Therapy For Anxiety

Should I get help for my anxiety?

Anxiety can significantly impact your daily life, affecting relationships, work, and overall well-being. Seeking help for anxiety is beneficial for several reasons. One of the biggest issues with anxiety is the avoidance behaviours that it leads to.

Cycle of Avoidance and Anxiety

The cycle of avoidance and anxiety is a common pattern that many individuals experience. It begins with an initial feeling of anxiety triggered by a particular situation, thought, or event.

As anxiety intensifies, the individual may engage in avoidance behaviours. Avoidance acts as a temporary relief strategy, allowing the person to escape the anxiety-provoking situation. For example, someone might skip social gatherings to avoid feelings of panic or embarrassment. While avoidance can provide immediate respite from anxiety, it ultimately reinforces the original anxiety and leads to long term anxiety growth.

Each time an individual avoids a situation, their belief that the situation is indeed threatening becomes strengthened. This reinforcement creates a feedback loop: anxiety leads to avoidance, which in turn increases anxiety over time. As a result, individuals may find their world shrinking, limiting opportunities for social engagement or personal growth.

Breaking this cycle often requires intentional therapy interventions. Cognitive Behavioural Therapy (CBT) is particularly effective, as it helps individuals confront their fears gradually. By recognizing and challenging irrational thoughts, individuals can reduce their anxiety levels. Additionally, exposure therapy techniques can be employed, where a person is gradually exposed to their fears in a controlled manner, with the support of a therapist.

It's crucial to acknowledge that while the cycle of avoidance and anxiety can feel overwhelming, there are effective therapeutic strategies available to help individuals regain control. By taking proactive steps towards facing their fears, individuals can begin to disrupt the cycle and foster resilience.

Anxiety and avoidance are often best friends. Living with anxiety typically means avoiding many of the things that make us anxious, leading to our world shrinking over time. Going to therapy can help can facilitate a deeper understanding of your anxiety, allowing you to manage symptoms more effectively and enhance your overall quality of life.

Going to therapy for your anxiety can help you develop effective coping strategies. Therapists at Cedar Tree Therapy are experts in arming you with various coping mechanisms, including cognitive behavioural therapy (CBT) strategies and dialectical behavioural therapy (DBT) strategies to name a few. These strategies can assist you in navigating challenging situations, no longer avoid what makes you anxious, and helps to reduce your anxiety levels over time.

Engaging in therapy for your anxiety can help you to get to know yourself on a deeper level. Therapy provides a safe space to explore the specific triggers of your anxiety. This exploration helps you develop personalized strategies to address and mitigate these triggers' impact.

Therapy offers a judgment-free zone where you can express your feelings and experiences openly. This supportive environment fosters a sense of understanding and connection. The relationship you develop with your therapist can be an incredibly corrective and healing experience, and can allow you to learn that it is safe to trust others again. By understanding and managing your anxiety, you can improve your interactions with others, leading to healthier and more fulfilling relationships.

When left untreated, anxiety can escalate into more severe mental health issues. Early intervention is crucial to prevent these potential complications.

Many individuals experience anxiety, yet many people struggle to reach out for help. You don’t have to go it alone. Recognizing that we all experience mental health challenges from time to time can empower you to take proactive steps towards your well-being.

Treatment For Anxiety

Seeking therapy for anxiety is a proactive step towards reclaiming control over your life. Engaging with a therapist can be a transformative experience, providing the tools needed to manage anxiety effectively and lead a fulfilling life. At Cedar Tree Therapy, treatment for anxiety typically involves a combination of therapeutic approaches tailored to the individual's needs. Common methods include:

1. Cognitive Behavioural Therapy (CBT): CBT is considered the gold standard treatment for anxiety at this time. This approach focuses on identifying and changing negative thought patterns and behaviours that contribute to anxiety. CBT operates on the principle that our thoughts, feelings, and behaviours are interconnected, and by altering negative thought patterns, we can decrease anxiety and improve our emotional well-being.

2. Acceptance and Commitment Therapy (ACT): Acceptance and Commitment Therapy (ACT) is a therapeutic approach that is increasingly used for treating anxiety. ACT aims to help individuals build psychological flexibility, which is the ability to remain open to experiences, including negative emotions, while actively pursuing valued actions. This shift from avoidance to acceptance can significantly improve one’s ability to cope with anxiety, enabling clients to lead more fulfilling lives.

