Enhancing Self-Acceptance and Reducing Anxiety Through Tree Ring Self-Portraits: A Mixed-Methods Art Therapy Study

Anxiety disorders remain prevalent, and existing treatments do not achieve full remission for all individuals. This study examined the Tree Ring Self-Portrait, a metaphor-based art therapy intervention developed to enhance self-acceptance and reduce generalized anxiety symptoms. Using a mixed-methods design, adults with clinically significant anxiety completed a structured three-session intervention involving symbolic life-phase mapping and watercolor-based concentric imagery. Quantitative measures included the Generalized Anxiety Disorder 7-item Scale (GAD-7) and Unconditional Self-Acceptance Questionnaire (USAQ), while qualitative data were derived from semi-structured interviews and artwork analysis. Findings indicated reduced anxiety, increased self-acceptance, and qualitative shifts toward emotional integration, reduced overwhelm, greater self-compassion, and recognition of resilience. Results support further investigation of this accessible, symbolically mediated intervention.