Art To Reduce Anxiety
Art To Reduce Anxiety
Art To Reduce Anxiety
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.ŇĴƔƍƝƢĬƆ PđĬƃƟƔĥ ŴƏƫ÷ŎƒƈƯƞ PĴƎò
Ŕ÷ƂơĬƈƐƮ÷Ƭ ìĴƋƎƮƫđĬƆ òĴƎƃƥƞŎ ŔƑÜƜĢƈƍƠ
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EDITION
FIRST
If you, or anyone you know, is affected by anxiety, the following
charities and helplines are ready to offer free support.
UK US Australia
Mind Anxiety and Depression Association SANE Australia
www.mind.org.uk of America www.sane.org
https://adaa.org
Samaritans Lifeline
116 123 National Alliance on Mental Illness 13 11 14
(NAMI)
800-950-NAMI (6264)
Disclaimer
This publication is for information only and is not intended to substitute professional medical
advice and should not be relied on as health or personal advice. Never disregard professional
advice or delay seeking it.
Always consult your pharmacist or doctor for guidance and before using any natural,
over-the-counter or prescription remedies, and read any instructions carefully.
In an emergency, call the emergency services and seek professional help immediately.
Readers rely on any information at their sole risk, and Art to Reduce Anxiety, and its publisher,
Future Publishing Ltd, limit their liability to the fullest extent permitted by law.
For many of us, anxiety is just another fact of life; it’s something we
live with every day. Sometimes it feels like a small dot – there, but
imperceptible enough that we can go about our daily lives without
fear. Other times it’s like a gaping black hole, mercilessly devouring
everything that made us feel happy, confident and comfortable,
leaving us as a shell of the person we once were.
Finding the right treatment can totally transform your life, and there
are so many options available. Whether you’re already receiving
treatment and you’re looking for a complementary therapy, or
you’ve yet to take that step and you’re searching for something to
take the bite off your anxiousness, embracing your creative side can
work wonders on reducing the effects of anxiety. Art therapy itself
has existed for decades, and science has shown over and over again
that getting creative offers a range of benefits for the mind, from
helping to explore difficult feelings that can be hard to verbalise, to
meditative opportunities to process our emotions.
Over the following pages, we’ve provided dozens of mindful creative
tasks for you, from colouring-in pages to guided doodling spaces.
We’ve shared some of our favourite grounding techniques, too, to
help you settle your mind when things start to overwhelm you.
4
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W
hen anxiety hits, it can be debilitating. Art therapy is one particular approach that has
Whether it creeps up on you, slowly proven benefits for anxiety under the guidance of
chipping away at your motivation and a qualified art therapist. In particular this method
happiness over the course of days or weeks, or it of treatment works particularly well with children,
suddenly overwhelms you with no warning, once the elderly and those who struggle to verbalise
anxiety has taken root in our minds and bodies it their emotions. That’s not to say that art therapy
can feel nigh-on impossible to shake it off. is exclusively beneficial to those, however – the
Acknowledging your struggle and asking for act of being creative can benefit all, including
help is the hardest step you have to take to get those who don’t consider themselves artistic
tangible help. Modern-day treatments for anxiety or talented.
range from medication, including beta-blockers Whether you’re engaging in art as a form
and SSRIs, to various kinds of therapy, including of meditation or you intend to embrace your
CBT (cognitive behavioural therapy), and while it creative side as a complement to existing
may take some time to find a treatment that works treatment, the act of creating can provide a much-
for you, once you’ve discovered the one it can needed boost to your mental wellbeing. Mental
change your life. health professionals have acknowledged the ﹥
5
wide-ranging benefits of art therapy on those practise them before a panic attack so that you
suffering from anxiety, as well as depression and know the exercise: the middle of a panic attack
phobias. is not the time to be trying to remember what to
Over the following pages, we’ve provided some do next.
activities to encourage your creativity, from simple Peppered throughout the book, we’ve included
colouring-in pages, to prompted doodles. Whatever colouring-in pages, ranging from simple and
kind of anxiety you experience, hopefully over the straightforward, to more detailed, unique designs.
following pages you will manage to explore your Take the time to disconnect from the stresses of
creative side and find a cathartic release from the life and grant yourself the opportunity to colour
stresses of day-to-day life. Here, we’ll explore the meditatively. For many, time alone to focus on
different kinds of creative pages in this book, and simple, creative tasks provides an outlet for not
how you can get the best from this title. just being creative, but time to self-reflect and
As you flick through the pages, you’ll notice that process difficult emotions.
