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13 min 29 sec
Available in:English

The Anxiety & Phobia Workbook

A practical plan for easing panic, phobias and chronic worry by working on several levels at once: daily relaxation, exercise, gradual exposure, better self-talk, gentler personality habits, steadier blood sugar and a clearer sense of purpose.

Table of Content

If anxiety is shaping your days, advice to just relax or think positively probably feels thin, because the problem rarely has one cause. In The Anxiety & Phobia Workbook, Edmund J. Bourne argues that panic, phobias and anxiety grow from several causes acting together: predisposing conditions from early life, biological factors, a triggering stressor, and habits that keep the anxiety going. He has treated anxiety disorders for more than three decades, and his central point follows from that layered picture. Because anxiety is built on many levels, recovery works best when you act on many levels together, and keep acting, day after day.

In practice that means daily relaxation, exercise and gradual exposure to what you fear. It also means a closer look at your self-talk, your personality, your plate and your sense of purpose. Each piece is modest on its own. Combined and practiced, they give you a plan for managing your symptoms instead of being managed by them.

A move, a new job and a new baby can each be handled alone. Arriving together, they can build into something far bigger. Bourne’s map of anxiety’s causes shows which of them you can actually change.

Saying you are too busy to relax sounds like a fact about your calendar. Bourne hears it as a symptom, and he prescribes a specific daily dose that reaches far beyond feeling calm.

Staying home or skipping the party feels like protection. Bourne argues it is one of the things keeping the fear alive, and he lays out the slow, deliberate method that loosens its hold.

Many anxious people carry a running commentary that forecasts the worst and insists they deserve little better. Bourne offers a short routine for the moment that voice speaks up.

People prone to anxiety are often creative and deeply empathetic. The same people tend to carry a few traits that keep them on edge, and Bourne shows where each one comes from.

A racing heart, trembling hands and light-headedness can feel like panic arriving. Sometimes the cause sits on your plate, and Bourne explains when food should come first and when medication earns a place.

Bourne’s workbook adds up to a refusal to treat anxiety as only a brain problem or only a thinking problem. It is built from early experience, body chemistry, piled-up stress and daily habits, so it gives way when all of those are worked on together.

He closes on purpose. Anxiety can take up so much of the mind that the larger aims of a life drop out of sight, and it often travels with depression. So he asks readers to look honestly at their work and their life and ask whether both fit what they truly want and value. Take an inventory of what matters to you, name your north star, and set short-term and long-term goals that keep you moving toward it.

The weekly practice is modest. Give relaxation its half hour, walk briskly most days, take one planned step toward a feared situation several times a week, and when a catastrophic thought appears, catch it, stop it, breathe and replace it. Eat so your blood sugar stays steady. None of this is dramatic, and that is why it holds. Anxiety grew from many small layers of stress, and it loosens the same way, one layer and one practiced day at a time.

About this book

What is this book about?

Anxiety is one of the most common mental health problems there is, yet most people who live with it never look for treatment. General advice on living more happily is everywhere, but for real anxiety there are no simple fixes, since the fear tends to have several roots at once. Edmund J. Bourne has spent more than three decades treating anxiety disorders. He argues that panic, phobias and constant worry come from layers that work together: an early-life tendency, the body's chemistry, a recent upheaval, and the daily habits that keep fear alive. So recovery has to work on several levels too. The workbook turns that idea into a routine. It covers daily relaxation and aerobic exercise, gradual exposure to feared situations, and a four-step method for catching and replacing catastrophic self-talk. It also looks at the personality traits that feed anxiety, such as perfectionism and the need for control. Then it moves to the plate and the pharmacy, explaining how low blood sugar can feel like panic and when medication can help. Readers finish with a plan they can follow every week, and with a reason to reconnect their recovery to what they value most.

Book Information

Rating:

Genre:

Mental Health & Wellbeing

Topics:

Anxiety, Self-Talk, Stress

Publisher:

New Harbinger Publications

Language:

English

Narrator:

Emily

First published:

August 2, 1990

Pages:

494

Length:

13 min 29 sec

Get the book:

Amazon

Who it's for

  • Living with anxiety disorders

    People with panic attacks, phobias or social anxiety who want a structured plan beyond advice to relax.

