ONLINE ANXIETY THERAPY
Online CBT for anxiety and persistent worry
Anxiety can leave you feeling constantly on edge, overwhelmed by worry or unable to switch your mind off. You may find yourself avoiding situations, repeatedly seeking reassurance or preparing for things that might never happen.
I offer specialist online CBT to help you understand the patterns keeping anxiety going and develop practical, sustainable ways to respond differently.
Does this feel familiar?
Anxiety can affect your thoughts, body, behaviour and everyday life. You may recognise some of these experiences:
Worrying about several things at once and finding it difficult to switch off
Repeatedly imagining what might go wrong or preparing for the worst
Overthinking conversations, decisions or situations afterwards
Avoiding situations that feel uncertain, uncomfortable or overwhelming
Seeking reassurance or repeatedly checking that everything is okay
Experiencing a racing heart, tension, nausea, dizziness or shortness of breath
Finding it difficult to sleep, concentrate or remain present
Feeling frightened by panic symptoms, health concerns or other people’s judgement
Anxiety often creates a cycle of fearful predictions, uncomfortable physical sensations and coping strategies that provide short-term relief. With appropriate support, it is possible to understand this cycle and develop a more flexible and confident response.
How CBT can help with Anxiety
CBT helps you understand the connection between your thoughts, emotions, physical sensations and behaviour. Together, we can identify the patterns that may be maintaining anxiety and find practical ways to change them.
You may have tried avoiding difficult situations, preparing for every possible outcome, distracting yourself or repeatedly seeking reassurance. These responses are understandable and may provide temporary relief, but they can also reinforce the belief that uncertainty or anxiety is dangerous.
Therapy may include gradually approaching situations you have been avoiding, testing anxious predictions and developing new ways of responding to worry and physical symptoms. Each step will be planned collaboratively and approached at a manageable pace.
I may also draw on ACT-informed strategies to help you make room for uncomfortable thoughts and feelings while continuing to move towards what matters to you. The aim is not to remove every feeling of anxiety, but to help anxiety have less control over your choices and daily life.
Anxiety can take many forms
Anxiety is more than occasionally feeling nervous or stressed. It can appear in different ways and may affect work, relationships, health, sleep and everyday decisions.
You may experience:
Generalised anxiety: persistent worry about several areas of life that feels difficult to control
Social anxiety: fear of being judged, criticised, embarrassed or rejected by other people
Health anxiety: ongoing worry about illness, physical sensations or the possibility that something has been missed
Panic: sudden episodes of intense fear accompanied by distressing physical sensations
Specific fears: strong anxiety connected to particular situations, objects or experiences
Perfectionism: feeling driven to avoid mistakes, meet very high standards or repeatedly check your work
Chronic worry: repeatedly thinking through possible problems in an attempt to feel prepared or certain
These difficulties can overlap, and your experience may not fit neatly into a particular label. Therapy will focus on your individual patterns and the changes that matter to you.
What you can expect from online Anxiety therapy
We will begin with an assessment to understand how anxiety affects you, the situations that trigger it and the responses that may be keeping the cycle going. You do not need to know exactly what type of anxiety you are experiencing before contacting me.
Our work may include:
Developing a shared understanding of your individual anxiety cycle
Identifying anxious predictions, avoidance and reassurance-seeking
Understanding how thoughts, physical sensations and behaviour interact
Learning practical ways to respond to worry and uncertainty
Gradually approaching situations you have been avoiding
Testing anxious predictions through manageable behavioural experiments
Developing a different response to panic or uncomfortable physical sensations
Reviewing progress and adapting therapy to your needs
Therapy will be collaborative and tailored to your goals. You will understand why we are using a particular strategy, and we will agree on each step together.
Common questions about Anxiety Therapy
Do I need an anxiety diagnosis before contacting you?
No. You do not need a formal diagnosis before getting in touch. We can discuss what you have been experiencing during the consultation and explore it more fully during an initial assessment.
Can online CBT help with anxiety?
Online CBT uses the same structured and collaborative principles as face-to-face CBT. It can also allow you to practise strategies within the environment where anxiety and worry often occur. We can discuss whether online therapy is suitable for your circumstances before beginning.
Will I have to face situations that frighten me?
Therapy may involve gradually approaching situations you have been avoiding, but this will be discussed and planned with you. You will understand the purpose of each exercise, and we will work at a pace that is challenging but manageable.
How many sessions will I need?
The number of sessions varies depending on your difficulties, goals and circumstances. After the assessment, we will agree on an initial plan and review your progress regularly rather than expecting you to commit to a fixed number from the beginning.