Kathleen Kawamura, PhD Clinical Psychologist
Kathleen Kawamura, PhDClinical Psychologist 



Mindfulness refers to the practice of observing without judgment your present moment experience. The present moment can be thoughts, feelings, or physical sensations you are experiencing internally, or it can be the sights, sounds, smells, tastes, and sensations from the world around you. As a skill, it means being able to observe what the mind is doing with information that is being presented by the brain.

With regards to anxiety, mindfulness means recognizing when your anxiety is beginning to spiral and rather than immediately reacting, choosing to observe your experience as it unfolds. By sitting with and observing your anxiety and all the thoughts, physical feelings, and urges that come along with it, you will have more space to respond in a way that does not add more pain and suffering to your experience.

Mindfulness is effective because attempts to ignore, escape, fight, or engage with the anxiety in any way often makes the anxiety build up and grow stronger. What you resist, persists. In comparison, mindfulness is about floating with the anxiety, riding the wave, and allowing it to pass through. 

The idea of mindfulness can seem frightening to those with uncontrollable anxiety who have developed the protective habit of shutting out distressing thoughts, feelings, or physical sensations. It can also seem impossible to those whose minds stubbornly latch on to regrets over the past or fears of the future.

Despite these challenges, mindfulness is a skill that has been shown to have many benefits for anxiety and can be developed gradually with time and practice. 


A nonjudgmental awareness of the present moment can allow you to see more clearly, rather than through the cloud of anxiety, whether you are in imminent danger, which will allow you to then make decisions accordingly.

By observing the rise, crest, and fall of your anxiety, you are able to watch and wait, which also gives space for anxiety to slowly dissipate on its own.

As you watch and wait, you may also notice urges to avoid or escape the anxiety and then be able to choose to respond more flexibly, rather than reacting to anxiety automatically or unconsciously in ways that contribute to more problems.

In additdion, mindfulness can help put anxiety into perspective, meaning that even as an important and distressing reality in your present moment, you learn to recognize that anxiety does not have to define your total experience in this world. 

In neurological terms (see the section on the brain in Understanding Anxiety), mindfulness refers to processes occurring in the cortex (the thinking brain). In fact, mindfulness has been shown to be related to increased activity in the cortex rather than decreased activity in the amygdala.

This suggests that in anxiety, the amygdala still sends out an alarm, triggering the fight or flight system, but with mindfulness, the cortex is able to send messages to dampen the amygdala response and the accompanying fight or flight response, which then can allow the relaxation response of the parasympathetic nervous system to unfold.

In essence, mindfulness limits the fuel that is added to the anxiety and keeps from further igniting the anxiety response. This is in comparison to the anxious mind that is typically focused on past failures or future threats.

It may be challenging in the beginning but as new neural connections are being made and developed, the brain is being trained to change your relationship to the present moment and to your anxiety. 


Mindfulness often starts with learning how to focus on the breath because breath awareness can lower baseline anxiety, helps with anxious breathing, is easily accessible, and increases awareness of one’s body, allowing the mind and body to reconnect.

Breathing is also rooted in the now, not in the past nor in the future, and thus focusing on the breath is training your mind to focus on the present moment. Anxiety is constantly trying to pull you away into the questions of “what if” whereas breath awareness anchors you in the “what is.”

Mindfulness can also include focusing on thoughts, sounds, tastes, or an entire experience. Mindfulness practice can be done in short 3-minute sessions and can be done throughout the day in a variety of settings - while brushing your hair, while waiting in line, while eating, while washing the dishes. 

Mindfulness is a process where you pull yourself out of autopilot and learn to re-experience life in the moment. Simple yet profound.

Each time your mind wanders from your breath or from your sensations, you have an opportunity to gently teach your mind how to refocus by observing your mind being pulled, allowing for the pull, and then gently guiding your mind back to your breath or your sensations and allowing the thoughts to pass through without getting caught up in them.

Mindfulness is a conscious decision to act differently, to try something new just for a moment, to not give in to anxiety’s pull, to disengage from anxiety, to accept uncertainty, and to come back repeatedly to the present moment.

Mindfulness is not a natural process of the mind, especially during anxiety, but this ability to recognize the wandering mind and return to the present moment can be strengthened over time and with consistent practice.


Mindfulness has been a powerful addition to cognitive behavioral therapy. Mindfulness Based Stress Reduction (MBSR) and Mindfulness Based Cognitive Therapy (MBCT) have both shown positive effects in treating a variety of mood disorders.

In addition, brain imaging studies have found mindfulness practice to be associated with decreased amygdala activation which is responsible for the fight or flight response.

Brain imaging studies have also found mindfulness practice to be associated with changes in brain structures associated with learning, memory, and mood regulation. 


There are several attitudes that are central to mindfulness:

1) Non-judging:

It is a powerful habit of our minds to constantly categorize our experiences as good, bad, or neutral/boring. Mindfulness teaches us to be more aware of the constant pull to judge or evaluate our experiences and encourages us to step back and observe our experiences without judgment.

During mindfulness meditation, you might be able to recognize evaluative thoughts such as, "This isn't going to work. I can't do this right. I'm so bad at this. This makes me uncomfortable," or "I enjoy this. I hope this doesn't end," or even, "This is boring."