3. Dialectical Behavioural Therapy (DBT): Originally designed for the treatment of borderline personality disorder, DBT is effective for anxiety as well. DBT offers mindfulness skills, distress tolerance, emotion regulation and interpersonal effectiveness skills. DBT has been shown to significantly reduce symptoms of anxiety, improve emotional regulation, and enhance overall functioning in clients. By incorporating mindfulness and distress tolerance techniques, individuals can develop resilience against anxiety, allowing them to face challenges with greater confidence.

4. Exposure & Response Prevention Therapy (ERP): A subset of CBT, exposure therapy involves gradual exposure to feared situations or stimuli in a controlled manner. Gradual exposure to anxiety-provoking situations is a critical element of CBT. Clients confront these situations in a controlled manner, allowing them to build tolerance and reduce fear over time. This helps reduce avoidance behaviors and desensitize individuals to their anxiety triggers. This form of therapy is the gold standard in treatment for Obsessive Compulsive Disorder (OCD).

5. Mindfulness and Relaxation Techniques: A wonderful addition to the therapy models above, these include practices such as meditation, deep breathing exercises, and progressive muscle relaxation. They help promote relaxation and reduce the physiological symptoms of anxiety.

6. Medication: In some cases, medication may be prescribed alongside therapy. Common options include antidepressants like selective serotonin reuptake inhibitors (SSRIs) or anti-anxiety medications like benzodiazepines, depending on the severity and duration of anxiety symptoms.

7. Lifestyle Modifications: Encouraging lifestyle choices that support your mental health, such as regular exercise, a balanced diet, adequate sleep, and reducing caffeine and alcohol intake, can significantly impact anxiety management.

Each client’s treatment plan is personalized, taking into account the individual’s specific experiences and preferences, ensuring the most effective approach to manage anxiety. If you think you might benefit from having more control over your anxiety, do not hesitate to reach out to Cedar Tree Therapy and book a free 15 minute consultation.

About the Author

Dana Etherington is an Occupational Therapist, Psychotherapist and the Owner of Cedar Tree Therapy, a group psychotherapy practice located in Brooklin, Ontario. Dana uses cognitive behavioural therapy along with other evidence based treatment modalities to treat anxiety, depression, obsessive compulsive disorder and disorder eating.

How To Make the Most of Your Therapy Session

Do you ever attend your weekly therapy session, eager to have a safe space to express your emotions, only to find that once you're seated across from your therapist, your mind inexplicably goes blank? The weight of the previous week's experiences sits heavily on your shoulders, yet it all feels like a distant blur. Frustration and uncertainty wash over you as you desperately search for the right words to bring up what's truly important to you, in the hopes of making the most of this therapy session. In this blog post, we will explore effective strategies to help you make the most of your therapy session, ensuring that your therapy sessions become a sanctuary of self-expression and genuine progress.

Attending therapy sessions can be a valuable and transformative experience for individuals seeking support for their mental health. Optimizing every therapy session helps to ensure you get the most out of your experience. Whether you're new to therapy or have been attending sessions for a while, the therapists at Cedar Tree Therapy have compiled a list of valuable tips to help you maximize the effectiveness of each session. From preparing yourself mentally to setting goals and actively engaging during the session, these strategies will guide you towards a fulfilling therapeutic journey. So, let's dive in and discover how you can make the most of your therapy sessions.

1. Be Open and Honest: One of the most important factors in therapy is creating a safe and trusting environment. To establish this foundation, it is crucial to be open and honest with your therapist. Being vulnerable is so hard. There is no better place to be vulnerable than in therapy. Share your thoughts, feelings, and experiences without holding back. Remember, therapy is a judgment-free zone where you can freely express yourself.

2. Set Goals: Prior to each session, take some time to reflect on what you hope to achieve or discuss. Setting goals will help you stay focused and make the most of your therapy session. Whether it's working on specific coping techniques or addressing a particular issue, having clear objectives can guide the conversation and make the session more productive. Maybe it’s making sense of childhood trauma. Maybe it’s having a better relationship with your mom. Maybe it’s being able to express yourself and communicate more assertively in your relationship. Have these goals written down so that you’re able to come back to them often. Sharing these with your therapist is really important so that your therapist can be directing your session back to these goals as well. If you’re not sure what your goals might be, this is something that you and your therapist can discuss and work towards together, as well.

