Q&A: Is morning anxiety hijacking your day?

It’s no secret: Anxiety is spreading in society. In its latest official data, the World Health Organization said 301 million people lived with an anxiety disorder in 2019. And it reported more than a 25% increase in depression and anxiety in the first year of the COVID-19 pandemic, which began in 2020.

portrait of Bethany Teachman

Bethany Teachman is a professor of psychology and the director of clinical psychology at the University of Virginia. (Contributed photo)

The term “morning anxiety” began appearing in news sources about the same time. University of Virginia psychology professor Bethany Teachman explains what it is and offers advice on managing those early morning feelings of unease and, sometimes, dread.

Q. What is morning anxiety?

A. Morning anxiety is that feeling where you wake up and feel this elevated level of apprehension, discomfort or nervousness before it even seems like much has happened that would trigger those feelings.

I want to clarify. It’s not a diagnosis or something we think is a super distinct category from anxiety that happens at other times during the day. Different people are prone to anxiety at different times of the day.

Q. Why do some people experience morning anxiety?

A. It can be for a lot of different reasons. I encourage people, when that’s happening as a pattern for them, to look at how they’re reacting to their thoughts. Is it that things are coming to mind about what’s going to happen that day, and they’re already anticipating the worst? Is it that they’re really focused on what happened the night before, and so they’re sort of ruminating on that? For other people, it can be that they’re really reactive to their bodily changes, so they wake up and something feels different in their body. It’s really just that they have this sort of tendency to either focus on future patterns, or because they’re not involved in another distracting task at that time.

Q. How can people manage morning anxiety?

A. One of the best ways to respond to anxiety so it doesn’t spiral and escalate to panic or ruin your day is to recognize it is just an emotion and … that you can ride that wave and don’t have to think of it as something that means something really horrible or dangerous is happening. If we can normalize the experience, it tends to actually help keep anxiety in its place.

If there really is a danger, that’s a different situation. That’s where anxiety is super adaptive. But the morning anxiety and things we’re talking about are really more in that false alarm category, where there isn’t an urgent need to address a real objective danger.

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Q. What makes people more vulnerable to morning anxiety?

A. If you’re a person who tends to have avoidance of hard emotions and thinks of having hard emotions as being something that’s really bad or dangerous, that’s going to make you more vulnerable. And that tendency to assume the worst about things that are happening or will be happening is a huge vulnerability factor.

Q. How does worry play into morning anxiety?

A. Some people have a strong belief that worrying is serving a really important function for them. What’s really important to recognize is that they are confusing worry with problem-solving.

There are adaptive ways to pick a time where you focus on an issue that you actually can do something about and make changes that will help prevent problems or address issues. But the morning anxiety is much more about that worry loop that people get caught in, where they’re spiraling and probably having lots of the same thoughts over and over again, and they’re getting … stuck.

Q. How do you recommend people manage this anxiety?

A. Some of this is trial and error, because it’s absolutely not for everybody. So, I really encourage people to be mini scientists and try some of these strategies.

For some people that we work with, doing mindfulness or relaxation exercises in the morning is really helpful. It just grounds them and helps to sort of break that spiraling cycle that they’re in. For other people, journaling is really useful, where they write down some of the worrying thoughts that they are having, so they can work with them in more constructive ways. For others, exercise is really useful. For others, it’s seeking social support. So, talking to a friend, talking to your romantic partner, just sort of finding connection helps you get that grounding and feel more capable to manage the day.

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Jane Kelly

University News Senior Associate Office of University Communications