Why worry moves from one subject to the next — Gisela Ramirez
Generalised Anxiety Disorder (GAD)

Why worry moves from one subject to the next

Gisela Ramirez4 min read19 May 2025

You settle one worry and it lands on the next. If there is always a subject available, the problem is the process, and the process does not care what it is about.

You dealt with the thing about work. You checked, you planned, you sent the email, and for a moment it was settled. Then, before you had even noticed the gap, the worry was somewhere else. Money. Your child's cough. Something you said in a meeting last year. Each one feels genuinely urgent while you are in it, and there is always another one waiting.

If this is your experience, I want to offer a way of seeing it that most people find both uncomfortable and relieving. The problem is the process, and the process does not care what it is about.

The tell

Solve any individual worry and watch what happens. If the worrying stopped, it was a problem. If it moved, within hours or days, to a new subject that now feels just as pressing, you have a worry habit that is using subjects as fuel.

People with generalised anxiety are often very good at solving the individual worries. They are the reliable ones, the person who has spotted the problem before anyone else raised it, who books early, who checks. That competence is real. It also keeps the worry in business, because when nothing goes wrong the worry takes the credit, and the belief that worrying is what kept the bad thing away gets a little stronger.

Why arguing with each worry does not work

The natural response to a worry is to engage with it: think it through, reassure yourself, check, plan. With a genuine problem this works. With a worry process it makes things worse, for two reasons.

First, there are too many of them, and a new one arrives as soon as you settle the last. You cannot win a game where the opponent has infinite pieces.

Second, engaging with a worry teaches your mind that worries deserve engagement. Every time you take one seriously enough to work through it, you confirm that this is the kind of thought that needs working through, and the next one comes in louder.

This is why, in the CBT I do for generalised anxiety, we do not spend much time on the content of individual worries. We go after what worry is doing for you, and what you believe about it.

What worry is doing for you

Most people who worry a lot hold, somewhere, the belief that it helps. That thinking it through is what prepares them. That if they stopped, something would be missed. This belief is almost never examined, because examining it feels dangerous: what if I stop and the thing happens?

There is usually a second belief, running alongside and contradicting the first: that the worry is uncontrollable. That it just happens, and there is nothing to be done except ride it out.

Both beliefs are testable, and we test them by running experiments in your own week. What actually happened when you postponed a worry to a set time instead of engaging with it now? What was the outcome when you did not check? The records from those experiments do more than any amount of reassurance, because they are your evidence, not mine.

The body has been in on it

Worry shows up in the body too. A body that has been braced for a long time stops noticing that it is braced: tight shoulders, a clenched jaw, tiredness that sleep does not fix, a stomach that reacts before you consciously know anything is wrong. Part of the work is coming back into the body after a day of that, and part is noticing that the physical tension is often the first sign that the process has started, before the subject has even been chosen.

Getting the off switch back

I am not going to try to make you stop worrying altogether. That would not be a realistic target, and some worry is useful: it is what makes you check the booking and notice the thing that needs fixing. What we are after is the difference between worry that produces an action and worry that only produces more worry.

By the end, most people still worry sometimes. What they describe is the worry having an off switch again. It finishes, it stays in proportion, and it stops following them to bed.

If you have noticed that solving one worry only makes room for the next, there is more on how I treat generalised anxiety, and on how it differs from the other kinds of anxiety.