Dear Leslie,

A lot of my work in therapy for anxiety has focused on recognizing catastrophic thinking and assessing what is more realistic. How would you suggest adapting this for a world where reality itself is increasingly becoming more catastrophic, and science suggests things will get worse in the future?

— Anonymously Anxious

Dear Anonymously Anxious,

Your question points to something I’ve had to reckon with in my own practice as a therapist. Before I became more aware of the impacts of climate change, I used the same framework you describe — I helped clients recognize their distorted thinking and recalibrate toward what’s realistic.

But as I came to understand the actual science, I had a striking realization: For climate-aware clients, their anxiety isn’t distorted at all. It’s a healthy response to real destruction and the inadequate efforts to address it. Shifting toward “what’s realistic” isn’t what we’re after to manage climate anxiety.…