Staying steady under pressure is a skill, not a personality trait

What if we could actively manage the effect stress has on us?

Stress is not all bad. Working towards something that matters to us is part of what makes life meaningful. But too much, for too long, wears our body down.

Staying regulated under stress is not a personality trait. It is a skill, and most of us were never taught it.

When stress spikes we tend to do one of two things. We flood: racing thoughts, tight jaw, acting on impulse. Or we shut down and go numb. They look like opposites. Both are dysregulation.

Where I found it

I discovered this skill a few years ago, on a treadmill. Once a week I would set a good pace and run for 90 minutes, watching my heart rate. My aim was to hold the pace at the lowest heart rate possible.

When I noticed tension in my body, I released it. When I noticed difficult feelings, fear, irritation, hurt, sadness, I soothed and comforted them. All the while holding the pace: achieving the goal and minimising the stress on my body.

I call it self-regulation under stress. It is fourth in the order I build these skills in: after recovering from stress, reading what our body is telling us, and managing our energy.

The aim is not to get rid of stress. It is to put some space between the trigger and what we do next.

The practice

The short version takes 2 minutes a day to train (and no running!). It starts in our body.

  1. Arrive. Let your shoulders drop by five per cent. Breathe in gently, and exhale longer than you inhale.
  2. Notice. Name one stress signal in simple words: “tight chest”, “buzzing jaw”, “shallow breath”.
  3. Ask. Ask your stress signal softly: “What are you trying to protect me from?”
  4. Need. Translate the answer you hear into a need: a slower pace, a boundary, reassurance.
  5. Choose. Choose one tiny action: a longer exhale, a pause before replying, stepping outside for a minute.
  6. Check. Notice what shifts, even by five per cent. That’s success.

Arrive. Notice. Ask. Need. Choose. Check.

We repeat it daily until our body does this for us, without us having to remember.

The full version has eleven steps and takes about 8 minutes a day. Still no running.

How strong is the research evidence?

No study has tested this practice as a complete cycle. PsycheVita is evidence-informed and not yet evidence-based: each step borrows from research on something related, and the combination is my clinical judgement. A related idea has been tested. Here it is, with its limits.

Treating stress as a signal, not a fault

Steps 3 and 4 ask us to treat stress as information: something our body is doing for us, not a sign that something is wrong with us.

In one laboratory experiment, 50 young adults were randomly assigned to one of three groups. One group was taught beforehand that the body’s arousal under stress is not harmful, that it evolved to help us meet a challenge, and that it aids performance. The other groups were told to look away from the source of stress, or were told nothing (Jamieson, Nock and Mendes, 2012).

Everyone then gave a five-minute speech, followed by five minutes of mental arithmetic, in front of two evaluators who frowned and crossed their arms throughout.

The group taught to see their arousal as useful showed a more efficient cardiovascular response: their hearts pumped more blood and their blood vessels offered less resistance. Afterwards they were also less distracted by threatening words in an attention test than the group told to look away.

They did not report feeling less stressed, and their mood was no different from the other groups. Their bodies handled the same stress better.

The limits: this is one small study of young adults in a laboratory, measuring what happened in the minutes around a single stressful task. It tested a short lesson about arousal, not the six steps above. It is not the whole skill.

But it is the same idea. We do not have to remove the stress to change what it does to us.

Practise it

The full practice is in 1.1 Self-Regulation Under Stress on PsycheVita. There are follow-along videos to practise with, and written guides if you prefer to work through it by journaling or with a support person.

To see where this skill sits in the order I would build them, start with VitaPath.

Which do you do under pressure: flood, or go quiet?

A note on scope

This is a developmental practice, not therapy or medical treatment. If stress or anger feels unmanageable, or is affecting your health, your work or your relationships, that is a reason to see your GP.

Reference

  • Jamieson, J. P., Nock, M. K. and Mendes, W. B. (2012). Mind over matter: reappraising arousal improves cardiovascular and cognitive responses to stress. Journal of Experimental Psychology: General, 141(3), 417 to 422. doi.org/10.1037/a0025719

What if a prescription could be for a skill, not a pill?

