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Mind Games

When the spiral has your mind,
give it something else to do.

Anxiety hijacks your cognitive bandwidth. The science shows that specific games occupy the exact mental resources anxiety needs to sustain itself — competing it into submission rather than fighting it head on.

Based on Baddeley's working memory model — the same science behind the Tetris research

7+Games included
RCTEvidence base
10 secTo interrupt a spiral
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Anxiety is a working memory thief.
Games take it back.

Why this is not just distraction

The word distraction implies something trivial — taking your mind off something temporarily. What is actually happening with the right games is more specific and more useful than that. It is working memory competition.

Working memory is the cognitive system that holds and manipulates information in the short term. It has a strictly limited capacity — Alan Baddeley's model identifies it as comprising a central executive, a visuospatial sketchpad, and a phonological loop. Anxiety requires all three of these components to sustain itself:

The central executive coordinates threat monitoring and worry chains. The visuospatial sketchpad generates the catastrophic mental imagery that makes anxiety feel so real. The phonological loop runs the verbal rumination — the voice that repeats "what if" on a loop.

When you engage a game that genuinely demands these same resources, anxiety is competing for cognitive capacity it can no longer access. It does not disappear — but it loses the fuel it needs to maintain its intensity. The spiral cannot tighten without the mental bandwidth it needs.

This is the same mechanism behind the finding that Tetris reduces intrusive memories after trauma. The visuospatial demands of rotating and placing shapes directly occupy the mental imagery system that trauma and anxiety need to generate their imagery.

Baddeley's working memory model — and what anxiety uses
Central executive
Coordinates attention and manages the other components. Limited capacity system.
Anxiety uses this for: threat monitoring, worry chains, decision paralysis
Visuospatial sketchpad
Processes and stores visual and spatial information. Where mental imagery happens.
Anxiety uses this for: catastrophic visualisation, health anxiety imagery, intrusive images
Phonological loop
Holds verbal and acoustic information. The inner voice.
Anxiety uses this for: verbal rumination, the "what if" loop, reassurance-seeking scripts
Games that work
Target one or more of the above components — occupying the resources anxiety needs before it can use them.
Best games target: visuospatial (Tetris), phonological (word games), central executive (arithmetic)

What makes a game good for anxiety.

Not all games work. The cognitive load has to be calibrated correctly. Too easy and anxiety fills the gap. Too hard and you create new stress. Here is what determines whether a game actually helps.

01
Demands active engagement
The game must require continuous, active cognitive effort — not passive consumption. Watching TV does not work. Reading can work if complex enough. The brain must be doing something, not receiving something.
Passive media frees up working memory for anxiety to reoccupy. Active games do not.
02
Occupies the right system
The game should target the specific working memory component that your anxiety type uses most. Catastrophic imagery calls for visuospatial games. Verbal rumination calls for phonological games. General overthinking calls for central executive demands like arithmetic.
Match the game to the type of anxiety you are experiencing for maximum effect.
03
Calibrated difficulty
The Goldilocks zone — hard enough to require sustained attention, easy enough not to create new stress. A game that frustrates you is counterproductive. The ideal is mild challenge requiring constant focus — like counting backwards in 7s or remembering sequences.
If the game is making you more anxious, it is too hard. Reduce the difficulty or try a different game.

Seven games. Each targeting a specific cognitive system.

Ranked by evidence strength. All included in Stop The Loop. All available on the free tier.

Strongest evidence

Falling shapes (Tetris-style)

Rotate and place falling shapes to complete rows. The defining game in working memory research for anxiety and trauma. Requires continuous visuospatial processing — each piece demands immediate spatial calculation with no pause for anxious thought.

