What is Anxiety?
Anxiety is a natural emotional response to stress, but when it becomes persistent and overwhelming, it can develop into an anxiety disorder. While some worry is normal, anxiety disorders involve intense, persistent concern that makes it difficult to cope with everyday activities.
At Mind Health, we understand that anxiety affects millions of Australians each year. Whether your anxiety manifests as physical symptoms like a racing heart and sweating, persistent worry about the future, or avoidance of certain situations, we’re here to help you regain control. Anxiety is one of the most treatable mental health conditions, and with the right support, you can learn to manage it effectively.
Anxiety often co-occurs with other conditions like depression, stress, PTSD, OCD, and insomnia. Our team is experienced in treating anxiety alongside these related conditions.
Types of Anxiety Disorders
Anxiety can present in several distinct ways. Understanding which type of anxiety you experience is important for choosing the most effective treatment:
- Generalised Anxiety Disorder (GAD): Persistent, excessive worry about many aspects of life (work, health, family) lasting at least 6 months.
- Social Anxiety Disorder: Intense fear of social situations and concern about being judged or embarrassed by others.
- Panic Disorder: Recurrent, unexpected panic attacks followed by worry about future attacks and changes in behaviour to avoid them.
- Specific Phobias: Intense, irrational fear of particular objects or situations (heights, flying, animals) that leads to avoidance.
- Agoraphobia: Fear of situations where escape might be difficult or help unavailable, often leading to avoidance of public places or travel.
Signs & Symptoms
Anxiety affects your mind and body in interconnected ways. You might experience some or all of the following symptoms, which can vary in intensity and frequency.
Physical Symptoms
- Racing heart and palpitations: Your heart may beat faster or irregularly, especially during anxiety attacks.
- Sweating and trembling: You might sweat excessively or experience muscle shakiness, even when not physically active.
- Shortness of breath: Feeling unable to catch your breath or take deep breaths is common.
- Muscle tension and pain: Sustained muscle tightness, particularly in the neck, shoulders, and jaw.
- Dizziness and lightheadedness: Feeling faint, unsteady, or disconnected from your surroundings.
- Stomach discomfort: Nausea, butterflies, or digestive issues linked to anxiety.
Emotional and Cognitive Symptoms
- Excessive worry: Persistent, uncontrollable thoughts about future events, health, or relationships.
- Sense of impending doom: A feeling that something terrible will happen, even without specific cause.
- Difficulty concentrating: Racing thoughts make it hard to focus on work, study, or conversations.
- Irritability: Anxiety can make you feel on edge, short-tempered, or easily frustrated.
- Catastrophic thinking: Tendency to assume the worst outcome in ambiguous situations.
- Fear of losing control: Worry that you might “go crazy” or lose control of your emotions.
Behavioural Symptoms
- Avoidance behaviours: Staying away from situations, places, or people that trigger anxiety.
- Procrastination: Delaying tasks due to anxiety and overwhelm.
- Restlessness and agitation: Difficulty sitting still or feeling constantly on alert.
- Sleep disturbance: Trouble falling or staying asleep, often due to racing thoughts.
- Seeking reassurance: Repeatedly asking others for confirmation or reassurance about worries.
- Hypervigilance: Excessive awareness of potential threats in your environment.
Causes
Anxiety develops through a combination of biological, psychological, and environmental factors. Understanding what contributes to your anxiety can help you and your psychologist identify the best treatment approach.
Biological factors: Your brain contains an amygdala that detects and responds to danger. In anxiety disorders, this threat-detection system becomes overly sensitive. Additionally, imbalances in brain neurotransmitters—particularly serotonin, GABA, and norepinephrine—can increase anxiety vulnerability.4 Genetics also play a role; anxiety disorders tend to run in families.
Psychological factors: Cognitive biases like catastrophic thinking, where you automatically assume the worst outcome, reinforce anxiety. Early learning experiences and trauma can also prime your mind to perceive threat where little exists.
Environmental and lifestyle factors: Chronic stress, major life changes, relationship difficulties, financial pressures, lack of sleep, excessive caffeine, and physical inactivity all contribute to anxiety. Social isolation and limited social support increase vulnerability.
