How to Manage Test Anxiety on Exam Day: Evidence-Based Strategies for Social Workers
Walking into the ASWB testing center can feel like stepping onto a stage under hot lights—your heart’s pounding, your palms are sweaty, and every “what if” scenario is on repeat in your mind. Test anxiety isn’t just “butterflies”; it can derail your working memory, cloud your judgment, and trip you up on questions you’ve practiced a hundred times (APA). But here’s the good news: social workers are expert problem-solvers, and you already have the tools to take control of your anxiety. Let’s dive into three evidence-based strategies—grounding techniques, cognitive reframing, and practical tools—that will help you stay calm, focused, and ready to ace the ASWB exam.
1. Grounding Techniques: Anchor Yourself in the Present
When your mind races ahead to worst-case scenarios, grounding brings you back to now. Try these quick anchors:
Five-Four-Three-Two-One Exercise Identify:
5 things you can see
4 things you can touch
3 things you can hear
2 things you can smell
1 thing you can taste
This multisensory method immediately shifts attention away from anxious thoughts and into your body. It’s a favorite in mindfulness training programs, like those at the UMass Center for Mindfulness, and takes less than a minute.
Box Breathing Also called square breathing, box breathing is simple:
Inhale for 4 seconds
Hold for 4 seconds
Exhale for 4 seconds
Hold for 4 seconds
Repeat 4–5 times. This pattern regulates your nervous system and slows your heart rate. You can find guided tutorials on Mindful.org.
Progressive Muscle Relaxation Tense and release muscle groups one at a time—feet, calves, thighs, abdomen, shoulders, arms, and face. Mayo Clinic researchers show that this technique can reduce overall tension and interrupt the stress response in just a few minutes (Mayo Clinic).
2. Cognitive Reframing: Change the Story in Your Head
Anxiety arises from how we interpret events, not the events themselves. Cognitive Behavioral Therapy (CBT) principles teach us to identify and challenge unhelpful thoughts, then replace them with balanced alternatives.
Step 1: Spot Automatic Negative Thoughts Common ASWB-day thoughts include:
“If I fail, I’m a fraud.”
“Everyone else is more prepared than me.”
Write these down.
Step 2: Examine the Evidence Ask yourself: What evidence do I have that I’ll fail? What evidence counters that thought? Often, you’ll find your negative predictions aren’t grounded in fact.
Step 3: Replace and Reinforce Swap “I’ll fail” with “I’ve studied hard, and I know these domains.” Create a brief affirmation you can repeat under your breath: “I’m prepared, and I can handle tough questions.” For more on cognitive reframing exercises, check out the National Alliance on Mental Illness.
3. Practical Tools: Build Your Exam-Day Arsenal
Beyond in-the-moment calming, set yourself up for success with these prep-day and exam-day tools:
1. Mindfulness Apps Apps like Headspace and Insight Timer offer short, guided meditations specifically for test anxiety. Schedule a 10-minute session the morning of your exam to center yourself.
2. Physical Aids A small stress ball or fidget ring in your bag can serve as a discreet outlet for excess energy. Some testing centers allow simple tactile aids if they’re not noisy or distracting. Always check the test-day policies first.
3. Nutrition and Hydration Stabilize your blood sugar with a balanced breakfast: protein (eggs or Greek yogurt), complex carbs (whole-grain toast or oatmeal), and healthy fats (avocado or nuts). Stay hydrated, but don’t overdo it—plan bathroom breaks into your time allotment. Harvard Health notes that dehydration can impair concentration and mood (Harvard Health).
4. Sleep Hygiene Aim for 7–8 hours the night before. Avoid caffeine after mid-afternoon to ensure good rest. The Centers for Disease Control and Prevention highlight that consistent sleep schedules improve cognitive performance on high-stakes tasks (CDC).
5. Exam-Day Checklist Create a simple checklist the day before:
Government-issued photo ID
Test confirmation email or ticket
Comfortable layers of clothing
Approved handheld timing device (if allowed)
Checking items off your list helps you feel organized and reduces last-minute stress.
Final Thoughts: Harness Your Professional Skills for Test Success
As a social worker, you bring empathy, observation, and problem-solving to every client session. On exam day, apply those same skills inward—observe your anxiety without judgment, ground yourself in the present, and reframe unhelpful thoughts. Couple that with practical tools like guided breathing, nutrition, and a rock-solid checklist, and you’ve got a winning strategy.
If you’d like systematic, course-based support for test anxiety—plus step-by-step content mastery—our ASWB prep program includes dedicated modules on stress management, mock test simulations, and personalized coaching. Because passing the exam isn’t just about what you know; it’s about showing up as your calmest, most confident self.
You’ve got this—go in there and own it!