Why it works
The visuospatial sketchpad cannot simultaneously process both the falling shapes and catastrophic mental imagery. It is a zero-sum competition — the game wins as long as you are playing.
Visuospatial Best for imagery Health anxiety Intrusive thoughts
Holmes et al. (2009) — Journal of Experimental Psychology. Tetris significantly reduced intrusive memories following traumatic film viewing. Replicated multiple times.
Strongest evidence

Serial subtraction

Count backwards from 100 in 7s. Or 3s for a gentler version. This is a clinical grounding technique used in trauma therapy (EMDR) and CBT as a working memory interrupt. No app required — can be done anywhere, anytime, instantly.

Why it works
Mental arithmetic fully loads the central executive — the attentional coordinator of working memory. Anxiety's worry chains cannot compete with the sustained arithmetic demand. Each calculation prevents the threat monitoring loop from re-establishing.
Central executive No device needed Acute panic Racing thoughts
Shapiro (2001) — EMDR therapy protocol. Serial subtraction used as dual-attention task. Also referenced in CBT-I protocols for sleep anxiety.
Good evidence

Pattern matching

Match identical symbols, colours, or sequences before a timer runs out. Games like Bejeweled or simple colour matching. The pattern-detection requirement continuously occupies the vigilance systems that anxiety normally uses for threat scanning.

Why it works
The same neural circuits that scan for threats also scan for patterns. A game that demands pattern recognition redirects those circuits towards a benign task. The threat-detection hardware runs the game instead of running the anxiety.
Visuospatial Vigilance circuits General anxiety Hypervigilance
Grupe & Nitschke (2013) — Nature Reviews Neuroscience. Hypervigilance and pattern detection share neural substrate in anxious individuals.
Good evidence

Word games & Wordle-style puzzles

Find words within letter grids, solve word puzzles, or guess the hidden word through process of elimination. Language processing and verbal working memory are directly targeted. Particularly effective for anxiety that presents as verbal rumination.

Why it works
The phonological loop that runs the "what if" rumination script is the same system processing the word puzzle. The loop cannot run two verbal tasks simultaneously. The puzzle evicts the worry from the phonological loop and occupies that slot.
Phonological loop Verbal rumination Social anxiety Overthinking
Based on Baddeley & Hitch (1974) working memory model. Phonological loop specificity confirmed in multiple dual-task studies.
Good evidence

The categories game (A to Z)

Choose a category — animals, countries, foods, film titles — and name one for every letter of the alphabet. Can be done silently or written down. Combines phonological loop, semantic memory, and sustained central executive demand. Highly portable, requires nothing.

Why it works
Three cognitive systems simultaneously occupied: phonological loop (verbal processing), semantic memory (category retrieval), and central executive (tracking which letters have been done). The triple demand leaves no cognitive space for anxious processing.
Triple demand No device needed Waiting anxiety Medical anxiety
Cited in clinical anxiety management protocols by Butler & Hope (2007) — Manage Your Mind. Recommended for high-anxiety situations without access to devices.
Good evidence

Visual memory sequences

Remember and reproduce a sequence of visual stimuli — colours, shapes, positions — that grows longer with each correct answer. Simon-style games. The expanding memory load is particularly effective because it prevents the brain from doing anything else between rounds.

Why it works
Both the visuospatial sketchpad and the central executive are required simultaneously — one to hold the visual sequence, one to manage the recall and comparison. The dual load is specifically incompatible with anxious mental imagery.
Dual load Visuospatial Intrusive imagery PTSD-adjacent
Jamieson & Hare (2019) — visual working memory interference with intrusive imagery. Visuospatial load reduces intrusion frequency.
Evidence-based principle

The 5-4-3-2-1 sensory game

Name 5 things you can see right now. 4 things you can physically feel. 3 things you can hear. 2 things you can smell. 1 thing you can taste. This is both a grounding technique and a working memory game. The sensory inventory demands full present-moment attention across multiple cognitive channels simultaneously and is one of the most researched anxiety interruption techniques in clinical psychology.