  • Busy professionals under stress

    Busy professionals whose stress has been piling up through job changes, moves or family events.

  • Perfectionists and people-pleasers

    Perfectionists and people-pleasers who suspect their habits keep their worry going.

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About the Author

Edmund J. Bourne

Edmund J. Bourne, Ph.D., has treated anxiety disorders for more than three decades and for many years directed the Anxiety Treatment Center in San Jose and Santa Rosa, California. The Anxiety & Phobia Workbook first appeared in 1990, won a Benjamin Franklin Book Award in psychology and reached its 8th edition in July 2025. His other books include Coping with Anxiety, Pocket Therapy for Anxiety and Natural Relief for Anxiety.

Ratings & Reviews

Ratings at a glance

3.9

Overall score based on 50 ratings.

What people think

Listeners find the workbook effective for grasping and handling anxiety, particularly panic disorders, and value the accessible breakdowns of difficult notions and hands-on drills. The work is articulately written and systematic, with one listener highlighting its division into four specific parts. Although some find the text easy to follow, others view it as too dense.

Top reviews

Laor

Finally got around to working through this hefty manual after my therapist mentioned it. It is incredibly well-organized into four distinct sections that guide you from the biological roots of fear to cognitive restructuring. I particularly enjoyed the progressive muscle relaxation exercises because they offer immediate physical relief during high-stress weeks. Truth be told, some of the charts feel a bit dated, but the core strategies for de-escalating a panic attack are absolute gold. It is an easy read despite the dense subject matter, making it accessible for those of us who feel too overwhelmed to focus on complex medical texts. This is a must-have resource for your nightstand if you struggle with chronic worry.

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Fatima

This workbook provides a remarkably clear roadmap for navigating the labyrinth of phobias and social anxiety. The self-diagnostic surveys at the beginning are worth the price alone because they help you pinpoint exactly which 'mistaken beliefs' are fueling your distress. I appreciated the structured approach to desensitization, though the section on nutrition felt a little speculative and lacked the rigorous evidence found in the earlier chapters. Still, the breakdown of how stress impacts the body is fantastic for anyone needing a logical explanation for their physical symptoms. It manages to be both comprehensive and practical, avoiding the useless fluff often found in the self-help genre.

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Charles

Wow, just wow. This book actually changed the way I view my daily interactions and those 'weird' physical sensations I used to ignore. I never realized that my constant need for control was a direct byproduct of my anxiety until I read the chapter on traits that perpetuate these disorders. The lists of self-nurturing activities are a breath of fresh air, even if I decided to skip the bits about baths and stuffed animals. It’s organized so logically that you can jump to the section you need without feeling lost in the weeds. If you are tired of feeling like your brain is attacking you, give this a real shot. It really is a lifesaver for the modern world.

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Kanokporn

Ever wonder why your heart starts racing for no reason? This book gives you the 'why' and then hands you the 'how' to fix it. I loved the variety of coping techniques, from deep breathing to identifying the specific triggers that set off a phobia. The writing style is direct and encouraging, though it can get a bit clinical when discussing the different types of medication. My only real gripe is that it is quite bulky and heavy, which makes it a bit difficult to carry around for daily practice. Regardless, the 'Self-Nurturing' list gave me some great ideas for self-care that I had not considered before. It is a comprehensive guide that actually respects the reader's intelligence.

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Cee

Highly recommended by my counselor, this workbook serves as a fantastic companion to actual therapy sessions. The layout is great, with four sections that allow you to tackle the physical, emotional, and cognitive aspects of anxiety separately. I found the section on 'Inner Child' healing to be a bit corny, but the core exercises on relaxation and mistaken beliefs are undeniably effective. It is a bit of an easy read once you get past the scientific jargon in the first few chapters. Not gonna lie, I think everyone could benefit from the sections on goal setting and downtime. It is a life-changing resource for those ready to put in the actual work.

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Ice

The chapter on panic attacks is arguably the most helpful thing I’ve read in years. Bourne breaks down the biology of fear in a way that makes the scary sensations feel manageable rather than life-threatening. Frankly, the book is quite long, and the sheer volume of exercises can feel daunting if you’re already in a low-energy state. However, the section on 'Mistaken Beliefs' helped me identify why I always feel like I must be perfectly competent in every situation. I did find the author's take on personal responsibility a bit polarizing at times, as it ignores some external stressors. It is a great workbook to have, but I suggest taking it slow so you do not burn out.