According to the BBC, the independent review into mental health conditions, ADHD and autism suggests that some young people on waiting lists may benefit from non-medical support in the meantime. So what could non-medical support look like?

A prescription has a simple structure. What to take. How much. How often. “Twice a day, with food.” It is clear, it is repeatable, and we know what to do with it.

In August 2025 I asked myself a question. If a medical doctor can prescribe a dose of medication, can we prescribe a dose of psychological skills practice?

I called it a PsycheScription®: a short, guided, follow-along practice for one specific psychological skill, with a dose.

Here is one, for decompressing and recovering from stress (the “do it with me” video is linked at the end):

  1. Sit comfortably and feel your feet on the floor. Let your shoulders drop by five per cent.
  2. Breathe in for a count of three and out for a count of six. Three times.
  3. Rate how activated you feel, from 0 (most relaxed) to 10 (most stressed).
  4. Scan your body for where the tension sits, and name it simply: “tight chest”, “buzzing jaw”. Naming tells our nervous system there is information here, not danger.
  5. Do one tiny thing it seems to need: roll your shoulders, sip water, lengthen your exhale.
  6. Rest in stillness for 60 seconds, then rate 0 to 10 again. What shifted, even by five per cent?
  7. Choose one gentle next step for your day.

Dose: two to five minutes between tasks, every day, plus a longer reset once a week.

The intention with this particular skill is to train an automatic, body-based procedure that helps us:

  • recover from everyday stress, and from being triggered
  • gradually break the circuit of unhealthy “recovery” habits, such as alcohol, nicotine, gambling, shopping or over-eating
  • build the body awareness that later skills depend on: regulating our body and our emotions, and a healthy sense of worth that does not rest on appearance, performance or approval

In more than 20 years and 1,200+ clients, I have found that most difficulties benefit from starting here. It is one skill in a wider curriculum, built in the order we naturally develop.

Why the prescription format? Because many of these patterns were built through repetition, and in my experience they usually change the same way. Insight helps us understand a pattern. Practice makes a new response available under pressure. We do not need a perfect hour. We need a repeatable minute.

A PsycheScription is not a replacement for medication, therapy or crisis support, and it is not a cure. It sits alongside them. If a practice ever makes you feel worse, stop, open your eyes and look around the room.

This is clinical observation, not a trial. PsycheVita is evidence-informed and not yet evidence-based.

If you could prescribe one psychological skill to practise daily, which would it be?

Try the Recovery and Decompression PsycheScription, free to view for a limited time: “do it with me” video. See VitaPath for the order in which to build the skills, and sign up to the PsycheVita newsletter.

The calm one is not the regulated one

In most couples who argue, there is one who gets visibly upset and one who goes quiet. Ask either of them who the dysregulated one is and you will usually get the same answer. Ask the friends. Ask the family. Everybody agrees.

The measurements do not.

What happens in the body of the person who stays calm

Mary Dozier and Roger Kobak put adults through a long interview about their childhoods while recording their skin conductance, which rises with sympathetic arousal. The people who talked about separation, rejection and being frightened by a parent in the most composed, unbothered way, who played the whole thing down, were the ones whose readings climbed most sharply on exactly those questions.

This is the adult version of something I wrote about last week. Infants who have learned to go quiet when a parent leaves look calmer than the ones who cry, and their stress hormones afterwards are higher.

Same shape, forty years apart. The composure is real as a behaviour. It is not a report on the inside.

The claim worth making, and the one that is not

It is tempting to go on from there to “actually the quiet one is the more dysregulated of the two”. I would rather not, because it is not quite honest. On visible disruption and on how bad they feel, the upset partner scores higher. Which of them is more aroused depends on what you choose to measure.

The claim that survives is narrower and more useful. Both of them are aroused. One of them can feel it.

Arousal and access to your own arousal are two different things, and they come apart. That is the whole of it.

