The Connection Between Denial and Anxiety

Explore how Denial and anxiety are linked, and how addressing one can help the other.

Denial is a defense mechanism in which an individual refuses to recognize or acknowledge objective facts or experiences. It’s an unconscious process that serves to protect the person from discomfort or anxiety .

Denial in Therapy and Mental Health

Denial can encompass truths too difficult for an individual to confront or to accept. Yet therapy offers a space to safely and gradually process those beliefs and experiences. It can help people understand the roots of their emotions and behavior, eventually replacing denial with healthier coping skills.

Denial is important to address in therapy because it reveals underlying challenges that are often causing an individual distress. If someone drinks excessively, exploring why they drink—to medicate their anxiety , for example—allows the patient to discuss their experience and develop skills to manage anxiety. Similarly, if a woman denies that a relationship is abusive, she may be struggling with fears around abandonment, loneliness , or past relationships that a therapist can help her navigate.

Few people easily and quickly accept the conclusion that they have a problem with alcohol or substance use. Many struggle mightily against it and craft a variety of arguments to demonstrate that they don’t have a problem. A few of the most common forms of denial : “All of my friends drink more than I do.” “I’m too successful to have a drinking problem.” And “I only use when…” Recognizing instances of denial and misdirection is an important first step in acknowledging the problem and seeking help.

Yes, people can struggle to understand or acknowledge that they have a disorder. For example, bipolar disorder is a condition in which someone’s mood cycles through periods of depression and mania . Mania is a state of euphoria characterized by extremely high energy, overconfidence, and impulsive behavior. Hypomania is a more mild or moderate version of that state. A feature of mania and hypomania is denying that anything is wrong or unusual.

Denial in Everyday Life

Denial can shape dynamics in different domains of life, whether that be ignoring relationship conflicts or refusing to acknowledge an illness. In many of these instances, denial leads to short-term satisfaction but long-term pain. In the end, confronting reality—even when it’s difficult—is the best path forward.

As a defense mechanism, denial involves a refusal to accept the truth or reality. "No, I'm just a social smoker," is a good example. People may apply a similar justification for other harmful habits, such as excessive alcohol or substance use and compulsive gambling or shopping, to unconsciously distance themselves from uncomfortable truths of their behavior and protect their self-esteem .

Common defense mechanisms can undermine healthy relationships. In the case of denial, people may isolate themselves against their flaws and mistakes. They might pretend that everything is fine and ignore their own negative emotions or disagreements within the relationship. This can prevent the problem from being acknowledged, discussed, and resolved. Even though it may be more difficult in the short term, confronting these difficulties will strengthen the relationship in the long run.

Desire, greed, or the need for status can override rational considerations and shape our spending habits. For instance, someone may love to shop, even though they aren’t financially secure and are accruing debt. Psychologically they may deny their financial reality to continue buying items they can’t afford. This prevents the person from admitting to factual limitations that feel constricting or upsetting.

Explore More About Denial

For a comprehensive understanding of denial, read our complete guide:

Complete Denial Guide

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