there’s a mix of text and empty space. As well as You’ll also notice several doodling pages, with
providing space for you to delve into your creative blobs of colour, as well as a full-page colourful
side, we’ve shared some so-called grounding background. Here, you can truly indulge your
techniques to help keep your anxiety under imagination and engage your creative side by
control. Grounding techniques are simple routines interpreting these colours and drawing whatever
that can be used by anyone who experiences any you imagine. It can be difficult to draw without
kind of anxiety to rein in any building sense of any direction, so we’ve provided little prompts on
panic or anxiousness. every doodle spread to help you see the potential
Over the course of this book, we’ll share many of these pages.
different techniques that can help to bring you Don’t forget, this book is just for you – nobody
out of a panicked mental state and into the will be flicking through it, or judging you on how
immediate present – where there is no danger. well you draw or what you choose to put in this
Different techniques work for different people so book. Give yourself permission to release your
it might be necessary to try a few before you find feelings and stresses in this book and embrace the
something that works well for you. It is best to freedom that art can offer you. •
6
In the UK, Australia and in some states in the
US, art therapists must be registered and/or
licensed. To find a qualified professional in
your region, visit the sites below.
UK: British Association of Art Therapists
baat.org
Australia: ANZACATA
anzacata.org
US: American Art Therapy Association
arttherapy.org
7
kÜƈĬƁƨưćƑĴƔƧòƢƍƠ
16
Take the time to observe your surroundings
36
ĴĬƓƫƎĥƘƨŘƫëƑƄƚƭč
One of the best ways to regain
to ground yourself in the exterior world control when you begin to panic
rather than engaging in negative cycles in is to control your breathing, so
your head, and acknowledge colour to help try this out next time you need a
you get back on track. time-out.
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ȤɌȣɌȢɌȡɌȠŔ÷ƂơĬƈƐƮ÷
Sight, sound, touch, smell and
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ȢɌȢɌȢŇŘƋƄ
Much like the 5, 4, 3, 2, 1
taste – the five senses are key Sometimes we tense up without even technique, the 3, 3, 3 rule engages
to helping ground you in the realising, so try out this handy technique your senses and provides you with
present, so use this technique to to give your body a break from the an opportunity to stop focusing on
find inner peace. physical pains of anxiety. your internal anxieties.
.ŇĴƔƍƝŵƨŘƑƬƄĥƅưƢŔƇưÜŔƄƑ
Discover how the physical act of plunging your
hands into water can pull us out of the anxiety
30 31 1 2
loop and help us return to the present.
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27 5
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5
3
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Month
One 10
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8
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xŇÜƂƤŵƎƮƑƦĴƎò
Taking note of how you feel
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We know animals ‘shake it off’ when
– both the good and the bad they’ve experienced a stressful
21 11 – and what made you feel that situation, so learn how the act of
20 12 way can help you to notice movement can provide a positive
19 13 patterns in your moods. release of negative emotions.
18 14
17 16 15
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čÜƋƥƄĬƆƞƲĴƔŇƁƫƚđĬ
Use puzzles, challenges and
games to divert your mind and
encourage your attention on a
more productive activity.
92
ÜĥƀƍƜƢĬƆƭ÷ìƇƧƈņƮ÷ƒ
Find out how the act of
balancing can disengage your
brain from a negative spiral and
focus it on the present moment.
9
How d o yo u
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A
nxiety affects us all in different ways, and we all
experience it differently – perhaps you notice that your
body tenses up, or you find your stomach churning?
Maybe your legs feel like jelly, or your jaw starts to ache as
you clench your teeth. When you start to feel anxious, try
to notice how your body responds. On the next page, using
whatever colours you feel represent your anxiety best, colour
in where you feel it most. For example, if you feel stress in
your shoulders, you could choose to colour in orange from
the base of the neck to the middle of the upper arm – and if
you feel pangs of fear for the future in your stomach, colour
in the trunk with blue. Noticing these physical symptoms can
help you take the first step to alleviating them – for example,
a full-body shake like a dog to help loosen tight shoulders, or
widely opening and shutting your mouth like a fish to relieve a
clenched jaw.
