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Photo of Danielle Hutchings, Counsellor in Barrow upon Trent, England
Danielle Hutchings
Counsellor, MNCPS Acc.
Verified Verified
Long Eaton NG10
********Specialist in Anxiety and Stress!******** Hi my name is Danielle Hutchings and i am a Passionate and dedicated Psychotherapist and Hypnotherapist, I can help you to take control of your life and focus on who and where you want to be. I am an accredited registrant with the National Counselling Society NCS and National Hypnotherapy society MHS. I have experience with a wide range of issues and offer counselling to adults and young people. I believe that everyone should be able to talk freely about their feelings without fear of judgement. I specialise in Anxiety and Stress, so don't suffer anymore get in touch.
********Specialist in Anxiety and Stress!******** Hi my name is Danielle Hutchings and i am a Passionate and dedicated Psychotherapist and Hypnotherapist, I can help you to take control of your life and focus on who and where you want to be. I am an accredited registrant with the National Counselling Society NCS and National Hypnotherapy society MHS. I have experience with a wide range of issues and offer counselling to adults and young people. I believe that everyone should be able to talk freely about their feelings without fear of judgement. I specialise in Anxiety and Stress, so don't suffer anymore get in touch.
0115 697 1947 View 0115 697 1947
Photo of Grace-Anne Sharpe-Young, Psychotherapist in Barrow upon Trent, England
Grace-Anne Sharpe-Young
Psychotherapist, MSc, MBACP
Verified Verified
Loughborough LE12  (Online Only)
Life changes can cause stress and anxiety which may impact your mental and physical health.
Hello! I'm Grace-Anne, welcome to my page. I am trained in Social Psychology (BSc. BPS), Integrative Counselling & Psychotherapy (MSc. BACP), and Clinical Hypnotherapy (Dip. BPS, GHSC). My integrative approach includes Person-Centred Therapy (Carl Rogers) for self-exploration and growth, Attachment Theory (John Bowlby) highlighting how early emotional connections' impact on adult development, CBT that targets negative thoughts and behaviours into healthier alternatives and Clinical Hypnotherapy, an evidence-based method to help increase deep relaxation, manages stress, anxiety, and addresses phobias, fears, and unhealthy habits.
Life changes can cause stress and anxiety which may impact your mental and physical health.
Hello! I'm Grace-Anne, welcome to my page. I am trained in Social Psychology (BSc. BPS), Integrative Counselling & Psychotherapy (MSc. BACP), and Clinical Hypnotherapy (Dip. BPS, GHSC). My integrative approach includes Person-Centred Therapy (Carl Rogers) for self-exploration and growth, Attachment Theory (John Bowlby) highlighting how early emotional connections' impact on adult development, CBT that targets negative thoughts and behaviours into healthier alternatives and Clinical Hypnotherapy, an evidence-based method to help increase deep relaxation, manages stress, anxiety, and addresses phobias, fears, and unhealthy habits.
01509 323260 View 01509 323260
Photo of Dr Alison Jones, Psychologist in Barrow upon Trent, England
Dr Alison Jones
Psychologist, PsychD, CPsychol
Verified Verified
Melbourne DE73
I am a Clinical Psychologist based in Derbyshire. I help adults and young people with psychological and emotional difficulties including depression, anxiety, trauma, work related stress, psychosexual difficulties, relationship difficulties, self-esteem, physical health difficulties and adjustment to major life events. My main focus is providing psychological assessment and treatment. I help support clients with a wide range of difficulties, from mild through to severe and longstanding. I can offer many modes of therapy including; CBT, EMDR, integrative, systemic and psychosexual.
I am a Clinical Psychologist based in Derbyshire. I help adults and young people with psychological and emotional difficulties including depression, anxiety, trauma, work related stress, psychosexual difficulties, relationship difficulties, self-esteem, physical health difficulties and adjustment to major life events. My main focus is providing psychological assessment and treatment. I help support clients with a wide range of difficulties, from mild through to severe and longstanding. I can offer many modes of therapy including; CBT, EMDR, integrative, systemic and psychosexual.