Why this makes avoidance the harder pattern to shift

Because you cannot help somebody regulate a feeling they cannot detect.

Attachment anxiety announces itself. It arrives in the room already named, already uncomfortable, already motivating. There is something to work with from the first minute. Deactivation produces no such material. The person is not withholding it. They go looking and find nothing there, and then, often, they apologise for having nothing to say.

The research points the same way. Reviews of what changes during therapy find attachment security going up and attachment anxiety coming down fairly consistently, while the picture for avoidance stays unclear. A meta-analysis of thirty-six studies found that people who start therapy more securely attached do better, and that avoidance specifically predicts poorer outcomes in younger clients.

Why you may never have met one

Here is the part that took me a while to see properly. Avoidance is not the absence of attachment insecurity. It is attachment insecurity with a defence over it that is working.

And because the defence is working, nobody can see the insecurity. Not the partner. Not the friends. Not the person themselves. They are not concealing anything. They look inward and find, accurately, nothing much.

You can watch this break in a laboratory. Mikulincer, Dolev and Shaver asked people to push away thoughts of a relationship ending, and then gave them a second task to do at the same time. With a light load, the avoidant participants pushed the thoughts away completely and thought better of themselves than before. Add enough load, and the suppression failed, and what came up was a set of harsh beliefs about themselves that had not been available a moment earlier. The researchers call these the hidden vulnerabilities of avoidant people.

Real life supplies heavier loads than a laboratory can. Berant, Mikulincer and Shaver followed mothers of babies born with serious heart conditions for seven years, and it was the avoidant mothers whose mental health and marriages deteriorated most over that time, more than the anxious ones. Avoidance is not a strength that holds. It is a strategy that holds until it does not.

Which is when they arrive

So this is a pattern that mostly does not come to therapy on a Tuesday because it has been thinking things over. It comes after something has broken the defence. A bereavement. A marriage ending. Redundancy. Something that happened at work, or in a war, or in a hospital corridor.

And what the person describes is not really the event. It is the state they find themselves in, which is completely unfamiliar and frankly frightening, and they will almost always say some version of “I am not normally like this.”

That sentence gets heard as minimising. It is not. It is an exactly accurate report on how well something has been working for about thirty years.

And then the crisis recedes, and this is the part worth naming: the defence goes back up. The unfamiliar state subsides. The reason for coming disappears. And so, often, do they.

I want to be careful here, because that last bit is my own clinical impression and not something I can show you a study for. But if it is right, it changes what “avoidance is harder to treat” actually means. Not that the pattern resists change. That the window in which the person is reachable is narrow, and closes by itself, and closing is what it feels like to get better.

It would also mean that some of the unclear picture in the research is people leaving before anything could be measured, which is a different problem with a different answer.

What this does not excuse

Everything above explains why a person goes quiet. It says nothing at all about what the silence does to the person on the other end of it, and it must not be allowed to stand in for that.

In England and Wales, controlling or coercive behaviour in an intimate or family relationship is a criminal offence, and sustained silent treatment can form part of such a pattern. The law does not require an intention to harm. It asks whether the person knows, or ought to know, the effect their behaviour has. “I was trying to calm myself down” describes a mechanism. It is not a defence.

What separates the two is not how aroused somebody was. The physiology cannot tell you, because a person can be flooded and punishing at the same time. What separates them is what happens once the effect is known. Somebody whose withdrawal is genuinely a flooding response is usually appalled to learn what it does, and wants to do something about it. A pattern that carries on after its effect has been made plain is a different thing with a different name.

If you are reading this and recognising a pattern that frightens you rather than one that frustrates you, then that is the part to attend to, and it is worth talking to somebody outside the relationship about it.

What actually helps

Not insight, and not being told what you are. A person who cannot feel their own arousal is not helped by being handed the word for it.

The work is building the signal, and it starts lower down than people expect. Noticing that your jaw has set. That your breathing has gone shallow and high. That you have stopped hearing the other person properly. None of that requires you to know what you feel yet. It only requires you to notice that something in your body has changed, which is a smaller and much more learnable thing.

