How to Manage Anxiety While Driving
Driving is one of the most common places people experience anxiety—yet it’s rarely talked about. For some, anxiety shows up as worry about getting into an accident. For others, it’s panic symptoms: a racing heart, dizziness, or feeling “trapped” on the road. Even confident drivers can hit periods of stress due to life transitions, long commutes, or past negative driving experiences.
The good news: driving anxiety is highly workable. With support and consistent tools, you can retrain your nervous system to feel safer on the road.
Here are effective, therapist-informed strategies to help you manage anxiety while driving.
1. Understand What Your Anxiety Is Trying to Do
Anxiety’s job is to keep you safe. When you’re driving, it may scan for every possible danger—traffic, speed, weather, other drivers, even bodily sensations.
This doesn’t mean the danger is real; it means your brain believes it needs to be hyper-alert.
Tell yourself:
“My body thinks I’m in danger, but I’m actually safe.”
“These sensations are uncomfortable, not dangerous.”
Naming what’s happening helps calm your nervous system.
2. Prepare Your Nervous System Before You Start Driving
A regulated body drives more comfortably. Try these pre-drive practices:
Two minutes of slow breathing (inhale 4 seconds, exhale 6–8)
Progressive muscle relaxation—tense and release shoulders or hands
Grounding by naming 5–4–3–2–1 things you see, hear, feel, etc.
A plan for breaks, especially on longer drives so your brain knows it’s not “trapped”
Consider these part of your driving routine, not emergency tools.
3. Start With Safe, Low-Stress Driving Exposure
With anxiety, avoidance increases fear. Gradual exposure reduces it.
Create a step-by-step plan:
Start with short drives in quiet neighborhoods
Progress to familiar routes
Add small stretches of highway
Slowly increase time, distance, or complexity
The key is consistency—not intensity. Small wins retrain your brain to feel capable.
4. Use Grounding Tools During the Drive
Keep your mind and body anchored while you’re on the road.
Helpful grounding strategies:
Hands on the wheel → feel temperature, texture, grip
Back against the seat → notice support
10-second slow exhales
Soft focus (not tunneling in on mirrors or speedometer)
Verbal reassurance such as “I’m in control of the vehicle,” or “This sensation will pass.”
These help shift you out of fight-or-flight mode.
5. Notice the Stories Your Brain Is Telling You
Driving anxiety often includes “what if…” thoughts:
“What if I panic and can’t pull over?”
“What if I faint?”
“What if I cause an accident?”
Respond with grounding facts:
“I’ve made it through every drive so far.”
“There are shoulders, exits, and safe pull-off spots.”
“A sensation isn’t a crisis.”
Thoughts are not predictions; they’re habits you can unlearn.
6. Reduce Anxiety Triggers You Can Control
A few small adjustments can make a big difference:
Listen to calm or familiar music
Keep the temperature slightly cool
Leave extra time so you’re not rushing
Arrange your seating for optimal comfort
Avoid caffeine right before driving if it increases jitters
Set yourself up for a calm environment.
7. Practice Self-Compassion, Not Self-Criticism
Many adults feel embarrassed or frustrated about driving anxiety, especially if they’ve “always been a good driver.”
Remind yourself:
“Lots of people struggle with this.”
“Anxiety doesn’t define my abilities.”
“I’m learning new skills, and that’s courageous.”
Shame fuels anxiety; compassion softens it.
8. Know When to Seek Professional Help
Therapy can be very effective—especially if your anxiety includes panic attacks, past trauma, or sudden onset without clear cause.
A therapist can help with:
Exposure therapy
EMDR for driving-related trauma
Nervous system regulation skills
Cognitive behavioral tools for anxious thoughts
With the right support, most people experience significant improvement.
Final Thoughts
Driving anxiety is more common than people realize—and it’s absolutely treatable. You don’t have to white-knuckle your way through every commute. With consistent tools, gentle exposure, and emotional support, you can rebuild confidence on the road.
If driving anxiety is affecting your daily life, our therapists are here to help. We offer in-person therapy in Tacoma and telehealth throughout Washington for adults, teens, and families.