01332 959035 View 01332 959035
Photo of CBT for Healthy Minds ( Caroline Bottrill ), Psychotherapist in Barrow upon Trent, England
CBT for Healthy Minds ( Caroline Bottrill )
Psychotherapist, MSc, MBABCP
Verified Verified
Derby DE65
I'm a professional and caring Psychotherapist with 15 years experience of helping my clients overcome depression, anxiety and trauma. If you are feeling anxious, fearful, low or alone, please do not suffer in silence, as my services can provide you with a helping hand. I treat all mental health problems. I have spent 15 years working with GP practices offering private therapy services to their patients . I provide alcohol and drug addiction rehabilitation programmes. I provide programmes for eating disorder recovery . I specialise in binge eating disorder and provide recovery programmes . I offer weight management programmes .
I'm a professional and caring Psychotherapist with 15 years experience of helping my clients overcome depression, anxiety and trauma. If you are feeling anxious, fearful, low or alone, please do not suffer in silence, as my services can provide you with a helping hand. I treat all mental health problems. I have spent 15 years working with GP practices offering private therapy services to their patients . I provide alcohol and drug addiction rehabilitation programmes. I provide programmes for eating disorder recovery . I specialise in binge eating disorder and provide recovery programmes . I offer weight management programmes .
0121 817 3868 View 0121 817 3868
Photo of Abbie Thompson, Psychotherapist in Barrow upon Trent, England
Abbie Thompson
Psychotherapist, MBACP
Verified Verified
1 Endorsed
Ashby-de-la-Zouch LE65
I am an Integrative Psychotherapist with experience working with a wide range of issues such as Anxiety, Depression, Bereavement and Relationship Difficulties. I currently work with both adults and adolescents. I can offer integrative theory to best suit to your needs and offer the best therapeutic approach; this can include CBT techniques, Psychodynamic therapy, and the Systemic approach. I have experience working with young people in residential care, in particular children with ASD, ADHD and personality disorders. I can offer both face-to-face and online/telephone appointments.
I am an Integrative Psychotherapist with experience working with a wide range of issues such as Anxiety, Depression, Bereavement and Relationship Difficulties. I currently work with both adults and adolescents. I can offer integrative theory to best suit to your needs and offer the best therapeutic approach; this can include CBT techniques, Psychodynamic therapy, and the Systemic approach. I have experience working with young people in residential care, in particular children with ASD, ADHD and personality disorders. I can offer both face-to-face and online/telephone appointments.
01530 442990 View 01530 442990
Photo of Isobel Milne, Counsellor in Barrow upon Trent, England
Isobel Milne
Counsellor, MNCPS Acc.
Verified Verified
Ashby-de-la-Zouch LE65
My specialisms are stress & anxiety, self-esteem and confidence, loss and bereavement, fears and phobias, and 'stuck' behaviours.
As an integrative counsellor I take a flexible approach to your therapy needs; be they goal-led, strategic, meditative, creative - or all of these. I work one-to-one and with small groups - at your home, work or social setting - and by telephone.
My specialisms are stress & anxiety, self-esteem and confidence, loss and bereavement, fears and phobias, and 'stuck' behaviours.
As an integrative counsellor I take a flexible approach to your therapy needs; be they goal-led, strategic, meditative, creative - or all of these. I work one-to-one and with small groups - at your home, work or social setting - and by telephone.
07876 441833 View 07876 441833
Photo of Nottingham Counselling Therapy, Psychotherapist in Barrow upon Trent, England
Nottingham Counselling Therapy
Psychotherapist, MBACP
Verified Verified
Long Eaton NG10
Thank you for visiting us. Perhaps you are struggling to cope, feeling anxious, depressed, processing trauma, emotional problems, overwhelmed, or maybe you are going through some changes. Regardless of your situation, our professionals at Nottingham Counselling Therapy support individuals and couples to heal, grow and feel better. We deliver effective and professional therapy by working to high standards, tracking therapy progress and offering you the best support to explore your thoughts, feelings and behaviours in a confidential and safe environment, where you will be treated with respect and care that ensures positive change.
Thank you for visiting us. Perhaps you are struggling to cope, feeling anxious, depressed, processing trauma, emotional problems, overwhelmed, or maybe you are going through some changes. Regardless of your situation, our professionals at Nottingham Counselling Therapy support individuals and couples to heal, grow and feel better. We deliver effective and professional therapy by working to high standards, tracking therapy progress and offering you the best support to explore your thoughts, feelings and behaviours in a confidential and safe environment, where you will be treated with respect and care that ensures positive change.
