Ep. 373 Anticipatory Anxiety and the Toll of Constant Worry with Laurie Singer

Anticipatory anxiety is the fear of what might happen in the future. Unlike fear, which is a response to a real and immediate threat, anticipatory anxiety is the worry that you might become anxious, have a panic attack, or fail before anything has actually happened.

It can feel like a shadow hanging over your life, quietly influencing your decisions. Left unchecked, it can snowball into avoidance behaviors—skipping activities you enjoy, putting off health goals, or disengaging from daily life altogether.

How it shows up in everyday life

Many people experience anticipatory anxiety without realizing it. You might catch yourself thinking:

  • “What if I can’t do this workout right?”

  • “What if I don’t stick to this diet?”

  • “What if I embarrass myself?”

Instead of moving forward, the worry itself becomes the reason you don’t try. Over time, this avoidance creates frustration, self-criticism, and even more anxiety.

Tools to manage anticipatory anxiety

The Signal Plan

Laurie shared a simple but powerful framework she calls the Signal Plan, modeled after a traffic light:

  • Red = Stop the negative thought spiral

  • Yellow = Choose your response—this is the fork in the road moment

  • Green = Go with an action, like deep breathing, a positive thought, or moving forward with your plan

Practicing this sequence regularly helps make it automatic. Laurie even suggests creating laminated signal sheets to hang in places where anxiety often strikes, like by your laptop or TV, as visual reminders.

The ABC Data Sheet

Another tool Laurie uses is the ABC Data Sheet, which breaks down anxious moments into clear parts:

  • A = Antecedent (what happened right before)

  • B = Behavior (your reaction or physical response)

  • C = Consequence (what happened after)

By tracking these consistently, you begin to see patterns you might miss in the moment. For example, maybe scrolling the news late at night always leads to poor sleep, or skipping lunch always leaves you irritable and unfocused. Once you see the trigger → behavior → outcome chain, you know exactly where to step in and make a change.

Thought vs. Reality Worksheet

Our minds often jump to the worst-case scenario. Writing down the fearful thought alongside the actual likelihood of it happening helps shrink those catastrophic predictions. This tool helps you question: “Is this thought reality, or just fear talking?”

Replacement behaviors

Breaking a cycle of anxiety often means substituting a new action for an old one. Instead of doomscrolling, you might listen to music, take a short walk, or practice a quick breathing exercise. The key is to make these replacement behaviors simple and accessible so you can lean on them when you need to.

Boundaries with news and social media

Laurie recommends limiting how much time you spend consuming news or scrolling on your phone. Setting a clear boundary—like two hours per day—forces you to be intentional and prevents you from falling into endless rabbit holes.

Daily structure and self-talk

A simple daily schedule with clear habits (like a healthy breakfast, a short walk, or a bedtime routine) reduces decision fatigue and helps keep anxiety from dictating your day. Pairing structure with a short motivational script (“I have anxiety, but it doesn’t define me. I can control my thoughts and my actions.”) reinforces consistency and self-belief.

Practice, practice, practice

Laurie emphasized that these tools only work if you use them when you’re not anxious. Just like training for a race, you can’t expect to perform without practice. Running through the Signal Plan or ABC Sheet daily—even during calm moments—builds the muscle memory you need when anxiety is high.

Why this matters for health and life

Anticipatory anxiety doesn’t just keep you from social events or new opportunities—it can directly impact your health. Avoiding workouts, skipping meal prep, or sabotaging routines often stems from fear of failure or “what ifs.” Recognizing the patterns, setting boundaries, and practicing new responses allows you to reclaim control and move forward with confidence.

Managing anticipatory anxiety isn’t about eliminating worry altogether. It’s about learning to notice when it’s happening, interrupting the spiral, and choosing a healthier response. With tools like the Signal Plan, ABC Data Sheet, and replacement behaviors, you can build consistency in your routines and create more space for calm, clarity, and progress.

📌 Listen to the full episode here:

Laurie Singer

Laurie Singer is a licensed Psychotherapist and Board-Certified Behavior Analyst who heads the long-established Laurie Singer Behavioral Services in Camarillo, CA.

Over the last 20 years, she and her team have used an integrated Behavioral and Cognitive therapy strategy to help those facing a wide variety of mental health issues.

Laurie’s first book, You’re Not Crazy: Living with Anxiety, Obsessions and Fetishes, brings readers in to the therapy room via case studies to help them serve as their own “therapist.”

Her next book, due out in the Fall, chronicles the physical and emotional hurdles and successes of this 65-year-old grandmother and decorated endurance athlete.

Website: https://lauriesingerbehavioral.com/
Facebook: https://www.facebook.com/LaurieSingerBehavioral/
Instagram: https://www.instagram.com/laurie__singer/
Buy You’re Not Crazy: Living with Anxiety, Obsessions and Fetishes: https://a.co/d/efNnSVZ 

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To Your Health Podcast is THE self-improvement podcast for women want it all: great health, strong relationships, and fulfilling career. Whether you want to lose weight for the last time, improve your well-being, or use health as the foundation for success in other areas, this podcast is for you.

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