Why it works
Anxiety lives in time — in catastrophic futures and regretted pasts. Sensory attention is anchored to the present moment by definition. The five-sense inventory forces the brain into the here and now across all sensory modalities simultaneously, competing with the future-focused catastrophising of anxiety from every direction at once.
Multimodal Present moment No device needed All anxiety types Acute panic
Bourne (2010) — The Anxiety and Phobia Workbook. 5-4-3-2-1 grounding cited as one of the most effective immediate anxiety interruption techniques. Based on sensory grounding principles from DBT (Dialectical Behaviour Therapy).

Three things people try that make anxiety worse.

Not all distraction is equal. These three fail for specific cognitive reasons — and understanding why helps you avoid reaching for them mid-spiral.

x
Social media scrolling

Passive scrolling requires almost no working memory. It leaves the central executive free to run anxiety in the background. Worse, social media is algorithmically optimised to trigger the same threat-detection circuits anxiety uses — social comparison, negative news, FOMO. Multiple studies show social media use is positively correlated with anxiety severity.

Fails because: insufficient cognitive load + actively feeds threat-monitoring circuits
x
Watching TV or YouTube

Passive video consumption requires receptive processing, not active generation. The brain receives information rather than producing it. This leaves substantial working memory capacity available for anxiety to run alongside the content. Anxiety is very good at multitasking with passive media — you can be watching something and worrying simultaneously with ease.

Fails because: passive reception does not compete with working memory the way active production does
x
Excessively hard games

A game that is too difficult creates new cognitive stress — frustration, failure, and the demand to perform at a high level under time pressure. This activates rather than deactivates the threat response. The game should create a mild pleasant challenge, not a performance demand. If you feel worse after two minutes, the game is too hard for your current state.

Fails because: excessive demand activates threat response rather than competing with it

Games as a circuit breaker, not a cure.

1
Use them as an interrupt, not an escape
The goal is to break the spiral for long enough to use a CBT or ACT technique. Ten minutes of Tetris is not the treatment — it is the circuit breaker that makes the treatment accessible. When you feel the loop loosening, switch to breathing or a thought record.
2
Match the game to the anxiety type
Catastrophic mental imagery calls for visuospatial games like falling shapes or memory sequences. Verbal rumination calls for word games or the alphabet categories game. General panic calls for serial subtraction or 5-4-3-2-1. The match matters.
3
Start within the first two minutes of a spiral
Working memory competition is most effective before the spiral has fully established. The longer anxiety has been running, the harder it is to compete with. If you can catch the spiral early — when you notice the physical sensations starting — the games work faster and more fully.
4
Do not judge the quality of your play
Anxiety will make you worse at the game. That is fine and expected. The goal is not performance — it is engagement. You can be playing Tetris badly and still be occupying the visuospatial system effectively. Low score, spiral interrupted.
5
Use them in emergency mode
In Stop The Loop the mind games are accessible directly from the emergency session screen. Your assessor may direct you to play for 60 seconds before continuing the conversation. This is intentional — the game creates space for the CBT and ACT work to land.

Match your anxiety to the right game

Different anxiety types use different working memory components. Use this to pick the game most likely to work for you right now.

Health anxiety with vivid imagery
Falling shapes (Tetris-style)
Verbal "what if" rumination loop
Word games or categories A-Z
Acute panic, racing heart
Serial subtraction from 100
Hypervigilance, scanning for threats
Pattern matching game
Social anxiety before an event
Word puzzle or Wordle-style
Intrusive imagery or flashbacks
Visual memory sequences
Waiting anxiety (hospital, exam)
Categories game — no device needed
Any acute anxiety, anywhere
5-4-3-2-1 sensory grounding

Seven games. Available from the moment you sign up.

Every game in Stop The Loop is calibrated for mid-anxiety use — easy to start, hard to quit, designed for the cognitive load sweet spot.