0115 697 1742 View 0115 697 1742
Photo of Lalida Puengklai, Counsellor in Barrow upon Trent, England
Lalida Puengklai
Counsellor, MA, MBACP
Verified Verified
1 Endorsed
Nottingham NG10  (Online Only)
I am a qualified Counsellor and have worked with clients with a range of difficulties that include relationship problems, trauma, anxiety, depression, panic, OCD, eating disorders, bereavement, self-harm, work-related stress and low self-esteem.
Do you feel like past events are affecting how you cope with life today? Do you feel anger easily and sometimes feel guilty about it afterwards? Do you wish you'd stop the anxiety? Do you feel like everyone is looking at you? Some nights you might feel like you're not enough... Some nights you might feel like you don't know what enough is... Sometimes you just want to put yourself first but the guilt just hits you...
I am a qualified Counsellor and have worked with clients with a range of difficulties that include relationship problems, trauma, anxiety, depression, panic, OCD, eating disorders, bereavement, self-harm, work-related stress and low self-esteem.
Do you feel like past events are affecting how you cope with life today? Do you feel anger easily and sometimes feel guilty about it afterwards? Do you wish you'd stop the anxiety? Do you feel like everyone is looking at you? Some nights you might feel like you're not enough... Some nights you might feel like you don't know what enough is... Sometimes you just want to put yourself first but the guilt just hits you...
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Photo of Nicky Alexis Daly, Counsellor in Barrow upon Trent, England
Nicky Alexis Daly
Counsellor, MSc, MBACP
Verified Verified
Whitwick LE67
Are you struggling with difficult feelings such as fear, depression, anxiety, stress, grief, anger? Do you feel like you are going around in circles and can't see a light at the end of the tunnel? Taking that step to ask for help can be a frightening one, but it can also be them beginning of stepping out of that circle and finding a different perspective. My name is Nicky Daly and I work in a counselling/psychotherapy practice, just 3 minutes drive from J23 of the M1. As a practise we offer short and long term therapy for individuals, couples and children. We have over 30 years experience supporting people in distress.
Are you struggling with difficult feelings such as fear, depression, anxiety, stress, grief, anger? Do you feel like you are going around in circles and can't see a light at the end of the tunnel? Taking that step to ask for help can be a frightening one, but it can also be them beginning of stepping out of that circle and finding a different perspective. My name is Nicky Daly and I work in a counselling/psychotherapy practice, just 3 minutes drive from J23 of the M1. As a practise we offer short and long term therapy for individuals, couples and children. We have over 30 years experience supporting people in distress.
07581 747542 View 07581 747542
Photo of Kristina Gumbryte, Psychotherapist in Barrow upon Trent, England
Kristina Gumbryte
Psychotherapist, MSc, MBACP
Verified Verified
Derby DE23
I strongly believe that the client knows themselves best, therefore I listen not to diagnose, but to understand you and how you came to be. I appreciate everyone wants to be happy, but the idea of happiness will look different to everyone - to some, it may be having better relationships with their loved ones, to others, it may be excelling at their career, and others may want to have a better relationship with themselves. Together, we can work through the barriers like anxiety, depression, self-harm, suicidal thoughts, eating disorders, or anything else. Whatever it is that your happiness looks like, I want to help you get there.
I strongly believe that the client knows themselves best, therefore I listen not to diagnose, but to understand you and how you came to be. I appreciate everyone wants to be happy, but the idea of happiness will look different to everyone - to some, it may be having better relationships with their loved ones, to others, it may be excelling at their career, and others may want to have a better relationship with themselves. Together, we can work through the barriers like anxiety, depression, self-harm, suicidal thoughts, eating disorders, or anything else. Whatever it is that your happiness looks like, I want to help you get there.
01332 497537 View 01332 497537
Photo of Rob Smith Psychotherapy, Psychotherapist in Barrow upon Trent, England
Rob Smith Psychotherapy
Psychotherapist, MSc, MBACP Accred
Verified Verified
Derby DE1  (Online Only)
Hello there. I am dedicated to providing a supportive and compassionate space to anyone experiencing difficulties in life. Whether you are struggling with something like anxiety, depression, stress, or generally feel that you need support in understanding how you feel, I am here to work with you. I have had the privilege of speaking with and supporting people, from all walks of life, over my many years doing this work and am a firm believer in the unique nature of all of us. As a result, I make it a priority to tailor our sessions to you and your goals specifically, to help you find some resolution to your struggles.
