IFS for Anxiety and Panic Attacks
Quick take: Internal Family Systems (IFS) helps people relate differently to anxiety—befriending the parts of us that worry, panic, or over-prepare—so symptoms can settle instead of escalate. Early research is promising (especially for trauma), and several well-studied mechanisms that calm anxiety (like decentering and self-compassion) are built into IFS. Taylor & Francis OnlinePubMedPMC+1Nature
What is IFS—briefly and simply
IFS says we all have an inner “team” of parts (for example, the Worrier, the Perfectionist, the Inner Critic, the Soother) and a core, compassionate Self. Anxiety often comes from protective parts working overtime to keep us safe. Instead of trying to crush those parts, IFS helps them trust you, so they can relax and let you lead. (If you’re new to IFS, that’s really the heart of it.)
How IFS understands anxiety & panic
When anxiety spikes, different protectors jump in:
Managers try to prevent danger (overthinking, perfectionism, reassurance-seeking).
Firefighters react when anxiety explodes (panic, numbing, compulsions, scrolling, substances).
Exiles carry the vulnerable feelings (fear, shame, helplessness) that anxiety aims to avoid.
IFS helps you unblend from these parts (you are not your panic), befriend them (they’re trying to help), and heal what they’re protecting. As trust grows, anxiety loses its job.
What sessions look like (your step-by-step roadmap)
Map your system
We identify the specific anxiety parts (how they talk, feel, and act), where you sense them in your body, and their triggers. You’ll leave with a simple diagram of your parts so patterns stop feeling random.Unblend & ground
You learn rapid ways to get a little space from the feeling (“A part of me is panicking—and another part is noticing”). We pair that with body-level settling (longer exhales, orienting to the room, feet on the floor). This steadies the nervous system so Self can lead.Befriend protectors
We get curious: What is this part afraid would happen if it relaxed? How long has it held this job? Paradoxically, anxiety eases fastest when it feels heard—not fought.Heal what’s underneath (only when ready)
If protectors agree, we gently visit the roots (memories, meanings, body-held fears) and help the burdened feelings move through. This part is titrated and collaborative—never forced.Rehearse new responses
We practice “future scenes” (e.g., the moment the first flutter hits) so your parts know what to do: pause, unblend, soothe, choose. Between sessions, you’ll use micro-practices (below) to make calm your new default.
A 60-second IFS micro-practice for panic
Name & notice: “A panic part is here; another part is scared of the feeling.”
Unblend by 10%: Imagine the anxious part sitting next to you rather than as you.
Soften the body: Slow exhale (4 in / 6–8 out) + feel your feet + look around and name 3 neutral objects.
Offer care: “I’m with you. You don’t have to fix anything. I’ll handle this conversation/drive/meeting.”
Choose one tiny step: Text support, sip water, step outside, or resume the task at a gentler pace.
These skills are simple, repeatable, and teach your system that you can feel big waves and stay safe.
What does the evidence say?
Promising clinical trials—especially for trauma:
An IFS pilot for adults with PTSD (16 weekly sessions) reported significant symptom reductions; related processes like emotion regulation and self-compassion improved. A hybrid online IFS program (group + individual) showed feasibility and reductions in PTSD severity, with gains in decentering and self-compassion—two processes known to reduce anxiety across therapies. More rigorous trials are ongoing/needed. Taylor & Francis OnlinePubMedWhy IFS may help anxiety (mechanisms):
Independent research (not specific to IFS) shows increases in decentering—stepping back from thoughts/feelings—precede drops in anxiety; self-compassion interventions also reduce anxiety. IFS explicitly trains both via unblending (decentering) and Self-to-part relating (compassion). NaturePMCScienceDirectTransparency matters:
Professional commentaries have noted IFS’s rapid popularity outpacing the research base. As an evidence-oriented clinician, I use IFS within a broad, science-based approach and track outcomes with you. Society for Psychotherapy
Bottom line: IFS is a compassionate, structured way to work with anxiety and panic. Evidence is emerging and encouraging—especially on how it helps (decentering, self-compassion, emotion regulation)—while gold-standard anxiety-specific trials are still catching up. PubMedNature
Who is a good fit?
You’re experiencing panic attacks, chronic worry, health anxiety, or performance anxiety and want tools that honor emotions without fighting them.
You’re open to mind-body skills and brief daily practices.
You want a therapist who is trauma-informed and collaborates with your existing care (primary care, psychiatry, etc.).
If you have active psychosis, mania, or are in a medical emergency, you’ll need a different level of care first; IFS can sometimes be integrated later within a coordinated treatment plan.
What working together looks like
Stabilize (weeks 1–4): parts mapping, unblending skills, personalized panic plan.
Resolve (weeks 5–12): protector work and, when ready, healing what anxiety has been guarding.
Integrate (weeks 13+): rehearsal, relapse-prevention for high-trigger situations, and a sustainable self-care rhythm.
We pace this based on your nervous system—no flooding, no forcing.
Ready to feel different around your anxiety?
If anxiety or panic has been running your days, there’s a gentler way forward. I offer IFS-informed therapy for anxiety and panic (telehealth for adults throughout California).
Reach out for a free consult—we’ll map your goals, answer questions, and design the first steps together.
References (selected): Hodgdon et al., pilot IFS for PTSD; Comeau et al., PARTS feasibility with gains in decentering & self-compassion; Shadick et al., IFS RCT in rheumatoid arthritis; 2025 scoping review of IFS research; reviews on decentering and self-compassion as mechanisms for anxiety relief. Taylor & Francis Online+1PubMed+1PMC+1NatureScienceDirect
Clinical note: This blog is educational and isn’t a substitute for medical or emergency care. If you’re in immediate danger or considering self-harm, call your local emergency number or 988 (U.S.) now.