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Opening Up by Writing It Down: How Expressive Writing Improves Health and Eases Emotional Pain

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Expressing painful emotions is hard--yet it can actually improve our mental and physical health. This lucid, compassionate book has introduced tens of thousands of readers to expressive writing, a simple yet powerful self-help technique grounded in scientific research. Leading experts James W. Pennebaker and Joshua M. Smyth describe how taking just a few minutes to write about deeply felt personal experiences or problems may help you:

*Heal old emotional wounds
*Feel a greater sense of well-being
*Decrease stress
*Improve relationships
*Boost your immune system

Vivid stories and examples yield compelling insights into secrets, self-disclosure, and the hidden price of silence. The third edition incorporates findings from hundreds of recent studies and includes practical exercises to help you try expressive writing for yourself. It features extensive new information on specific health benefits, as well as when the approach may not be helpful.

210 pages, Paperback

First published January 1, 1990

359 people are currently reading
3902 people want to read

About the author

James W. Pennebaker

23 books174 followers
James Pennebaker is an American social psychologist and husband of Ruth Pennebaker. He is the Centennial Liberal Arts Professor of Psychology at the University of Texas at Austin and a member of the Academy of Distinguished Teachers. His research focuses on the relationship between natural language use, health, and social behavior, most recently "how everyday language reflects basic social and personality processes"

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5 stars
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181 (21%)
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36 (4%)
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Displaying 1 - 30 of 115 reviews
Profile Image for Heather Pagano.
Author 3 books13 followers
November 13, 2016
A great psychology book focusing on practical ways to cope with a traumatic experience or big life change. I was looking for a book that would teach how to keep a daily journal- this is not that book. Here two researchers rigorously collate years of experiments, posit reasons for what they found, and offer suggestions and exercises for writing. I loved learning about their ideas: how illness and poor immune function can be caused by stress, how stress can be caused by holding in secret pain, how secret pain can be relieved by disclosure, and how writing can work as a viable alternative to disclosure when talking to a friend might have adverse social consequences. I also liked learning about how writing and language help us organize and create meaning out of the momentous events in our lives.
Profile Image for Simon Ri.
10 reviews42 followers
August 26, 2025
In my estimation articulating problems is highly underrated when it comes to solving that very. When complicated experiences are carefully put into words the manner in which they are represented in the brain changes. They move from the areas associated with stressful emotion demanding constant physical readiness to the areas associated with detailed comprehension and understanding. This makes articulate people less stressed and more informed about how to be successful now and in the future, which is the reason why we keep track of our past.
Profile Image for Scrapsandsass.
119 reviews12 followers
June 17, 2016
I've been fascinated by James Pennebaker's work for the past twenty years, so this book was a no-brainer for me.

This book shared a lot of information on why the authors first got involved in expressive writing and researching its benefits. There was a lot of explanation about the process and the methods they've used over the years. It was good to read about the progress being made in the area of health, wellness, and self-improvement, and how expressive writing can make an impact on those areas. With advances in technology and medicine, there has been a lot of updated information and more detailed research taking place. I also appreciated that they included some good information on writing and education. I think there has been a lack of focus on that with the new educational standards, and I hope that educators realized it is important.

As someone who has a life-changing chronic disorder (that includes pain and other physical symptoms), it was a great reminder that I should be writing several times a week in order to alleviate/reduce some symptoms and help to strengthen my immune system. I know there are times I definitely use sleeping or reading as escape from pain and discomfort, but if I switched to focused writing for 15-30 minutes a day, I should actually be able to feel better and not need the "escape" as often.

The only downside to this book (for me), was that I already know Pennebaker's work and how powerful expressive writing can be, and I've done a lot of research on expressive writing on my own. So there wasn't a lot of new information.