Hello there. I am dedicated to providing a supportive and compassionate space to anyone experiencing difficulties in life. Whether you are struggling with something like anxiety, depression, stress, or generally feel that you need support in understanding how you feel, I am here to work with you. I have had the privilege of speaking with and supporting people, from all walks of life, over my many years doing this work and am a firm believer in the unique nature of all of us. As a result, I make it a priority to tailor our sessions to you and your goals specifically, to help you find some resolution to your struggles.
01246 948657 View 01246 948657
Photo of Grey Space Counselling, Counsellor in Barrow upon Trent, England
Grey Space Counselling
Counsellor, MBACP
Verified Verified
Derby DE1
Are you going through a bereavement? Are you struggling with anxiety? Have you been suffering with low mood? Do you feel lost, alone or confused? Being human can be tough and we can all experience difficulties with our mental health. This does not mean you are broken or need to be ‘fixed’, but instead you are having a normal human response to an abnormally painful, difficult or scary experience - it can help to talk.
Are you going through a bereavement? Are you struggling with anxiety? Have you been suffering with low mood? Do you feel lost, alone or confused? Being human can be tough and we can all experience difficulties with our mental health. This does not mean you are broken or need to be ‘fixed’, but instead you are having a normal human response to an abnormally painful, difficult or scary experience - it can help to talk.
01889 227290 View 01889 227290
Photo of Jeanette Barratt, Psychotherapist in Barrow upon Trent, England
Jeanette Barratt
Psychotherapist, MBACP
Verified Verified
Derby DE1
I specialise in relationship difficulties, adverse childhood experiences, anxiety and depression.
If you have found your way here I appreciate you are reaching out for support. Taking the first step to reaching out to someone; especially a stranger takes courage. Maybe you are feeling stuck, overwhelmed, experiencing a life transition: divorce, grief, becoming a parent, children leaving home. Unable to find the strength to cope with change and difficult decisions. Counselling can be a life changing experience; our present struggles and feelings can be a turning point towards a new direction. Counselling is a collaborative task and it is my endeavour to travel alongside you on your journey as you discover new ways to move forward
I specialise in relationship difficulties, adverse childhood experiences, anxiety and depression.
If you have found your way here I appreciate you are reaching out for support. Taking the first step to reaching out to someone; especially a stranger takes courage. Maybe you are feeling stuck, overwhelmed, experiencing a life transition: divorce, grief, becoming a parent, children leaving home. Unable to find the strength to cope with change and difficult decisions. Counselling can be a life changing experience; our present struggles and feelings can be a turning point towards a new direction. Counselling is a collaborative task and it is my endeavour to travel alongside you on your journey as you discover new ways to move forward
01332 215070 View 01332 215070
Photo of Heidi Francis, Psychotherapist in Barrow upon Trent, England
Heidi Francis
Psychotherapist, MNCPS Acc.
Verified Verified
Derby DE1  (Online Only)
Taking that first step to seek support from a therapist can be a daunting experience and many people can feel anxious discussing their struggles. Experiencing feelings of anxiety, depression, sadness, anger and stress or suffering from a constant low mood, can often lead to feeling bewildered and alone. So my aim is to provide a safe, warm and caring space in which together we can explore your struggles and you can gain a better understanding of yourself and your feelings, Together we can discover a way forward to a happier, calmer place, enabling you to build new beginnings.
Taking that first step to seek support from a therapist can be a daunting experience and many people can feel anxious discussing their struggles. Experiencing feelings of anxiety, depression, sadness, anger and stress or suffering from a constant low mood, can often lead to feeling bewildered and alone. So my aim is to provide a safe, warm and caring space in which together we can explore your struggles and you can gain a better understanding of yourself and your feelings, Together we can discover a way forward to a happier, calmer place, enabling you to build new beginnings.
01536 609380 View 01536 609380
Photo of Martin Biddle, Counsellor in Barrow upon Trent, England
Martin Biddle
Counsellor, MSc, MUKCP
Verified Verified
Toton NG9
My name is Martin and I am a UKCP & BACP registered psychotherapist and trainee supervisor who has worked with adults, young people, couples, university students, families and many others who are experiencing anxiety, relationship issues, depression, trauma, bereavement and loss and concerns about anger management or emotional regulation. Maybe you are feeling stressed-out or anxious or are struggling at work, college or university, or you are overthinking, having panic attacks or relationship issues? Or you need some sexual health counselling or you are a couple who need some support? Talk with me in a safe non-judgemental space.