When you notice the mind judging, there is no need to stop it, but rather observe the judging quality of the mind and identify it as judgmental thinking. It is important not to judge the judging, but simply note that it is present.

By learning to recognize these judgments, you will be better equipped to notice them when they come up in your day-to-day life or when you're anxious. Evauative judgments that come with anxiety might be, "This is bad. This is scary. I hate this. This needs to stop."

Mindfulness can help you learn how to step back and shift to observing, "What is happening now? I am having thoughts that this is is dangerous. I am feeling my heart racing. I am wanting to turn around and escape. How shall I respond?" This shift from reacting to observing is an important part of anxiety treatment.

2) Patience

Patience refers to being aware of the internal rush to get through one moment to the next, especially those experiences you might evaluate as painful or uncomfortable and instead, practicing the art of waiting. Patience means allowing the present moment to unfold as it will and sitting with your urges to try to control a situation that may be outside of your control.

With regards to anxiety, this means cultivating patience towards your mind and body. It means accepting an anxious mind or a reactive body, knowing that recovery is a process that takes time.

Patience requires a level of kindness and compassion for yourself and for others.

3) Trust:

Trust is about trusting yourself, including your feelings and your ability to see clearly what is happening to you. It means trusting that your abilities to observe and respond to your mind and body will develop over time and that you are the best person to know what is going on inside you and around you. Trust means learning to let go of control knowing that you will be able to cope with whatever comes your way.  

4) Beginner’s mind:

Beginner's mind is the quality of seeing the world or experiencing a moment as if for the first time and allowing each moment unfold moment to moment. It means engaging directly in an experience without judgment, without comparison to the past, and without expectations for the future.

A beginner’s mind also means being receptive to new possibilities and trying to see the present moment with a clear and uncluttered mind. With regards to anxiety, adopting a beginner’s mind can allow you to observe your current experience of anxiety with a clear and uncluttered mind as it is happening now rather than reacting to expectations based on past experiences.

Mindfulness prevents adding a layer of pain to the distress that already exists and being receptive to new possibilities.

A beginner’s mind can also be used as a way to disengage with anxiety and instead engage with the present moment sensations of smell, touch, taste, or sound similar to a child experiencing the first smell of a flower, the first feel of rain, or the first taste of an orange where each moment is unique.

5) Non-striving:

Those experiences we judge as good we become attached to, want more of, and do not want to lose, whereas those experiences we judge as bad, we feel an aversion to and want to avoid them or get rid of them.

Both are about reactively changing our situation whereas non-striving is about allowing whatever is happening to happen so that instead of striving for an outcome, you learn to see and accept things as they are at least in this moment – the good, the bad, and the ugly.

Non-striving means letting go of expectations of good or bad, liking or disliking, pleasant or unpleasant, and allowing the experience be what it is. By letting things be, you have a better chance of letting go.

This is all important for anxiety because the harder you try to get rid of it, the more powerful and elusive it becomes whereas by stepping back and accepting things as they are seems to loosen anxiety’s hold.

6) Acceptance:

Acceptance means being aware of and acknowledging the way things are in the present moment. In comparison, we often waste energy denying and resisting what is already a fact. We try to force situations to be the way we like which only creates more tension.

Acceptance is a willingness to see things as they really are at least in this moment without trying to impose ideas about what we “should” be feeling or thinking or seeing.

Acceptance and Anxiety:

With regards to anxiety, acceptance means coming to terms with uncertainty and discomfort. It means that regardless of how you feel about it, anxiety is an unpleasant part of your reality at this time, that your fears are causing you suffering, and that those fears may or may not be happen.

Acceptance does not mean you are satisfied with things as they are, that you don’t care, or that you have to stop trying to change things for the better, rather it means recognizing that the pain may be temporary, there may be hope for a better future, and you are learning to manage it more effectively.

Serenity, Courage, and Wisdom: 

There is a saying that we need “the serenity to accept the things we cannot change, the courage to change the things that we can, and the wisdom to know the difference.”

This means that there may be situations in life that we have to be at peace with, but life is not about resignation and succumbing to challenges in our lives, as it also involves courage to move towards reasonable change, working with what we have, and facing difficulties that challenge.

Wisdom comes in learning when it is futile to try to control a situation versus when change is possible - when to work on acceptance versus when to gather courage. Usually it is about balancing the two.

Acceptance of the Past and the Uncertain Future:

Acceptance of the past is related to understanding the impact experiences from your past have had on your current situation, grieving any losses, and then shifting the focus on the present. We cannot change the past, but we can try to minimize the impact it has on us now.

Acceptance of the future is related to tolerating uncertainty about the future and knowing that you are making strides to create a better future for yourself and that you are developing the skills to assist you when the future does not turn out quite as expected. Acceptance of the future is patience, taking it one step at a time, and seeing life as a process.  

Click here for a description of mindfulness based cognitive therapy for anxiety disorders.



  • Full Catastrophe Living by Jon Kabat-Zinn
  • Calming Your Anxious Mind: How Mindfulness and Compassion Can Free You from Anxiety and Panic by Jeffrey Brantley
  • Peaceful Mind: Using Mindfulness and Cognitive Behavioral Psychology to Overcome Depression by John McQuaid and Paula Carmona