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ëÜƂƤƎĬƓƫƚìƊ
16
R
ainbow grounding is a relaxation technique to skip indigo as most people are a bit vague as to
that works particularly well with anxious how indigo differs from purple.
children. The Covid-19 pandemic and As you see each colour, really look at it to see
the government response to it produced major what shade it is, its texture, the way the light falls
increases in anxiety among children in the UK, upon it and so on. It’s fine to add non-rainbow
so this might be a useful exercise to help an colours too, such as pink, black, grey or brown.
anxious child. The best thing about this technique is its
It is based on moving attention out from the simplicity, which makes it particularly suitable
internal world to the world around us. Look for young children. Over the following pages,
around and try to see the rainbow in the colours look around your environment and use the space
of the things in your surroundings. Start with red, provided to doodle what you see. Notice the
then move through the other colours: yellow, depth of colour, the shapes and textures, and how
green, orange, purple and blue. It’s probably best the light throughout the day changes on this item.
17
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19
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P
anic attacks produce hyperventilation. Hyperventilation
floods our muscles with oxygen, making us ready to fight
or run away. But in a panic attack, there is nothing to
run away from. Our deep brain is preparing us for a situation
from our deep past, when what we are actually facing is the
fear of giving a presentation or nerves before an exam, for
example. The situations that produce anxiety in the modern
world are rarely resolved by fighting or running away.
One way to tell our amygdala that there really is nothing
to worry about is to control our breath. By controlling our
breathing we can nudge the brain and nervous system out
of the flight/fight response. To do so, we need to change the
breath pattern into an in-breath to a slow count of four, and
an out-breath to a slow count of four, preferably through the
nose. It’s important that the count is the same length for both.
At the start, when panic breathing has kicked in, it might
be difficult to breathe through the nose, but as soon as it is
possible, we should switch to nose breathing. The difficulty
with this technique is holding on to the slow, even breath count
no matter what thoughts and feelings are assailing us, because
it takes a while for the message of slow, steady breathing to
get through to the deep brain. But holding the slow, even
breathing will send a message through the body to the deep
brain: there is no emergency, switch off the danger hormones.
Note that some magazine articles advocate breathing out for
twice as long as the in-breath, so an in-breath to the count of
four and an out-breath to the count of eight. This rarely works,
as that breathing pattern works to put our system into its rest/
digest state. Trying to switch immediately from the fight/flight
response to rest/digest is simply too big a step – the body
might panic even further at having these contradictory signals
being sent to it. Using calm, slow breathing, with an even
breath count puts us into a neutral physiological state, ready
to respond to external stimuli. This allows the deep brain to
reset itself and enables us to come out of the panic attack.
The best way to prepare for dealing with a panic attack is to
practise the long, 4/4 breath pattern beforehand, so that it has
become grooved by repetition.
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òĴƎƃƥƢĬƆưčÜƓƄƯƞŇƘĴƔƟƞ÷ĥ
H
ave a think about the things you see when you go for
a walk, and draw them on this page. Perhaps you see
different types of tree leaves. On the following page,
build up the scene however you like – are those trees in the
distance? Is this a landscape – a farmland at sunrise, perhaps,
or a bog brimming with mosses and curious creatures?
Getty Images
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ŔĴƑƄƭƮŇƍƭĴŔƇƄƩŇƞƒ÷ƧŔ
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ŇÜƖ Ʒ ƯƄ ŔƇ ƢƧćƒ
ŵĴƔƂƚƧ
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ŇÜƖ Ɵ Ǝ Ʈ ŇƓ ơ đĬ ƆƬ
ŵĴƔƂƚƧ
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ŇÜƖ ƭ čƑƄƞ ƭč đƍ ƠŎ
ŵĴƔƂƚƧ
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ŇÜƖ ƭů ƎƓ ơƢĬ ƆƬ
ŵĴƔƂƚƧ
ŇÜƖƎƧƞŔƇđƧć
ŵĴƔƂƚƧ
Progressive
muscle relaxation
J÷ƀŇƍƢƧćƇĴưŔƎƑƞƥÜŴ
ŔƇ÷ƦƔŎƂƥƞŎĴƅƭčƄƁƨƝŵ
W
hen we’re anxious, our muscles tense, as the deep Start by tensing one foot, curling the toes downwards.
brain prepares the body to fight or run. However, Hold, then relax, focusing on the feel of a relaxed muscle.
people suffering from generalised anxiety disorder Next tighten the calf of the same leg by curling the toes
(GAD), the most common form of anxiety disorder, who live upwards. Finish the leg by tensing the thigh muscles. Repeat
in a constant state of chronic anxiety, can have their muscles on the other leg.