It is definitely food for thought, and I would encourage everyone to read it and learn more about how you can use expressive writing to reduce stress and help to feel better.
Profile Image for Keerit Kohli.
214 reviews2 followers
August 18, 2023
my dad made me read this because he thinks i am not in touch with my emotions little does he know i am a PISCES
Profile Image for Justin.
801 reviews31 followers
June 18, 2015
Keeping things to ourselves creates stress whereas expressing them through talking or writing benefits our mental and physical health. Pennebaker's research explores how inhibition hurts us compared to confrontation which although painful at first can ultimately benefit us. His research has focused on self-disclosure through writing in an laboratory setting with physiological measures. That said, his research brings some fascinating insights, but a good amount of it remains correlational. He explores how different thinking styles affect our self-disclosure and coping, as well as the timeline of trauma coping. He talks about the value of writing, the social variables including who we disclose to and how we are affected as listeners. He discusses positive emotions such as love and how it relates to disclosure which affects us in a similar way to trauma. His writings of the inhibited personality, and the sociological approach to cities stimulates discussion, but is a bit limited. He then looks at confession in different contexts and how it can shape how we interpret our experiencs. And finally, the benefits of writing on well-being.
Overall, this was an englightening read, and reminds us to express ourselves.
Profile Image for Aurélie.
98 reviews18 followers
June 29, 2017
What a really interesting book that was! I started reading it because I wanted to be more informed on the benefits of writing in general. And I was surprisingly amazed. The main point of this book is that expressive writing and putting our thoughts into words is proved to reduce the stress, improve our health and our life and relationships in general. This is mainly true when dealing with traumas and major problems and even if it is not my current case, I am journaling every day since one month now and I can really see much change and improvement in my life. I truly believe that you open up by writing it down.

I really love reading about psychology in general and I was glad to discover how expressive writing came to life with J. Pennebaker and to know more about his work with Joshua Smyth on the subject.

"Holding back and not talking about an upsetting experience is bad in and of itself. A deeper problem is when individuals avoid talking, they fail to translate their thoughts and feelings into language. Without resolving their traumas, they continue to live with them and any negative aftereffects."
Profile Image for Lisajean.
311 reviews57 followers
December 22, 2020
I got a lot out of this book. In part, it convinced me that journaling will always be a key part of my classroom practice, as will free writes and process writes. Now, I'm well aware of the risk of turning to psychology books for insight into teaching, namely that I am not a psychologist, I'm not a therapist, and it would be inappropriate for me to try to take on that role for my students. However, as an English teacher, I do think it's helpful to have a nuanced understanding of the ways writing functions. Writing is a way of knowing, a way of forming concepts, and so any personal writing we do in class has the potential to not just express existing understandings of the self, but to actually shape that understanding. As a result, I appreciated that this book pushed me to think through the types of prompts I might give students. For example, writing about a specific personal event could take any of the following forms:

1. Letting it out: Write about an event with no self-editing. Anything goes.
2. Reflecting: How did you feel about the event? What does the event mean?
3. Cause and Effect: Step back from the event to analyze it - Why did it happen? Why did you feel the way you did? Why did the other people involved act as they did? How did it affect you and why did it affect you that way? What was the silver lining?
4. Third person: Talk to your younger self in third person. You may offer advice, consolation, explanation, forgiveness, or whatever else you'd like.
5. Best Possible Self: Write about your best possible self in a future where you have achieved everything you desired, after working hard for it. You may write about what you have achieved, how you achieved it, how you feel, or anything else.
6. Process: How has it been writing about this event? How have your feelings changed? Will it effect your actions? How do you think your experience compares to other people's?
7: Groups: In self-selected groups, you have the option to talk through how you're feeling right now or to share what you wrote. You are not obligated to talk at all if you don't want to.

My key takeaway from this book is that the most helpful element of expressive writing is that the very nature of writing involves making sense of an event, imposing meaning on it. We are primed to write about causes and effects, which can help with feelings of helplessness and randomness and can help find some value or lesson even in traumatic situations. That process of understanding can then make it easier to move on.

