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Disordered: Anxiety Help

Overcoming Anxiety: The Role of Attention (Episode 144)

Disordered: Anxiety Help

Josh Fletcher and Drew Linsalata

Health & Fitness, Mental Health

4.9 • 665 Ratings

🗓️ 13 February 2026

⏱️ 42 minutes

🧾️ Download transcript

Summary

Questions about this episode? Want to interact with Drew, Josh, and other members of the Disordered audience? Check out the Disordered Community Space!

https://disordered.fm/community

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This episode of Disordered explores the vital role of attention in anxiety recovery. Josh and Drew discuss the core skill of moving your attention while feeling high levels of fear.

Many people struggling with anxiety disorders feel their attention is glued to symptoms or intrusive thoughts. Josh describes this as "threat-induced attention," which is a survival mechanism where the brain locks onto perceived danger. You always have agency over your attention. Recovery involves building an "attention muscle" to acknowledge the fear and choose a different focus.

  • Confidence in Attention: Josh shares a personal breakthrough where he felt a massive adrenaline rush on a bus but chose to read a newspaper anyway. This desensitization happened because he trusted his ability to move his attention despite the discomfort.

  • The "Checking State" Trap: Drew explains that many common calming techniques backfire. If you use them to force anxiety away, you end up hyper-focusing on your internal state to see if they worked. This keeps you trapped in the threat cycle.

  • Facing the "Bear": Using a metaphor of a bear in a campsite, the hosts explain that looking away from the anxiety tells the brain the emergency is over. Staring at the anxiety only confirms to your nervous system that you are still under threat.

  • Practical Application: Whether going to the dentist or taking a train, the goal is to move attention toward meaningful tasks rather than internal monitoring.


"The only way to show the brain and the amygdala that this isn't a threat is to show it with our attention... that this isn't important." — Josh


"We cannot operate directly on your anxiety... we can only operate on the way you interact with it." — Drew


Building confidence in your attention is a gradual process rooted in Acceptance and Commitment Therapy (ACT) and Metacognitive Therapy. It requires bravery to look away from the fear to find the path to long-term psychological flexibility.

Transcript

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0:00.0

I knew I was getting better, desensitizing, when I trusted the confidence in my attention.

0:09.2

That internal experience of being afraid or triggered or uncertain or vulnerable is too much.

0:13.9

The feeling is it's too much for me to handle.

0:16.8

I just get glued to it.

0:18.7

It grabs my attention and I can't get away from it and it feels like it's going to drown me.

0:23.4

Our attention locks in, just like it did for our ancestors on threats.

0:27.6

Yeah.

0:28.7

And when it locks in on us, it's like threat-induced attention.

0:34.2

When we try to teach the amygdala this isn't a threat,

0:38.2

the first thing, and I would argue even our only thing,

0:43.2

is to show the brain and the amygdala with our attention,

0:46.8

which like you say, Drew, we always have agency in.

0:53.3

Welcome to Disordered. This is episode 144 entitled Confidence in Your Attention. I'm Joshua Fletcher, also known as Anxiety Josh. I'm a psychotherapist and author based in Manchester in the UK. Specialize in working with anxiety and anxiety disorders after spending many years struggling with

1:11.9

them myself. It's a privilege to be the co-host of this wonderful podcast, and I am joined by

1:18.0

Drew Lin Salata, coming to you from New York, where I'm also a therapist that specializes in

1:22.6

treating in anxiety and anxiety disorders and a former sufferer and an author on this topic

1:27.0

and the other guy

1:28.3

undisordered that's all I'm going to say you ain't going to get any more ahead of me what are we

1:32.2

talking well it's very humble of you I'm trying trying yeah we're going to talk about confidence

1:37.2

in our attention today but let's uh let's jump into the uh the community and see what we've got

1:43.7

what we got in the in the magic box?

1:45.3

Oh, we got this.

...

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