Most anxiety develops through a combination of these factors working together. A stressful event might trigger anxiety in someone with genetic predisposition and particular thinking patterns, which is then maintained by avoidance behaviours. This means treatment typically targets multiple levels—thoughts, emotions, physical symptoms, and behaviours—simultaneously.
Our Approach to Anxiety Treatment
Anxiety is highly responsive to psychological treatment. Research consistently shows that evidence-based therapies are as effective as medication for most people, and often provide longer-lasting benefits because they teach you skills you can use for life.
The most effective treatments for anxiety focus on identifying and changing the thinking patterns and avoidance behaviours that maintain your anxiety:
Cognitive Behavioural Therapy (CBT) is the gold standard for anxiety treatment. Through CBT, you’ll learn to identify unhelpful thought patterns that fuel worry, challenge them with evidence, and gradually face situations you’ve been avoiding. Acceptance and Commitment Therapy (ACT) teaches you to accept anxious thoughts without struggling against them, then clarify your values and take meaningful action even when anxiety is present. Anxiety-specific exposure therapy involves gradually and repeatedly confronting feared situations in a safe, controlled way until your brain learns they’re not actually dangerous. Dialectical Behaviour Therapy (DBT) can be helpful if anxiety co-occurs with emotional dysregulation or self-harm urges.
We also offer telehealth appointments so you can access treatment from home if that feels more comfortable during early recovery.
Tips on Managing Anxiety
- Practice controlled breathing (4-7-8 technique). Slowly breathe in for 4 counts, hold for 7 counts, and exhale for 8 counts. This parasympathetic nervous system activation reduces your body’s stress response within minutes.
- Use grounding exercises (5-4-3-2-1 technique). When anxiety feels overwhelming, notice 5 things you see, 4 you can touch, 3 you hear, 2 you smell, and 1 you taste. This anchors you in the present moment and interrupts anxious thoughts.
- Schedule “worry time.” Rather than trying to suppress anxious thoughts all day, set aside 15 minutes each morning or evening specifically for worrying. When anxious thoughts arise outside this time, remind yourself you’ll address them during worry time. This containment technique reduces anxiety throughout the day.
- Move your body regularly. Physical activity—whether walking, swimming, yoga, or dancing—reduces anxiety chemicals and releases mood-boosting endorphins. Aim for at least 30 minutes most days.
- Prioritise consistent sleep. Sleep deprivation amplifies anxiety dramatically. Aim for 7–9 hours nightly. Create a wind-down routine 30 minutes before bed: dim lights, avoid screens, and practise relaxation techniques.
- Limit caffeine and alcohol. Caffeine mimics anxiety symptoms (racing heart, jitteriness), while alcohol initially relaxes you but disrupts sleep and can increase anxiety rebound. Gradually reduce both if you consume them regularly.
- Try progressive muscle relaxation. Systematically tense and release each muscle group for 5–10 seconds, moving from toes to head. This builds awareness of physical tension and teaches your body to relax on command.
- Build social connection. Isolation feeds anxiety, while meaningful time with trusted friends and family provides support and perspective. Make regular contact a priority, even when anxiety urges you to withdraw.
What to Expect
In your first session at Mind Health, your psychologist will conduct a detailed assessment of your anxiety—when it started, what triggers it, how it affects your life, and what you’ve already tried. You’ll discuss your goals for treatment and any relevant medical or family history. Sessions are typically 50–60 minutes and scheduled weekly or fortnightly, depending on your needs and preference. For most people, meaningful improvement in anxiety occurs within 8–16 sessions, though this varies. You’ll learn specific techniques during sessions and practise them between appointments. Your psychologist will regularly review your progress and adjust the approach if needed. Some people benefit from ongoing sessions for maintenance and relapse prevention once anxiety has significantly improved.
Accessing Treatment
Get Started
If you or someone you care about is struggling with anxiety, our experienced psychologists at Mind Health in Parramatta and Sydney are here to help.
1300 084 200Book AppointmentMake a Referral
Frequently Asked Questions
Is anxiety just excessive worry?