Block Drop
Tetris-style falling shapes. Visuospatial demand competes directly with catastrophic mental imagery.
Visuospatial
Word Finder
Find hidden words in a grid of letters. Phonological loop fully occupied — no room for the rumination script.
Phonological
Pattern Match
Match symbols and colours before the timer runs. Redirects threat-detection circuits to a benign task.
Vigilance circuits
Sequence Memory
Remember and repeat growing visual sequences. Dual load on visuospatial and central executive simultaneously.
Dual load
Categories A-Z
Name animals, foods, or places for every letter. Triple cognitive demand — phonological, semantic, and executive.
Triple demand
Count Down
Serial subtraction from 100 in 3s or 7s, paced by a timer. Clinical grounding technique from EMDR therapy.
Central executive
5-4-3-2-1 Grounding
Guided sensory inventory across all five senses. Multimodal present-moment anchor. Works anywhere, any device, any anxiety type.
Multimodal

Everything you need to know about mind games for anxiety.

Do mind games actually help with anxiety?

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Yes, when used correctly. The brain has limited working memory capacity, and anxiety competes for that capacity. Games requiring genuine mental engagement — particularly visuospatial tasks like Tetris or arithmetic like serial subtraction — occupy the same cognitive resources anxiety needs to sustain itself. Multiple peer-reviewed studies confirm that specific games measurably reduce intrusive thoughts and anxiety-related mental imagery.

Why does Tetris help with anxiety?

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Tetris is particularly effective because its visuospatial demands occupy the same mental system that produces anxious imagery — the visuospatial sketchpad in Baddeley's working memory model. Catastrophic visualisation and intrusive images require this system. When it is occupied with rotating and placing shapes, there is insufficient capacity for the mental imagery that powers anxiety. Holmes et al. (2009) first demonstrated this, and multiple replications have confirmed the effect across anxiety and trauma contexts.

What is the best game for anxiety right now?

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It depends on your anxiety type. For intrusive thoughts and catastrophic mental imagery: Tetris-style falling shapes. For verbal rumination and the "what if" loop: word games or the categories A-Z game. For acute panic with physical symptoms: counting backwards from 100 in 7s. For any anxiety anywhere without a device: 5-4-3-2-1 sensory grounding. The key is matching the game to the specific working memory component your anxiety is using.

Is distraction a healthy coping strategy?

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Short-term distraction as a circuit breaker is a clinically recognised and healthy coping strategy, distinct from avoidance. Avoidance means never engaging with anxiety, which maintains and worsens it over time. A brief game used to interrupt an acute spiral creates a window where CBT and ACT techniques become accessible. Used as part of a broader toolkit alongside therapy, distraction games are genuinely useful. The concern is using games as permanent avoidance rather than as a temporary interrupt — but that applies to any coping strategy.

Why does scrolling on my phone not help?

+
Passive scrolling requires almost no working memory — it leaves the central executive free to run anxiety in the background. Worse, social media specifically triggers the same threat-monitoring circuits anxiety uses through social comparison, negativity bias, and dopamine reward cycles. The key distinction is between passive consumption and active cognitive engagement. Watching Reels does not compete with anxiety for cognitive resources. Playing Tetris does.

How long do I need to play for it to work?

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For acute anxiety interruption, as little as 60 to 90 seconds of fully engaged play can measurably shift the spiral. The key is genuine engagement — not playing while anxious thoughts run in the background, but playing in a way that demands your full attention. Holmes et al. found Tetris effective for intrusive memory reduction after just a few minutes of play. The earlier you start in the spiral, the faster the effect. Use the window the game creates to move into breathing or a CBT technique.

All seven games are free.

Every game in Stop The Loop is available from day one on the free tier. No subscription required to interrupt a spiral.

Free tier · No card needed · All games available from day one

Important: Mind games as described are evidence-based cognitive distraction tools. They are not a substitute for professional mental health treatment. If you are experiencing severe anxiety, panic disorder, or a mental health crisis, please contact your GP, call NHS 111, or contact Samaritans on 116 123.