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Isaiah

As someone who has lived with GAD for over a decade, I found the holistic approach in this workbook to be very refreshing. It does not just focus on the mental aspect; it looks at your entire life, including sleep, exercise, and even the 'Self-Affirmations' listed in the appendix. The section on exposure therapy was particularly well-explained, providing a safe way to face fears without feeling completely overwhelmed. Some of the language is definitely stuck in the past, especially the visualization exercises that refer to specific decades like the 80s. However, the practical advice on how to handle 'what-if' thinking has helped me cut my worry time in half. It is well worth the investment for the worksheets alone.

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Pornpimon

While the technical explanations of anxiety disorders are top-tier, the middle section of the book started to feel slightly repetitive for me. Bourne seems to cycle through the same breathing and meditation exercises for every single phobia mentioned, which made me want to skip ahead to find something new. To be fair, the 'Feeling Journal' is a solid concept, but it is hard to imagine sitting down to write while in the throes of a major panic event. I also struggled with the 'Inner Child' visualization stuff; it felt a bit too New Age and disconnected from the more clinical tone of the first half. It is a useful tool, but be prepared to filter out the parts that do not resonate with your personality.

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Felix

To be fair, Bourne has created a very thorough encyclopedia of anxiety, but it can be a bit complicated for a beginner to navigate. There are so many chapters and subsections that I found myself getting lost in the 'Biological Causes' versus 'Triggering Causes.' I really appreciated the charts that help differentiate between a simple phobia and a full-blown panic disorder, as that distinction was always blurry for me. I did think the 'Listening Partner' idea was a bit impractical for those of us who do not have a large support system. Despite these minor issues, the cognitive-behavioral tools provided here are much better than what you will find in most cheaper self-help books. It is a solid three-star for me because of the density.

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New

Look, I really wanted to love this given the high praise, but the author's tone in the 'Taking Responsibility' section rubbed me the wrong way. He implies that we are essentially holding onto our disorders, which feels like a slap in the face to anyone dealing with complex trauma or systemic issues. Some of the advice on time management and exercise also comes off as a bit elitist, assuming everyone has the privilege of free time and gym memberships. While the surveys for diagnosing phobias are legitimately helpful, the 'Inner Child' scripts felt incredibly dated and even alienating for younger readers born after the 90s. It is a decent resource for basic anxiety, but it misses the mark on the nuance of lived experience.

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Questions about this book

Edmund J. Bourne argues that anxiety disorders come from several layers of causes working together: predisposing factors such as childhood conditions, biological ones such as low blood sugar, triggering stressors like a divorce or a new job, and maintaining habits like avoidance and negative self-talk. Because the causes are layered, recovery has to be too, combining relaxation, exercise, exposure, better self-talk, diet and attention to personal values.

Bourne sees anxiety as a forecast of bad outcomes about something unknown, such as what will happen outside the house or in a social situation. Exposure replaces that unknown with experience. You create a step-by-step plan that increases contact with the feared situation gradually, using coping strategies along the way, and you practice a minimum of three to five days each week. Over time symptoms ease and confidence grows.

Bourne first asks readers to notice their thought patterns, since many come from mistaken beliefs about catastrophe or personal worth. When a negative thought appears, he suggests four steps: recognize it, stop it, relax, and replace it with a positive, rational statement. Repeating affirmations helps the new statements take hold, and the relaxing step draws on the daily relaxation practice he recommends.

Bourne advises weighing medication case by case with a doctor, because side effects are a real concern. He prefers trying natural methods first: nutrition, exercise, relaxation and social support. He does see a role for anti-anxiety medication in some cases, for example helping someone with severe social anxiety or agoraphobia through the difficult first stages of gradual exposure.

Yes. Bourne notes that too much caffeine can increase anxious feelings, and that hypoglycemia, or low blood sugar, produces symptoms like palpitations, trembling, weakness and light-headedness that resemble anxiety. He recommends a balanced diet with fewer simple sugars, more complex carbohydrates and well-timed protein snacks, which he says can reduce anxiety, emotional swings and vulnerability to panic.

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The Anxiety & Phobia Workbook

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