There is a distinction worth knowing about here, because it changes what the work is. For some people the signal exists and drops out under pressure, and the job is to make the pressure survivable so it stays online. For others it was never built in the first place. There is no faint version to recover, and it has to be constructed from the ground up, slowly. In my own caseload, among people carrying difficult childhoods, the second is the more common of the two. Being asked to “just notice what you are feeling” when nothing was ever built to notice with produces blankness, then compliance, then shame. It is worth knowing which problem you have before you start.

And do not take the label home with you

One more thing, because it matters more than it sounds. “Avoidant” is not a kind of person. The same human being withdraws in one relationship and pursues in another, and most of us do both depending on who we are with. If you plotted yourself on the grid in last week’s worksheet and came out in different places for different people, that was not an error. That is how it works.

A caveat that matters, in case you are reading this and it does not fit. What I have described, the insecurity that its owner cannot see, is the dismissing version. There is another kind of avoidance where a person very much can feel the insecurity and pulls away anyway, because closeness has been dangerous rather than merely disappointing. If that is you, nothing here is saying you ought to be feeling less. It is a different arrangement, and it needs writing about separately.

The pattern is something you learned, in particular conditions, with particular people. Which is also why it is something that can be learned differently.

Where to start

The grid worksheet is a reasonable first move if you want to see where you actually sit, relationship by relationship. The previous piece, on why insight alone does not shift any of this, sets out the mechanism. More on the patterns themselves is on the attachment styles page.

References

Dozier, M and Kobak, R R (1992). Psychophysiology in attachment interviews: converging evidence for deactivating strategies. Child Development, 63(6), 1473–1480.

Mikulincer, M, Dolev, T and Shaver, P R (2004). Attachment-related strategies during thought suppression: ironic rebounds and vulnerable self-representations. Journal of Personality and Social Psychology, 87(6), 940–956.

Berant, E, Mikulincer, M and Shaver, P R (2008). Mothers’ attachment style, their mental health, and their children’s emotional vulnerabilities: a 7-year study of children with congenital heart disease. Journal of Personality, 76(1), 31–65.

Spangler, G and Grossmann, K E (1993). Biobehavioral organization in securely and insecurely attached infants. Child Development, 64(5), 1439–1450.

Taylor, P, Rietzschel, J, Danquah, A and Berry, K (2015). Changes in attachment representations during psychological therapy. Psychotherapy Research, 25, 222–238.

Levy, K N, Kivity, Y, Johnson, B N and Gooch, C V (2018). Adult attachment as a predictor and moderator of psychotherapy outcome: a meta-analysis. Journal of Clinical Psychology, 74(11), 1996–2013.

Serious Crime Act 2015, section 76, as amended by the Domestic Abuse Act 2021.

Symptoms are signals. Skills can be practised.

Symptoms are signals. Signals that key psychological skills are being outrun. Skills can be practised. Symptoms can be alleviated.

The independent review into mental health conditions, ADHD and autism, chaired by Prof Peter Fonagy, was published on 9 October. I have read the BBC’s summary, not the full report.

According to the BBC, the review sees a growing risk of over-diagnosis for ADHD and autism, but not for mental health: distress among young people is real and rising. It also warns that a label can define a young person by their difficulties rather than their strengths.

I want to add something from the consulting room. I studied the biochemistry of mood and behaviour at university, so I take biology seriously. And biology is not the whole story.

In more than twenty years and 1,200+ clients, I have worked with people carrying a wide range of diagnoses: anxiety, depression, PTSD, bipolar disorder, borderline personality disorder, ADHD, autism. Often several at once.

Whatever the label, and whatever its causes, I have seen difficulties improve. Improve is not cure. What changes is what a person can do with what happens to them.

In my experience, almost everyone I have worked with improves at least somewhat as they build three core skills:

  1. Noticing what is happening in our body, and regulating our response
  2. Naming the emotion we are feeling, and responding to it appropriately
  3. Holding a healthy sense of our own worth that does not depend on appearance, performance or approval

Often these three relieve much of the suffering. They are also the base for what comes next: impulse and attention control, self-reflection, healthy relationships, purpose and meaning.