My name is Martin and I am a UKCP & BACP registered psychotherapist and trainee supervisor who has worked with adults, young people, couples, university students, families and many others who are experiencing anxiety, relationship issues, depression, trauma, bereavement and loss and concerns about anger management or emotional regulation. Maybe you are feeling stressed-out or anxious or are struggling at work, college or university, or you are overthinking, having panic attacks or relationship issues? Or you need some sexual health counselling or you are a couple who need some support? Talk with me in a safe non-judgemental space.
0115 697 1230 View 0115 697 1230
Photo of Nichola Smithurst, Psychotherapist in Barrow upon Trent, England
Nichola Smithurst
Psychotherapist, MBABCP
Verified Verified
Derby DE1
CBT is the recommended talking therapy by NICE (National Institute of Clinical Excellence) for depression and anxiety issues.
Hello, my name is Nichola. I am a CBT and Couple Therapist based in Derbyshire, UK. I offer face to face and remote appointments. I aim to work alongside clients to help better understand their difficulties. CBT can help shine a light on how we can find ourselves in a vicious cycle. CBT will focus on breaking these cycles to build on a positive cycle. I have had the privilege of supporting young people, adults and couples over the last 20 years with a range of difficulties to include addictions, depression, social anxiety, OCD, phobias, health anxiety, PTSD, relationship issues, low self esteem, work related stress and menopause.
CBT is the recommended talking therapy by NICE (National Institute of Clinical Excellence) for depression and anxiety issues.
Hello, my name is Nichola. I am a CBT and Couple Therapist based in Derbyshire, UK. I offer face to face and remote appointments. I aim to work alongside clients to help better understand their difficulties. CBT can help shine a light on how we can find ourselves in a vicious cycle. CBT will focus on breaking these cycles to build on a positive cycle. I have had the privilege of supporting young people, adults and couples over the last 20 years with a range of difficulties to include addictions, depression, social anxiety, OCD, phobias, health anxiety, PTSD, relationship issues, low self esteem, work related stress and menopause.
020 3479 4122 View 020 3479 4122
Photo of Josie Nicholson, Psychotherapist in Barrow upon Trent, England
Josie Nicholson
Psychotherapist, MBACP Accred
Verified Verified
Derby DE23
Currently 18 Years in Practice. Being human is mostly hard and life can be cruel. We see it time and time again. Bad things happen to good people, and we suffer. Each and every one of us at some point in our lives, finds ourselves lost and stuck. We can get depressed, anxious, angry, defensive and frightened. We can often avoid the things that bring us pain and as time goes on that list gets longer and longer and our life can feel smaller and smaller. Reaching out for help can be the hardest first step, but it's also the bravest and will prove to be one of the best decisions you will make for yourself.
Currently 18 Years in Practice. Being human is mostly hard and life can be cruel. We see it time and time again. Bad things happen to good people, and we suffer. Each and every one of us at some point in our lives, finds ourselves lost and stuck. We can get depressed, anxious, angry, defensive and frightened. We can often avoid the things that bring us pain and as time goes on that list gets longer and longer and our life can feel smaller and smaller. Reaching out for help can be the hardest first step, but it's also the bravest and will prove to be one of the best decisions you will make for yourself.
07971 958298 View 07971 958298
Photo of Lisa D Burley, Counsellor in Barrow upon Trent, England
Lisa D Burley
Counsellor, MSc, BACP
Verified Verified
Nottingham NG10
I am a counsellor and psychotherapist focusing my time, energy and considerations on the client and their needs. Being heard, trusted, understood, and feeling empathy without judgement are vital to the therapeutic relationship which we will build together. If you are feeling stressed, anxious or depressed or would like to work on your self-esteem, self-care or any other personal issues I am here for you. Bringing to light your hopes and goals in a personal, comfortable and non-judgemental space will give you the time and attention you need to focus on positive change.
