Anxiety attacks can feel overwhelming, sudden, and physically intense. For many individuals, symptoms such as rapid heartbeat, shallow breathing, racing thoughts, dizziness, or a sense of losing control can make it difficult to feel grounded in the moment. During these episodes, learning practical coping strategies that help calm the nervous system can make a meaningful difference.

One simple yet effective grounding method used by many therapists is using ice as a sensory distraction during anxiety or panic attacks. This technique focuses on engaging the senses to redirect attention away from anxious thoughts and back to the present moment.
Below, we explore how this method works, how to use it safely, why it can be effective, and when professional support may be helpful.
Anxiety attacks occur when the body’s fight-or-flight response becomes activated, even when there is no immediate danger. This response is controlled by the autonomic nervous system and can cause:
When anxiety escalates, the brain focuses on perceived threats, often amplifying distressing thoughts. Grounding techniques work by shifting attention from internal anxiety to external physical sensations, helping the nervous system regulate itself.
Using ice during an anxiety attack is a form of sensory grounding. Cold temperatures provide a strong physical sensation that captures attention and interrupts anxious thought loops.
Find Ice or an Ice Pack : Locate a piece of ice, frozen gel pack, or even a cold object from the freezer.
Hold the Ice in Your Hand : Place the ice in your palm or wrap it lightly in a cloth if the cold feels too intense.
Focus on the Sensation : Pay close attention to:
The cold temperature
The texture of the ice
The contrast between the cold ice and your body’s warmth
Practice Deep, Controlled Breathing : While holding the ice:
Inhale slowly through your nose
Exhale gently through your mouth
Focus on the rhythm of your breath
Stay Present : Notice changes as the ice melts. Observe sensations without judgment. This mindful awareness helps anchor you in the present moment.
This combination of sensory input and breathing can calm the nervous system and reduce the intensity of anxiety symptoms.
Sensory grounding techniques, like holding ice, work because they:
Cold exposure may also stimulate the vagus nerve, which plays a role in calming the body and regulating stress responses. For some individuals, this can lead to a noticeable reduction in panic symptoms.
While sensory distraction can provide temporary relief, anxiety often stems from negative or irrational thought patterns. Alongside grounding, it can be helpful to gently challenge anxious thoughts.
Reframing Anxious Thoughts
Ask yourself:
Replacing catastrophic thoughts with more realistic ones can reduce long-term anxiety and prevent future episodes from escalating.
It’s important to remember that using ice as a distraction technique does not work for everyone. Anxiety management is highly personal, and different tools resonate with different individuals.
If you notice that:
It may be beneficial to explore additional grounding strategies or seek professional support.
If ice is not effective, alternatives include:
A mental health professional can help identify which strategies are most effective for your unique needs.
While self-help techniques are valuable, ongoing anxiety may require structured therapeutic support. A licensed mental health therapist can help you:
Professional therapy provides a safe, supportive environment to explore anxiety and regain a sense of control and confidence.
STL Mental Health is a trusted mental health therapy practice located in Creve Coeur, Missouri, serving individuals and families throughout the St. Louis area.
The practice is supported by a team of licensed mental health therapists who work collaboratively to provide compassionate, evidence-based care.
STL Mental Health (Pearlman & Associates) specializes in supporting individuals facing anxiety, depression, relationship challenges, and other mental health concerns.
Location:
655 Craig Road, Suite 300
St. Louis, MO 63141
Phone: 314-942-1147
Email: bryan@stlmentalhealth.com
👉 Learn more or schedule an appointment:
https://www.stlmentalhealth.com/contact-us/
For further reading on anxiety management and grounding techniques, explore:
These evidence-based resources provide complementary insights alongside professional therapy.
Managing anxiety is not a one-size-fits-all process. Techniques like using ice as a sensory distraction can offer meaningful, immediate relief during moments of distress. However, long-term healing often involves understanding thought patterns, learning coping strategies, and seeking professional guidance when needed.
If anxiety is impacting your quality of life, connecting with a licensed mental health therapist in St. Louis can be an important step toward lasting emotional well-being.