Anxiety involves more than worry. It’s a whole-body experience that includes physical symptoms (racing heart, sweating, muscle tension), emotional distress, and behavioural changes like avoidance. While worry is a thinking component, true anxiety disorder affects your ability to function and persists even when there’s no real threat. If worry is interfering with your daily life, work, relationships, or sleep, it’s worth seeking professional assessment.
Can anxiety be cured?
Anxiety can’t be “cured” like an infection, but it can be effectively treated and managed. With CBT and other evidence-based therapies, most people experience significant, lasting improvement. You’ll learn skills to manage anxious thoughts and physical symptoms, so anxiety no longer controls your life. Some people may experience occasional anxiety again during stressful periods, but you’ll have tools to handle it.
How long does treatment for anxiety typically take?
Most people notice meaningful improvement within 8–16 sessions, though this varies based on anxiety severity, co-occurring conditions, and how consistently you practise techniques between sessions. Some people improve faster; others need more time. Your psychologist will regularly assess progress and adjust the approach to keep you moving forward.
Do I need medication for anxiety?
Medication is not always necessary. CBT and other psychological therapies are as effective as medication for most anxiety disorders. Some people benefit from medication alongside therapy, especially if anxiety is severe or combined with depression. This is a decision to discuss with your GP and psychologist based on your individual situation. At Mind Health, we can work with your doctor and prescriber to coordinate the best approach for you.
Can children and teenagers develop anxiety disorders?
Yes, anxiety disorders are common in young people. Signs include excessive worrying, social withdrawal, physical complaints without medical cause, perfectionism, or avoidance of school or activities. Early intervention is important. Psychological therapy, particularly CBT, is highly effective for young people. If you’re concerned about a child or teenager in your care, speak with their GP or a child psychologist.
Is online therapy effective for anxiety?
Yes, telehealth anxiety treatment is evidence-based and effective. Many people find it more convenient and less anxiety-provoking to start therapy from home. Our Mind Health psychologists offer quality telehealth sessions that deliver the same therapeutic techniques as face-to-face appointments. Some people prefer a combination of online and in-person sessions.
What’s the difference between anxiety and stress?
Stress is a normal reaction to a specific external event or pressure (a work deadline, relationship conflict, health scare). Stress usually diminishes once the situation resolves. Anxiety, particularly anxiety disorders, is more persistent and can occur without a clear trigger. It often involves rumination and anticipatory fear. While some overlap exists, anxiety tends to be more pervasive and interferes with functioning even when there’s no immediate stressor. If anxiety persists for more than a few weeks, professional support is worth considering.
Further Reading
References
- Australian Bureau of Statistics (2022). National Health Survey: Mental health. ABS 4364.0. https://www.abs.gov.au/statistics/health/mental-health
- Hofmann, S. G., & Smits, J. A. (2008). Cognitive-behavioral therapy for adult anxiety disorders: A meta-analysis of randomized placebo-controlled trials. Journal of Clinical Psychiatry, 69(4), 621–632. https://doi.org/10.4088/jcp.v69n0415
- Cuijpers, P., Cristea, I. A., Karyotaki, E., Reijnders, M., & Huibers, M. J. (2019). How effective are cognitive behavior therapies for major depression and anxiety disorders? A meta-analytic update of the evidence. World Psychiatry, 18(3), 308–319. https://doi.org/10.1002/wps.20658
- Bandelow, B., Michaelis, S., & Wedekind, D. (2017). Treatment of anxiety disorders. Dialogues in Clinical Neuroscience, 19(2), 93–107. https://doi.org/10.31887/dcns.2017.19.2/bbandelow
- Australian Psychological Society (2018). Evidence-based psychological interventions in the treatment of mental disorders: A literature review. APS. https://www.psychology.org.au/
- Löwe, B., Decker, O., Müller, S., Brähler, E., Schellberg, D., Herzog, W., & Herzberg, P. Y. (2008). Validation and standardization of the Generalized Anxiety Disorder Screener (GAD-7) in the general population. Medical Care, 46(3), 266–274. https://doi.org/10.1097/MLR.0b013e318160d093