Expressive Arts Approaches for Managing Anxiety

Painting with water colors

Guest Post by: Reina Lombardi

Have you ever felt so tired that you couldn’t wait to get in bed only for your brain to fire up as soon as your head hit the pillow? Had your thoughts swirling around one after another about every interaction that occurred that day? What didn’t get done, what could have been done better, what needs to be done tomorrow, the calls you forgot to make, and so on and so forth. This is just one example of how anxiety has presented itself within my life. The consequence of which is often crippling fatigue due to lack of sleep and a negative impact on my level of alertness and ability to function during the day.

Creating Art with Mindful Attention

One of the tools that I have always turned to for life’s stressors is artmaking and journaling. I don’t consider myself to be particularly skillful at either; rather, I approach them as an opportunity to express and release the energy bound within. Practicing letting go of judgement about the outcome of creative practices is an exercise in self-compassion.  It is one that helps us to find value in the process of creating rather than from the end product. It forces one to learn to let go of judging and attributing value based upon one’s ability to produce something “good”.

Mindfulness activities emphasize focusing all of our sensory awareness to what we are experiencing in the present moment without judgement – we simply observe. We can do anything mindfully. Try doing a task you don’t care for while bringing full attention to all of your senses as you are doing it. This can alter our perception of the task itself. It can also help us shift from a feeling of dread to one of tolerance and maybe even appreciation. When we engage in activities mindfully and immerse ourselves in the present moment, we are unable to review incidents from the past or those we are concerned about getting right in future.  It is the construction of meaning about the past and possible outcomes of the future where anxious thinking resides. The act of creation can be a wonderful tool for developing mindfulness.

Bring in some self-compassion

Self-compassion is the act of nurturing and caring for oneself when they feel distressed, disappointed or in pain. It has been positively linked in multiple studies as an effective strategy for anxiety reduction. [i]  Mindfulness, even when brief techniques are taught, has also been effective towards reducing anxiety. [ii] We can practice both mindfulness and self-compassion when we create art. This can become a place for rehearsing these skills in order to generalize them in other areas of our lives. In addition, structured art-making itself has been found to lower levels of the stress hormone Cortisol after just 45 minutes of creating.[iii]

Three Expressive Arts Activities


1. Paint to Music. I start by finding some relaxing music. I prefer to find music sung in languages with which I am not fluent or without lyrics at all for this exercise. Meditation music is excellent for this process. I don’t want my thinking brain to get activated by the lyrics. I set out a palette of watercolor paints, heavy weight cold-pressed paper, several brushes, a cup of water and paper towels for blotting. Then I turn on the music and paint to the music. I allow the music to guide me in the selection of colors and the brush. I make marks according to the tempo and sounds of the music. As I described earlier, I do my best to focus all of my sensory awareness on the experience of doing. I find watercolor to be the best paint medium for this process, but you could also try gouache or acrylic to determine which media works best for you.

 

2. Sensory-focused expressive journaling. In order to maximize getting myself into a relaxed state I begin by imagining or remembering a place and time where I felt extremely centered and relaxed. For me, this is inevitably somewhere in nature. I then begin to write in as much detail describing every sensory experience associated with the image in my mind. What colors are around me? What smells? What sounds? What does the temperature feel like? What was the weather – windy, hot and humid, snowing? I spend as long as it takes to capture every detail of being in the relaxed state.

 

Our brains don’t discriminate between real and perceived stimuli. This is why our nervous system becomes activated when we watch a scary movie. In this exercise we are capitalizing on this process to immerse ourselves in a relaxing picture. This results in our nervous system responding as if we really were laying out on the warm windy salty shoreline of a Caribbean Island against a backdrop of crystal clear aquamarine waves, listening to the squawks of the birds, the rustling of the palms blowing in the wind and the soft crunch of steps in the white sand from people strolling by.

 

3. Mandala drawings. Draw or trace a circle on a piece of paper. Freely create on the paper using line, shape and color. It is okay to create within the circle or outside the circle. Sometimes, I enjoy creating symmetrical patterns. Other times, I utilize words of affirmation within the circle. Other occasions, I might draw a realistic image within the circle. I just allow my hand to begin and see what flows. There are no rules.

 

The origin of the mandala is from the ancient Hindu language Sanskrit and means “circle.”  Mandalas are common imagery throughout human history and prevalent in multiple spiritual and religious traditions. The circle represents the completion of a cycle or a state of being whole. In nature it is a basic foundation of geometry and can found everywhere – sun, moon, earth, eggs, atoms, cells, etc… The circle is considered to be a sacred form. Creating within the circle can feel centering and offer a means of connecting within.



References

[i] Egan, S.J., Rees, C.S., Delalande, J. et al. A Review of Self-Compassion as an Active Ingredient in the Prevention and Treatment of Anxiety and Depression in Young People. Adm Policy Ment Health 49, 385–403 (2022). https://doi.org/10.1007/s10488-021-01170-2

[ii] Call, D., Miron, L., & Orcutt, H. (2014). Effectiveness of brief mindfulness techniques in reducing symptoms of anxiety and stress. Mindfulness5(6), 658-668.

[iii] Kaimal, G., Ray, K., & Muniz, J. (2016). Reduction of cortisol levels and participants' responses following art making. Art therapy33(2), 74-80.

 


Reina Lombardi, ATR-BC, ATCS, LMHC-QS is the owner of Florida Art Therapy Services, LLC in Fort Myers Florida, and the host of the Creative Psychotherapist Podcast.


Elizabeth Cush (LCPC) is a licensed clinical professional counselor, a women’s life coach, and business owner in Annapolis, MD where she hosts Awaken Your Wise Woman a podcast for women who want to live more fully and authentically. She loves helping women reconnect with themselves so that they can live with more purpose. Her coaching work is focused on self-compassion practices, healthy boundaries and making the care of Self a priority.  She’s worked in the mental health field for over 15 years, is a certified clinical trauma professional and she incorporates mindfulness and meditation into her psychotherapy and coaching work.