And they make it possible to change implicit relational knowing: what we learned about how to be with other people before we had thoughts or words for it. That is where many enduring, “treatment resistant” difficulties begin.

I have come to see symptoms as signals: the demands a person faces have outrun the skills they can reach under pressure. And skills, unlike labels, can be practised. A few minutes a day, every day, is often where change happens.

This is not an argument against diagnosis or medication. A diagnosis can open the door to support, and for some conditions medical care is essential. Skills practice sits alongside it.

According to the BBC, a third of young people referred to mental health services wait more than a year. The review suggests some may benefit from non-medical support in the meantime. I would like that to include short, daily skills practice.

This is clinical observation, not a trial. PsycheVita is evidence-informed and not yet evidence-based.

What psychological skill would you want a young person on a waiting list to be practising?

Short, daily skills practices are on PsycheVita.

What supervisors bring to supervision of supervision

Supervisors carry a particular kind of risk. You are responsible for work you never see.

You work from an account, given by somebody doing their best, who does not always know what they have left out. Sometimes what they left out is the thing that mattered.

You are not working blind

This is the part that rarely gets named. You often know something before you can say it. A quiet sense that something is not quite right, assembled out of tone, hesitation, what gets mentioned twice and what never gets mentioned at all. Sometimes you even sense what it might be.

The literature calls this implicit relational knowing. I think of it as over the horizon empathy. You are picking up something that has not yet come into view.

It is worth being clear about how this differs from what happens in the consulting room. A therapist’s countertransference is a response to somebody sitting in front of them. A supervisor’s is a response to somebody who is not in the room at all, assembled second hand, and often from pieces separated by months.

Say a supervisee mentioned, months ago and in passing, some difficulty in their own relationship. They are now talking warmly about a new client, and that client happens to be the same gender as their partner.

Nothing in that is evidence of anything. People have difficulties. Practitioners like their clients.

And yet.

A perception you cannot use

You cannot put it to them as a conclusion, because you might be wrong, and being wrong in that particular way would damage the relationship you need in order to be any use.

You also cannot ignore it, because the times it turns out to be right are the times it mattered most.

So it has to go somewhere before it goes to them. Somewhere to ask whether this is about your supervisee or about you, and to find what a sayable version would sound like.

That is an argument for supervision of supervision that has nothing to do with seniority, hours or governance. It is structural. You are holding a perception you cannot act on, and you need a third position in order to make it usable.

The rest of what supervisors bring

  • A supervisee whose competence you have started to doubt, while you are the one carrying the risk.
  • A supervisee you can feel is not telling you something, and you cannot yet say what.
  • Parallel process. You and your supervisee stuck in the same shape as their client work, and neither of you able to see it from inside it.
  • A fitness to practise judgement that has to be made about somebody you like.
  • A supervisee whose client is at risk, where the supervisee is minimising and you are not.
  • Being supervisor and line manager at once, and holding both without one corrupting the other.
  • A supervisory relationship that has quietly become comfortable after several years.
  • Supervising somebody more experienced than you, or working in a modality you do not practise.
  • A supervisee under investigation by their professional body.
  • A supervisee who has to attend a coroner’s court following a client’s death by suicide.

Almost none of those is a clinical question. They are questions about judgement, about risk, and about what you carry on somebody else’s behalf.

Where these conversations currently go

Mostly nowhere. Supervisors have colleagues, and they have their own supervision, but that supervision was often set up for the client work rather than the supervisory work. So the hardest part of the role gets discussed in the gaps, or not at all.

That is what supervision of supervision is for. Not more oversight. A place for the part of the job nobody else is holding with you.

I supervise supervisors, people training to be supervisors, people who train supervisors, and people delivering therapy training courses. How I work, including a single urgent consultation when something will not wait, is set out on the supervision page. There are free worksheets for practitioners, including one on countertransference, on the worksheets page.