I am a counsellor and psychotherapist focusing my time, energy and considerations on the client and their needs. Being heard, trusted, understood, and feeling empathy without judgement are vital to the therapeutic relationship which we will build together. If you are feeling stressed, anxious or depressed or would like to work on your self-esteem, self-care or any other personal issues I am here for you. Bringing to light your hopes and goals in a personal, comfortable and non-judgemental space will give you the time and attention you need to focus on positive change.
0115 697 2264 View 0115 697 2264
Photo of Louise Brereton Achelois Counselling, Counsellor in Barrow upon Trent, England
Louise Brereton Achelois Counselling
Counsellor, MSc, MBACP
Verified Verified
Ashby-de-la-Zouch LE65  (Online Only)
MSc integrative counselling and psychotherapy. Working with clients with a range of issues previously worked with addiction in a recovery centre now currently working with clients with a variety of issues including low mood, self criticalness, depression, low self esteem, trauma, stress, anxiety, bereavement and anger. Whether you wish to process trauma or offload Achelois counselling can aid you to discover the mind frame you desire to feel for-filled in your life.
MSc integrative counselling and psychotherapy. Working with clients with a range of issues previously worked with addiction in a recovery centre now currently working with clients with a variety of issues including low mood, self criticalness, depression, low self esteem, trauma, stress, anxiety, bereavement and anger. Whether you wish to process trauma or offload Achelois counselling can aid you to discover the mind frame you desire to feel for-filled in your life.
01530 448018 View 01530 448018
Photo of Jayne Davies, Counsellor in Barrow upon Trent, England
Jayne Davies
Counsellor, BACP
Verified Verified
Derby DE24  (Online Only)
These have included domestic violence, parenting, relationships, anxiety and depression,.
Hi my name is Jayne. I have over 18 years’ experience working within a custodial setting and have worked in a therapeutic capacity offering psychosocial support. This includes substance misuse addiction and the subsequent impact on family members and friends. I am a registered member of the British Association of Counselling and Psychotherapy. I have also work as a counsellor for a women's charity providing holistic support for women with complex needs. I offer a non-judgmental safe space online and via telephone for your exploration of self. You only get one you! Let’s look after YOU!
These have included domestic violence, parenting, relationships, anxiety and depression,.
Hi my name is Jayne. I have over 18 years’ experience working within a custodial setting and have worked in a therapeutic capacity offering psychosocial support. This includes substance misuse addiction and the subsequent impact on family members and friends. I am a registered member of the British Association of Counselling and Psychotherapy. I have also work as a counsellor for a women's charity providing holistic support for women with complex needs. I offer a non-judgmental safe space online and via telephone for your exploration of self. You only get one you! Let’s look after YOU!
01246 607041 View 01246 607041
Anxiety Counsellors

What are the most common treatments for anxiety?

Talk therapy, particularly cognitive behavioural therapy, is the most common treatment for anxiety. Studies have shown it is equally effective as medication. Other forms of therapy are popular, depending on a patient’s experience. Exposure therapy, for instance, can be useful for people dealing with fears and phobias, or who have experienced traumatic events. Dialectical Behavioural Therapy may be useful for patients who need help with emotion regulation. Anxiolytic medications, like benzodiazepines, can also help with calming a person enough to focus on the skills they’ve learned, and physical exercise has been shown to help symptoms of anxiety across the board.

How long does therapy for anxiety take to work?

The amount of time needed to alleviate symptoms depends on the severity of a person’s condition. Some therapies may take 5-20 weekly sessions to show results. Anti-depressant medications typically take two to four weeks before a benefit is felt. Anti-anxiety medications are felt typically within 20-30 minutes. Medications are best used to offer a patient a better headspace in which to work on techniques learned in therapy. Exercise, improved sleep habits, and meditation are effective, but takes weeks or months to show results.

When should I seek treatment for anxiety?

Everyone feels anxious at times, but when anxiety causes disruption to your daily life, it may be time to seek help. Such disruption can be mental, physical, or both: having fear dominate your thoughts, avoiding situations or objects that bring on feelings of anxiety, or experiencing shortness of breath, sweating, dizziness, or panic attacks. When these symptoms are recurrent and distressing, it may be time to talk to someone.

How effective is treatment for anxiety?

Treatment for anxiety has been shown to be moderately to highly effective, according to a large body of psychology studies and analyses. For some people, treatment using CBT or exposure therapy alone is effective. Others respond best to a combination of medication and therapy.