in a habitual, permanent state of tension. Progressive muscle Clench one hand, then relax. Tense the whole arm by
relaxation systematically works through the muscle groups drawing your clenched fist to your shoulder. Repeat with
of the body, learning the difference between tension and the other arm.
relaxation, and discovering how to successively relax the Moving on to the trunk, start by tightening then releasing
body’s muscles. the buttocks. Next, tense and relax your stomach. Tense
This technique must be thoroughly practised, ideally the chest by taking and holding a really big breath, then
twice a day at first. It takes about 15 minutes and you’ll need breathe out.
a room where you won’t be disturbed. Start by lying on the To tense the neck and shoulders, hunch your shoulders
floor or sitting comfortably in a chair. Take five, long, slow, towards your ears and then relax. Open the mouth as wide
even breaths. as it will go and then relax. Squish your eyes as tightly shut as
Progressive muscle relaxation targets muscle groups in possible and then open them. Finally, tense your forehead
turn. First tense the muscle group as much as possible. by raising your eyebrows as high as you can, and then relax.
After five seconds, breathe out and relax those muscles. Once the exercise is familiar and you know what a relaxed
Concentrate on how the muscles feel when relaxed muscle feels like, you might want to switch to tensing and
compared to when tense. releasing sections of the body together. Finally, it may
People usually find it most effective working from feet become possible to skip tensing completely and work
to head or head to feet. We will look at feet to head. Some through the body, relaxing each muscle group in turn.
people find it helpful to have a recording to take them The end result should be a relaxed body. As our brains
through the different muscle groups until they have learned work in partnership with our bodies, this will tell the brain
them all. that it can relax too.
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òĴƎƃƥƢĬƆưčÜƓƄƯƞŇƘĴƔƟƞ÷ĥ
O
n this page, think of the unique kinds of faces you’d
see on a busy street. What do they look like? Are they
wearing something on their head, like a hat or a hijab?
Perhaps some of them are wearing glasses. Give your faces
plenty of character and personality!
On the opposite page, what kind of scene do you see? Maybe
it’s the reflection of a bustling city in a puddle, or perhaps it’s a
lively dance class, filled with colourful figures.
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ëƘƭč÷ƏƎưƞŇĴƅƭčƑƄƞ
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Over the following pages,
really pay attention to what
you can see and hear, and how
you feel. Take the time to draw
them here and be mindful
about what it is you’re drawing
– notice the texture, shading
and smaller details that
make them so unique.
|Ŏ÷ƘƎƮƫčÜƍƝŎƓƎƩƮĥƋ
ŵĴƔƑƬƞĥƅĴƔƭƨĆ܃ƩƈŇƚƋ
O
ne of the simplest ways of getting out of one’s head is
to put your hands in water. Simply plunging your hands
into a bowl of water produces an immediate physical
effect that pulls us out of the anxiety loop. As your hands go
into the water, note the accompanying sensations; feel the
temperature of the water and the sensation of liquid on the
skin. Some people like to use warm water first and then cold
water. Others prefer the opposite. But with both, the key is to
put one’s attention into the sensation.
Accompany the immersion with controlled, even breathing,
breathing in for a count of four and out for a count of four. If
the water is too cold, this might be a challenge, so it’s best not
to use iced water.
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B
eaches are lively, vibrant scenes, filled with colour and
joy. On this page, draw the kinds of things you would
expect to see on a trip to the beach. What kinds of toys
did you take with you as a child when you’d go to the seaside?
Perhaps you remember your castle-shaped buckets, or your
bright-red plastic spade and inflatable beach ball. Or maybe
you remember the garish swimwear you’d wear with pride. On
the opposite page, think about your dream beach scene. Would
you want to be in the sea, or on the sand? Perhaps you’d be
tucked away from the sun’s rays underneath a parasol.
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ÜĬƃƧƔƚĬƂ÷ƬƎĆƘƨŘƫĆƄƞƋđƧćƒ
O
ne of the key steps in freeing The key part is simply keeping the
ourselves from the doom loop of record. Some people just write it down
anxiety is finding out what triggers in a daily diary. Others write sticky notes,
anxious feelings. A therapist will often ask or record an account of the day’s feelings
a client to keep a record of their feelings on their phone. Nowadays, people also
and the events of the day so that they can employ spreadsheets or apps.
then together go back over the events of Since it can be difficult to put feelings
the week and try to discern if there is a into words sometimes, particularly when
pattern. Other people find it invaluable we first attempt to do it, a mood chart
to write a journal of their feelings and might be helpful for identifying different
experiences in order to better understand emotions. Some idea of the level of the
their responses to life. Both of these work emotion is often useful, which can be done
very well with mood tracking. by writing next to the feeling an intensity
In essence, mood tracking, or journaling scale from 1 to 10. With generalised anxiety
as it’s also called, is keeping a diary. disorder, a careful record of periods of
However, this is a diary of emotions. You heightened anxiety and panic attacks is
keep track of your feelings throughout the particularly important.
day and week by making a record of them. Like keeping a diary, mood tracking is
In order to understand how the world a very personal approach to dealing with
affects your emotions, it’s also necessary anxiety, suitable for some people but not
to note the main details of the day, too. for others.