Again, I have no intention of asking students to recount traumatic events, but they do it anyway, in journals, in college essays, in free writes, so it helps to have an idea of effective follow-up questions and to think through structures that can promote healing rather than retraumatize writers.
Profile Image for Mina Lobo.
Author 2 books22 followers
January 28, 2019
I enjoyed this book, particularly the straightforward and matter-0f-fact tone of the authors. So many self-help books pump themselves up with hyperbolic enthusiasm and are sales-oriented, pushing the reader to authors' websites to become dependent on them and spend more money on their products. Not "Opening Up by Writing It Down"--the authors gave their background info on the subject, discussed trials and errors, and provided details from multiple studies to support their thesis. However, they didn't make exaggerated claims that their method was THE method and openly acknowledged that they didn't have all the answers and that their ideas wouldn't work for everyone in every circumstance. They came off as genuine to me and I felt I could trust whatever they had to share, even if they couldn't make any promises that this sharing would help me solve all my problems (which, of course, no one in good conscience can do). They provided some preliminary exercises which I found beneficial and sparked some unprescribed writing that also felt helpful. I feel like I'd have liked a few more exercises, or more information on variables of the expressive writing process. But that's a small criticism for a largely worthwhile read. If you're going through a rough patch, of any sort, it might prove helpful to you also, if you're ready (which, the authors note, may not be for some time after a traumatic event).
Profile Image for Tony Page.
Author 4 books9 followers
June 22, 2018
Fascinating evidence of the benefits of expressive writing for personal performance, health and well-being.
Profile Image for Diego Barragán Guerrero.
167 reviews8 followers
September 4, 2024
"Opening Up by Writing It Down" delves into the profound psychological and physical benefits of expressive writing. Authored by leading psychologists James W. Pennebaker and Joshua M. Smyth, the book is rooted in decades of research and offers practical insights into how expressing emotions and thoughts can enhance mental health, improve physical well-being, and help individuals cope with trauma.

One of the book's core themes is that expressive writing, which involves writing about personal and often painful experiences for a few minutes each day over several days, can lead to significant health improvements. The authors explain how this method has been proven effective across a variety of issues, from managing anxiety and depression to dealing with PTSD and even improving immune function. The simplicity of this technique is striking, yet its effects are long-lasting. People who engage in expressive writing often report fewer visits to health centers and overall improvements in their psychological well-being.

The authors emphasize the importance of confronting one's thoughts and feelings. As they explain, "keeping secrets is physical work," which can lead to stress and even illness. Through expressive writing, people release these pent-up emotions and, in doing so, reduce the mental strain that comes with suppressing them. This process can also serve as a form of "preventive maintenance," helping individuals to stay mentally and emotionally balanced. By organizing and reflecting on experiences through writing, individuals can make sense of their thoughts and feelings, reducing the physiological impact of keeping them hidden.

The book also explores the psychosomatic links between mental health and physical illnesses. The authors provide numerous examples of how unresolved psychological conflicts can manifest in physical symptoms such as respiratory problems or weakened immune systems. A compelling point made by the authors is that individuals often fail to recognize the psychological triggers behind their illnesses. Once these links are acknowledged, people can use their health issues as signals to address deeper emotional conflicts.

Pennebaker and Smyth further highlight how expressive writing offers a safe and personal space for self-reflection, free from judgment or external pressure. This is particularly useful for individuals who may not feel comfortable discussing their traumas or stressors with others. Writing allows for an honest and uncensored exploration of thoughts and emotions, which, in turn, promotes psychological healing. However, the authors caution that writing is not a substitute for therapy. While writing can serve as a powerful tool for emotional release, more severe psychological issues may require professional intervention.

The book does not shy away from discussing the limitations of expressive writing. For example, while some individuals may benefit significantly, others may experience little to no effect. Moreover, pushing oneself or others to write about a trauma immediately after it occurs can sometimes be counterproductive, as emotional processing requires time.

In conclusion, "Opening Up by Writing It Down" is an insightful exploration of the therapeutic power of writing. Through research and practical examples, Pennebaker and Smyth show how expressive writing can help individuals gain clarity, reduce stress, and improve their overall health. The book offers an accessible and effective method for self-care, making it a valuable resource for anyone seeking to improve their mental and physical well-being.
Profile Image for Tilda.
187 reviews
August 18, 2024
det är tydligt att man ännu inte vet så mycket om för vad och vem, vilka effekter och varför ”uttrycksfullt skrivande” kan ha positiva effekter. jag tror och hoppas att det kommer studeras ytterligare
Profile Image for Rick Sam.
435 reviews158 followers
January 5, 2022
"Would you want to be of help to someone, who has problems?"

One way is to listen, make a person feel heard.
Ask them to be honest, write to you.


We do want to sort them out or be of help.

What I noticed is it, each person is different.

For some, a small event in their life, might not upset them.
For some, a small event in their life, might disrupt them.

This passage, summarizes the book:

How ?

