious spirals.
Mindful movement: Practices such as yoga, tai chi, or walking meditation help reconnect body and mind and release stress.
Cold exposure or vagus nerve stimulation: Simple actions like splashing cold water on the face can stimulate the vagus nerve, supporting calm and resilience.
These techniques are often used alongside top-down approaches like cognitive-behavioural therapy for a holistic approach to anxiety management. Would you like examples or a guide for applying any of these techniques?





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