3. Come Prepared: It can be helpful to come prepared with any relevant information or topics you want to discuss during the session. Jot down your thoughts, questions, or concerns in advance, so you don't forget anything important. This will ensure that you maximize your time in therapy and address the areas that matter most to you.

4. Be Active and Engaged: Therapy is a collaborative process, and your active participation is key to its success. Engage in the conversation, ask questions, and seek clarification when needed. Remember that therapy is not a passive experience but an opportunity for growth, self-discovery, and skill-building. The more engaged you are, the more you will benefit from the session.

5. Take Notes: Consider bringing a notebook or using a note-taking app during your therapy session. Jotting down important insights, strategies, or homework assignments can help you remember and implement what you've learned outside of therapy. Notes can serve as a reference and reminder of the progress you've made throughout your therapeutic journey.

Keep a journal throughout the week of emotional highs and lows, things that were really exciting or not so great that happened to you. Take note between sessions of things that felt really good and also things that didn’t feel so good like difficult conversations and other emotional lows.

You will learn about several different therapy skills during your time in therapy. Write them down as you learn them and throughout the week record how you used each skill. Share with your therapist how you used each skill. This is important so that you can ensure that you’re using the skills as they’re meant to be used and getting the full understanding of them. Additionally, keeping track of the therapy skills you have learned is really helpful to have as a reference for when you graduate from therapy. You can revisit your journal of skills and refresh your memory to integrate the skills into your life if you feel like you could use a refresher. You can also ask your therapist for a “skill summary” if you have been in therapy for a while already and you’re not sure exactly what skills you have learned.

6. Practice Self-Care: Therapy sessions can sometimes bring up challenging emotions or topics. To support yourself during this process, practice self-care after your sessions. Develop a post-therapy self care ritual, perhaps a post therapy shower, or making and drinking a post therapy tea as you reflect on the session. Taking care of yourself will enhance your resilience and ability to engage fully in therapy.

7. Reflect After Your Sessions: After each session with your therapist, spend some time immediately following session where you write down important things that stuck out to your during the session. Maybe it’s something that your therapist said. Maybe it’s a realization that you came to during session. Take a second after your session with your therapist to write down feelings, thoughts, or anything that comes to mind. This can be really helpful because you can bring these things back to your next session and say, “This really stuck with me from last session, I’d like to explore it further.”

8. Communicate Your Expectations: If you have specific expectations or preferences regarding your therapy sessions, don't hesitate to communicate them to your therapist. Whether it's the frequency of sessions, the therapeutic approach, or any other concern, open and honest communication will help ensure that your needs are met effectively. Your feedback is so valuable and is always welcomed by your therapist.

9. Attend Therapy Consistently: It is crucial to attend therapy consistently in order to maximize its effectiveness. Research has consistently shown that therapy tends to decrease in its efficacy when individuals do not go regularly. Therefore, it is highly recommended to be consistent with your appointments and scheduling to ensure that you are receiving the full benefits of the therapy process. By maintaining a regular attendance, you create a sense of continuity and allow your therapist to properly assess your progress and provide you with the necessary support. So, make it a priority to attend your therapy sessions consistently and reap the maximum benefits from your therapy journey.

Remember, therapy is a gradual and individualized process that requires patience, dedication, and perseverance. It's important to understand that true transformation takes time, and there are no quick fixes when it comes to improving your mental health. By incorporating these practical tips into your daily life and fully engaging in your therapy sessions, you will be able to unlock the full potential therapy has to offer. Remember, each person's mental health journey is unique, so it is essential to approach your therapy with an open mind and a willingness to do the work necessary for lasting change. Through consistent effort and commitment, you will be able to make significant strides in your personal growth and experience an enhanced sense of well-being. So, embrace the process, and believe in yourself, as only you have the power to create positive change and lead a more fulfilling life.

About the Author

Dana Etherington is an Occupational Therapist, Psychotherapist and the Owner of Cedar Tree Therapy, a group psychotherapy practice located in Brooklin, Ontario.