1. Standard expressive writing
2. Cognitive processing
3. Exposure
4. Benefit finding
5. Best possible future self


“Standard” expressive writing: Deepest thoughts and feelings about a stressful or traumatic event. Write about the same or different topics over writing sessions.

Cognitive processing: Thoughts and feelings with an attempt to derive more understanding and insight (cognitive processing) regarding a traumatic or stressful event.

Exposure: Deepest thoughts and emotions about the same event across all writing sessions to promote emotional habituation/adaptation.

Benefit finding: Identify an event and then focus on the positive aspects of the experience; this might include a focus on how you have grown or changed as a person due to the event and how you might be better equipped to meet future challenges.

Best possible future self: Think about your life in the future and write about this life as if you have worked hard and succeeded at accomplishing all of your life goals.

I'd recommend this to someone, who enjoys writing, reading, communicating, wants to help others.

Deus Vult,
Gottfried
Profile Image for S.E. Chandler.
Author 17 books26 followers
July 15, 2022
Eye opening! I couldn't stop talking about the science behind expressive writing to poor, unsuspecting bystanders. Stop what you're doing right now and go write for 15 minutes about your trauma. It'll change your life!
Profile Image for Anita.
654 reviews16 followers
April 15, 2020
The explanation for how to do expressive writing is short and clear. It is repeated a bit throughout the book. The bulk of the book is studies on what expressive writing can do and may not do. There are many studies given showing some excellent effects and also demonstrating that this is not the total answer in dealing with pain. I appreciated the truth in this book as opposed to simply hype. There are a few simple exercises to try. This is one aspect of writing that I was interested in. It turns out not to be the only way or purpose for writing. I'm happy to know about it now so that I can use it as appropriate. I wanted to read something to encourage me to pursue writing more now that I've developed a daily habit of writing. After reading and trying the Intensive Journal by Progoff, I've been looking for things a bit more simple. This is simple, but is only part of what I'm looking for. For a well-rounded discussion of the topic expressive writing of thoughts and feelings (both together) this is a great book.
Profile Image for Dottie Parish.
Author 1 book10 followers
March 2, 2013
James W. Pennebaker, Ph.D., in his book, Opening Up, The Healing Power of Expressing Emotion, describes a study of unemployed men. The men who wrote about losing their jobs found new jobs much more quickly than the two control groups. Writing helped them vent anger, hurt and pain about their job loss. It enabled them to let go of painful experiences, and this in turn, helped them be effective in finding employment.

As a clinical social worker I know writing is helpful, Writing will help with any type of crisis or problem. If you're dealing with anger or resentment, write a letter to the person you're angry with, but don't send the letter. Sending an angry letter makes things worse. The point is to get your anger, hurt or pain out on paper. Include specific details when you write. This helps you understand what happened, and helps you let go of anger and hurt. Read the book and see www.Faithnotes-dottie.blogspot for more.
583 reviews
December 31, 2023
3.0 stars. I read this after enjoying a Huberman Lab podcast about a journal protocol for improving health by writing about a traumatic event. The book is an OK read, with stories and how-tos, but Andrew Huberman boils down the process during the podcast and provides the essential instructions for anyone who wants to try it: Write non-stop about the trauma in complete sentences for 15-30 minutes on four consecutive days, or four sessions separated by about a week. The three elements to cover while writing are 1) the facts of the hard experience, 2) the emotions felt at the time and now about the experience, and 3) links between the experience and anything happening now or that may happen in the future, whether direct or unclear. Kudos to Dr. Pennebaker for his groundbreaking research and to Professor Huberman for popularizing the science.
Profile Image for Eri.
56 reviews7 followers
January 17, 2008
Try experiment yourself by writing down anything that emerge from your mind, heart and soul during your hard times, sadness, dissapointment, heart break, down hearted...
Writing is the best therapy - as James' experiments have proved them - 'coz I did it too as part of healing my tumour in 2006-2007. Released all the stress, worries, wondering mind, doubtfulness, and many more.
To cure illness by expressing yourself in writing is the best treatment.
Profile Image for Alex.
192 reviews26 followers
December 3, 2022
Not exactly what I was expecting. And a little triggering here and there.
Profile Image for Cole.
97 reviews1 follower
April 10, 2023
Some useful insights into writing and journalling for self-help/therapy etc.