66
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30 31 1 2
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28 4
27 5
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24 Month 8
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One 10
9
21 11
20 12
19 13
18 14
17 16 15
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ŵĴƔƑƨưĬƊ÷Ʋ
ƫŎ
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12 13 14 15 16 17 18 19 20
11 21
10 22
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Month 25
6 Two 26
5 27
4 28
3 29
2 30
1 31
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19 20 21 22 23 24
25 26 27 28 29 30 31
Month Three
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òĴƎƃƥƢĬƆưčÜƓƄƯƞŇƘĴƔƟƞ÷ĥ
A
s the saying goes, ‘When life gives you lemons,
make lemonade’. Well, we’ve not quite given
you lemons, but perhaps you could draw your
own fruit bowls or small, citrus, still-life scenes? From
apples and limes to nectarines and plums, fruit is a
whirl of beautiful colour. On the next page, maybe you
see a glorious orchard or a lemon grove at the height
of summer…
Getty Images
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ë÷ƅƎƫƞìÜƋƦƈĬƆƭčƞƌđƧò
S
ometimes the physical effects of a panic attack are so
severe that it is impossible to focus the mind sufficiently
to employ any of the techniques we’ve looked at in this
book. The amygdala is pumping so many hormones into the
body that it is completely wired, trembling with the sort of
energy necessary to outrun a lion or fight off a hyena.
With so much physical energy coursing through the system,
some people find it necessary to burn off some of the
adrenaline first. This can be done by anything from dancing
wildly around the room, to running along a corridor or up
and down the stairs, or using a treadmill. For other people,
something a little more gentle works better – some people have
even reported that brisk hoovering or manic cleaning burns off
the nervous energy while doing something useful, too. But it
could be that going for a brisk walk in a park or doing some
gardening is sufficient. We all have different thresholds, and
everyone trying to deal with anxiety and panic attacks has to
find what works best for them.
Once the physical activity has taken the edge off the
physical response to anxiety, it is time to employ one of the
more mental techniques to slowly convince the brain that it
can switch off its emergency response.
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òĴƎƃƥƢĬƆưčÜƓƄƯƞŇƘĴƔƟƞ÷ĥ
T
here’s no escaping other people. On this page, why not
use the silhouettes to doodle the most characterful
people you’ve seen on the streets? Maybe you saw a
man at your local coffee shop with an owl, or perhaps you saw
someone dressed up to the nines on your commute to work!
On the next page, what do you see? Can you make out a lively
coastal scene? Or maybe you see a fashion show catwalk…
Getty Images
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napping out of a negative spiral is easier said than done.
For those who experience bouts of dissociation – feeling
disconnected from yourself and your identity, as well as
the world around you – the act of balancing can be a simple
strategy to return your mind to the present. Engaging in an
activity that requires you to concentrate on balance triggers
the same area of the brain that is linked to dissociative states,
essentially rebooting your brain to focus on its new task.
While many physical activities require balance, such as yoga,
skateboarding or rollerblading, there are other, more relaxed
methods to engage your sense of balance. Why not try walking
in a straight line, one foot straight in front of the other, next
time you’re taking a tea break? Balancing a book on your head
while you’re working can be another simple way to provide
your mind with a balancing task, or you can balance small
objects on your arm. It needn’t be strenuous – just enough to
provide your brain with a challenge upon which to focus!
92
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òĴƎƃƥƢĬƆưčÜƓƄƯƞŇƘĴƔƟƞ÷ĥ
W
hen life around us is overwhelming, loud and stressful,
sometimes it can be cathartic to imagine an entirely
new world. Over these pages, doodle your own
planets – some could be like Earth, others could be totally
unique. On the next page, what kind of landscape would you
want to see on your peaceful new planet? Perhaps your new
world is made up of beautiful islands and peaceful oceans…
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96
to
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