Anxiety Operating Manual

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Module 5: Applying the Manual Across Life Domains

Lesson 5.2: Managing Anxiety at Work and in Meetings

Five cards pairing work anxiety patterns such as performance dread and perfectionism with the course tools that address each.

For high-functioning people, work is often where anxiety is both most active and most hidden. You may be seen as capable, even calm, while running a constant internal commentary of what-ifs. This lesson applies your tools to the most common work triggers.

The five common work anxiety patterns

Pattern What it looks like Primary tools
Performance and evaluation Dread before presentations and reviews; replaying afterward Four-Question Check, Real-Time Toolkit, exposure
Inbox and availability Constant checking; anxious when offline Uncertainty Reps, set check times
Perfectionism and over-preparing Hours polishing; missing deadlines to get it “right” “Good enough” reps, time-boxing
Conflict and difficult conversations Avoiding feedback, confrontation, and saying no Exposure ladder, scripts
Overload and control Refusing to delegate; working late to feel safe Worry Sort, delegation reps, values (Lesson 6.1)

Before, during, and after: the meeting protocol

Before (the night before or morning of):

  1. Prepare reasonably. Set a time limit for preparation, such as 60 minutes for a routine presentation. Ask, “Is this extra prep making the outcome better, or just making me feel more certain?”
  2. Pre-decide your Navigate moves (Lesson 4.1): your Tier 1 tool and your pause script.
  3. Run the Four-Question Check on your hot thought about the meeting.
  4. Fuel your body. Eat something, keep caffeine moderate, and take a short walk beforehand.

During:

  1. Arrive a few minutes early. Orient yourself: look around the room and feel your feet on the floor.
  2. Relabel your arousal: “This is energy for the task.”
  3. Use Tier 1 tools as needed: 4-6 breaths, unclench the three, a slow sip of water.
  4. Stay present. Focus outward on what people are saying, not inward on how you’re coming across. Anxiety pulls attention inward. Deliberately put it back on the conversation.

After:

  1. Finish the stress cycle. Take a walk, climb stairs, or shake it out.
  2. Limit replay. Allow one five-minute review: “What went well? What would I do differently?” After that, park any further replaying for your Worry Window.
  3. Log what you learned, especially where your predictions didn’t come true.

The replay trap

Many anxious professionals spend hours after a meeting replaying what they said, how it landed, and what people thought. This is called post-event processing, and it tends to keep social and performance anxiety going. Your tools:

  • One structured review, then stop.
  • The Four-Question Check on the hot thought (“They think I’m an idiot”).
  • Park it. “Replay goes to the Worry Window.”
  • Redirect to an absorbing task.

Perfectionism reps

If over-preparing is your pattern, try Uncertainty Reps in the form of “good enough” reps:

  • Send an internal email after one read-through.
  • Time-box a task, and submit it when the time’s up.
  • Share a draft at 80%.
  • Leave one small, low-stakes imperfection in place, like a slightly plain slide.

Then track what actually happens. Usually, nothing bad does, and you’ve bought back hours.

Scripts for common work situations

  • Saying no: “I want to do this well, and I can’t take it on this week without dropping ___. Which should I prioritize?”
  • Asking for clarity when a message feels ominous: “Quick check. Is there anything specific you’d like me to prepare for our chat?”
  • Buying time on a hard question: “Let me look into that and get back to you by ___.”
  • Giving feedback: “Can I share an observation? When ___ happened, the effect was . Could we try ?”

Boundaries around availability

If your inbox is a constant trigger:

  • Choose set email-check times (for example, four times a day).
  • Turn off non-essential notifications.
  • Set expectations: “I check email at these times. For anything urgent, call me.”
  • Create a shutdown ritual at the end of the workday. List tomorrow’s first task, close all tabs, and say “done for today.”

Imagine this

Imagine Daniel, a VP of product, who prepares for every executive review until 1am. He sets a two-hour prep cap, runs the Four-Question Check on “They’ll find a hole in my plan,” and accepts “They might, and I’ll say I’ll follow up.” In the review, someone does find a gap. Daniel uses his script: “Good catch. I’ll come back with numbers by Thursday.” Nothing collapses. He sleeps six more hours that week than usual.

Action Step

Complete Worksheet 5.2: My Work Anxiety Plan. Identify your top two work patterns, fill in the Before/During/After meeting protocol for one recurring meeting, write three scripts in your own words, and design one availability boundary. Try the meeting protocol at least twice this week.

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