Worry Postponement

Worry postponement is a practical intervention for clients with generalized anxiety disorder (GAD), designed to manage excessive worry by postponing daily worries and scheduling specific 'worry time'.

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Professional version

Offers theory, guidance, and prompts for mental health professionals. Downloads are in Fillable PDF format where appropriate.

Client version

Includes client-friendly guidance. Downloads are in Fillable PDF format where appropriate.

Editable version (PPT)

An editable Microsoft PowerPoint version of the resource.

Overview

Worry Postponement offers a structured approach to help clients differentiate between real event worries and hypothetical worries. By designating time specifically for worrying clients are provided with an opportunity to test the belief that their worry is uncontrollable.

Originally introduced by Borkovec et al., (1983) as a 'stimulus control' task, worry postponement has been shown to significantly reduce daily worry. Clients often report that worries often lose their urgency or relevance when revisited, and this technique can challenge beliefs about the uncontrollability of worry.

Why Use This Resource?

Worry Postponement is a valuable tool for treating GAD:

  • Reduction Reduction in the frequency and intensity of worry.
  • Understanding Recognizing common worry themes and patterns.
  • Exploration Challenging beliefs around the uncontrollability of worry.
  • Learning Improvement in clients’ ability to delay and manage worry.

Key Benefits

Structure

Provides a clear framework for managing worry.

Awareness

Helps clients recognize recurring worry themes.

Control

Undermines the belief that worry is uncontrollable.

Urgency

Can reduce the feeling of urgency to engage with worries.

Who is this for?

Generalized Anxiety Disorder (GAD)

Excessive worry and anxiety concerning various aspects of life.

Stress

Significant stress and worry impacting daily functioning.

Anxiety

Anxiety disorder where worry is a key feature.

Integrating it into your practice

01

Distinguish

Help clients to understand the distinction between 'real event' and 'hypothetical' worries.

02

Plan

Decide on a specific 'worry time' each day.

03

Guide

Encourage the client to delay engaging with hypothetical worries until this designated period.

04

Reflect

Encourage clients to reflect on the relevance and intensity of their worries over time.

Theoretical Background & Therapist Guidance

Worry postponement is a structured cognitive-behavioral technique that helps clients with generalized anxiety disorder (GAD) develop a different relationship with their worry. Originally introduced by Borkovec et al., (1983) as part of a stimulus control framework, the intervention involves scheduling a daily 'worry time' and deliberately deferring engagement with worries until that time. This technique is rooted in behavioral principles, with the goal of weakening the habitual link between worry cues and immediate cognitive engagement.

Clients with GAD often report that worry feels uncontrollable and urgent, and they may hold positive beliefs about its function — for example, that worrying prepares them for the worst or prevents bad outcomes. Worry postponement helps disrupt this cycle by introducing delay and containment. Clients learn that many of their worries — especially hypothetical ones — lose their emotional intensity or relevance when revisited later. Over time, this can challenge the belief that worry is either helpful or uncontrollable.

Worry postponement can be used in different ways. First, it may be introduced as a practical early intervention in GAD treatment, helping clients observe worry patterns and begin gaining a sense of control (Leahy, Holland, & McGinn, 2012). Second, it can be framed as a behavioral experiment, as described by Wells (2004), in which clients test their metacognitive beliefs about the uncontrollability of worry. In this approach, clients gather experiential evidence about their ability to defer worry without negative consequences.

What's inside

  • Client-friendly instructions for implementing worry postponement.
  • Guidelines for setting up, monitoring, and reviewing 'worry time'.
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FAQs

Worry postponement is a cognitive-behavioral technique where clients schedule a specific time for worrying.
It helps by allowing clients to consciously delay worrying, which often leads to reduced anxiety and shifts beliefs about worry's uncontrollability.
Yes, it can complement other anxiety-reduction strategies, particularly in the early stages of GAD treatment.
Normalize the difficulty and encourage persistence. Some clients find it helpful to make brief notes about their worry before choosing to postpone.

How This Resource Improves Clinical Outcomes

Worry postponement can enhance therapeutic outcomes by:

  • Facilitating greater control over anxiety.
  • Encouraging clients to reconsider negative beliefs about worry.
  • Reducing the overall severity and frequency of worrying.
  • Supporting other therapeutic interventions addressing anxiety and stress management.

References And Further Reading

  • Borkovec, T. D., Wilkinson, L., Folensbee, R., & Lerman, C. (1983). Stimulus control applications to the treatment of worry. Behaviour Research and Therapy, 21(3), 247–251. https://doi.org/10.1016/0005-7967(83)90106-3
  • Leahy, R. L., Holland, S. J. F., & McGinn, L. K. (2012). Treatment plans and interventions for depression and anxiety disorders (2nd ed.). Guilford Press.
  • Wells, A. (2004). A cognitive model of GAD: Metacognitions and pathological worry. In R. G. Heimberg, C. L. Turk, & D. S. Mennin (Eds.), Generalized anxiety disorder: Advances in research and practice (pp. 164–186). Guilford Press.