Anxiety has a way of pulling us out of the present — into imagined futures, worst-case scenarios, and racing thoughts. Grounding techniques work by doing the opposite: they anchor your attention in the here and now, where your body can register that you are safe.

1. The 5-4-3-2-1 method. Name five things you can see, four you can touch, three you can hear, two you can smell, and one you can taste. It sounds simple; it is remarkably effective at interrupting spiraling thoughts.

2. Box breathing. Inhale for four counts, hold for four, exhale for four, hold for four. Repeat for two minutes. This directly signals your nervous system to downshift.

3. Temperature change. Hold a warm mug, or run cool water over your wrists. Strong physical sensations bring your attention back to your body.

4. Feet on the floor. Press both feet firmly into the ground and notice the pressure. Say to yourself: right now, in this moment, I am here.

5. Name it to tame it. Simply labeling the feeling — "this is anxiety, and it will pass" — reduces its intensity. Naming an emotion engages the thinking brain and quiets the alarm system.

These tools are not a replacement for treatment, but they are a solid first-aid kit. In therapy, we go further: understanding where the anxiety comes from and changing your relationship with it for good.