A lot of filler though with some elements that I felt were pointless and not really on topic at all.
Profile Image for Archana Pai.
38 reviews
May 21, 2021
If someone is looking for inspiration to get into the habit of writing , this book would be a good place to start.
161 reviews1 follower
April 21, 2025
It is a nice book if you are interested in the research. If not you can summarize it in couple sentences. Writing is good tot reflect. However, if you are interested in research it is quite a cool book with lots of different ideas to write and explore yourself as well with those different ideas.
Profile Image for Molly.
383 reviews7 followers
July 24, 2025
This is a very wise and research-based explanation of the ways expressive writing can improve our mental health as preventive maintenance, and ways it cannot.

Through synthesis of data and honest reflection on a number of research and therapeutic scenarios, the authors do a great job of explaining the ways writing can help us cognitively process trauma or difficult circumstances, and also how it can simply help us problem-solve and brainstorm, to free up brain space for other tasks.
Profile Image for E.
818 reviews
April 4, 2021
This is a book where it's important to go in with the right set of expectations.

If you're reading this book to learn about how to write expressively (beyond generic instructions such as "really let it out, put down your deepest feelings"), this is not your book. It hints throughout that Chapter 10 will contain the instructions needed to do this, and then Chapter 10 ends with a whimper, not a bang, giving you nothing but aforementioned generic instructions.
If anyone has book suggestions for what does cover the topic of how, I would be grateful to hear them.

If you're reading this book to learn about the academic studies run to determine how expressive writing can help, or not accomplish anything at all, this is your book and it will be an absolute gold mine for you.

Sadly, I went in thinking it would be some of the latter and a good chunk of the former, and it was not. For what it is, it's a very thorough and well-written book, but sadly, not what I was looking for.
Profile Image for Beatriz.
313 reviews97 followers
February 23, 2020
Manual incrível sobre os benefícios da escrita (e da confissão ou conversa), mas que peca por demasiada informação repetida e estrutura pouco clara. Acho que se leria muito melhor se estivesse melhor sumarizado. Os primeiros e os últimos capítulos são os melhores, pela introdução sucinta e pelas conclusões resumidas e aplicáveis à prática terapêutica e ainda noutros contextos. As notas no final têm imensa informação de valor, assim como os exemplos pessoais/profissionais dos autores. Não vale a pena ler edições deste livro anteriores aos anos de 2010-..., porque os próprios autores referem várias vezes que já se efectuaram novos estudos e que se retiraram novas conclusões, entretanto, na investigação mais recente.

O estudo da "disclosure" é fascinante!
Profile Image for Riikka Iivanainen.
63 reviews2 followers
December 27, 2022
A psychology book that doesn't claim to solve all your problems. It offers a thorough and practical look into how expressive writing can improve both physical and psychological health (and how and when it cannot).

I've intuitively been practicing this kind of writing occasionally and have found it to be helpful. It was interesting to learn the science behind it.

I highly recommend this to anyone interested in writing as well as free and accessible ways of processing difficult life experiences.
Profile Image for Corinne M Westphal.
20 reviews2 followers
February 11, 2019
I'm a firm believer in the power of journaling. I've found it helpful in my own personal development and working through difficult times and dilemmas as well as in that of my clients. Pennebaker provides the clinical research and evidence behind it while providing examples of interesting case studies.

This is an essential on my bookshelf of references. I've both the Kindle and the hardcopy versions.
Profile Image for Jodi McMaster.
103 reviews2 followers
March 9, 2013
Perhaps it was all the hype, but I was disappointed by this book. The research he cites is interesting, but it raised as many questions as it answered. I agree that for some of us, journaling is a healing and useful tool, but there are so many variables that were not explored that I thought the analysis and conclusions were facile and unconvincing.
Profile Image for Robyn.
102 reviews6 followers
October 9, 2016
Comprehensive and easily digestible overview on the research behind expressive writing. An easy read that prepares you to either engage in the practice of expressive writing, or use it with clients as a psychotherapeutic intervention. Very interesting, and enjoyably written!
Profile Image for Mary Alice.
169 reviews77 followers
August 6, 2011
Thoughtful explanations of studies Pennebaker conducted concerning confiding in others and expressing those thougts through writing.
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