Anxiety counselling in BC

While occasional worry is an expected part of life, Anxiety Counselling can help when anxiety results from your system being stuck on high alert and hypervigilance from the perception of threat.

  • 108 counsellors
  • In person or online

Signs

What anxiety can feel like

Everyone feels anxious now and then. It may be time to reach out when worry keeps getting in the way of your sleep, work, relationships or the things you enjoy.

  • Worry that is hard to switch off
  • A racing heart or tight chest when you feel on edge
  • Trouble falling asleep because your mind keeps going
  • Feeling tense, restless or jumpy most of the day
  • Avoiding places or plans that might make you anxious
  • Sudden waves of panic that seem to come from nowhere
  • Asking others again and again if things are okay
  • Trouble focusing because of constant what-ifs

How counselling helps

What working on it together looks likeHow counselling helps

  1. Early on

    Understand your anxiety

    You and your counsellor look at what sets off your worry, how your body reacts and what keeps the cycle going, such as avoiding what you fear.

  2. As you go

    Calm your body

    You practise skills together to settle a racing heart and busy mind, like slow breathing and noticing what is around you, so a wave of worry can pass.

  3. Over time

    Move forward

    Step by step, you return to the people, places and plans anxiety has kept you from, guided by what matters most to you.

Approaches

Therapies our counsellors use for anxietyTherapies used

Where

In person in Burnaby, Vancouver and Surrey, or onlineWhere

About

More about anxiety

Even when the rational mind knows there is no real danger, the emotional brain can still react as though we are unsafe. This older part of the brain developed to help humans survive in dangerous environments. Although modern life no longer contains the same threats, the brain can still create fearful scenarios that trigger anxiety. Anxiety is not always harmful, as it can help keep us safe. However, when anxiety becomes overwhelming or out of proportion to reality, it can lead to significant emotional distress. Anxiety Counselling can help individuals better understand and manage these anxious thoughts and feelings.

With Anxiety Counselling, individuals can learn to better understand these responses and develop healthier coping strategies. Anxiety Counselling can also help in reducing overwhelming thoughts and improving emotional regulation over time.

These scenarios can play on the fears of the health and safety of your loved ones, fears of engaging in social situations, or a general sense of dread of the future. Such fears can create thought patterns that play on loop, activating stress-response circuitry in the brain and keeping the mind and body on high alert.

Due to the distress caused by anxiety, people develop coping methods that may work in the short term but may don’t necessarily benefit their well-being in the long run. Counselling can help teach you ways of coping with anxiety in addition to exploring and working through the underlying causes of its origin.

Types of Anxiety

Generalized Anxiety

Generalized anxiety is the experience of fear, dread, or anxiety directed towards a range of different triggers as opposed to a particular situation. It can often involve fears of the unknown, worry about the future, and ruminating over issues without feeling like one can manage or control their worry.

Social Anxiety

Social anxiety is the intense fear of social situations and interacting with strangers. It can range from fear of public speaking to a sense of dread over minor interactions with others.Often beneath the anxiety and fear lies a deeper sense of inadequacy. Fears of being negatively evaluated or acting inappropriately around others make avoiding all interactions a tempting option but it can result in a sense of disconnection for the individual.

Panic Attacks

Panic attacks are a terrifying experience where one experiences an intense surge of fear or anxiety that typically peaks within minutes but can feel unbearable. In these instances, the body reacts as though it is in actual peril, producing symptoms like a rapid heart rate, quick, shallow breathing, tingling sensations, trembling, dizziness, dissociation and more. In this state, people often fear losing control or even dying. Although panic attacks are not physically dangerous, this experience is highly uncomfortable. It can often lead to the ongoing fear of more panic attacks happening, avoiding situations that might provoke them.

Phobias

Phobia is an intense fear or aversion to a particular object or situation. Generally, the fear associated with phobias is out of proportion to the actual danger caused by the situation or object. The fear or aversion is typically persistent and lasts for more than six months If you have a phobia, you might experience irrational anxiety or panic about possibly encountering the feared object or situation and take active steps to avoid them. Fortunately counselling is a proven effective method of recovery for phobias. Exposure therapy, Mindfulness based therapies and Cognitive Behavioural therapies are just some of the ways you can be supported in your healing journey.

How can Counselling help?

The experience of anxiety can be terrifying and destabilizing, so it is often reacted to by using strategies of distraction or avoidance. Psychotherapy aims to give room to anxious experiences in order to disarm and neutralize their threat. Emotion-focused therapy is one such modality that aims to disarm these defenses in a gentle and caring manner and access the underlying feelings that may have previously felt too threatening to experience. By processing these deeper feelings within a safe, non-judgemental relationship, new ways of feeling can start to emerge.

Cognitive-behavioural therapy allows you to have incremental exposure to the previously fear-inducing situations and thoughts and slowly makes those experiences tolerable. Rigid thoughts and beliefs associated with th anxiety are questioned, and new adaptive ways of thinking and behaving are introduced.

Mindfulness-based approaches such as Acceptance and Commitment Therapy (ACT) and Dialectical Behavioural Therapy (DBT) advocate for a way of engaging with the thoughts, feelings, and sensations of anxiety, where instead of fearing or avoiding them, you learn to sit with them through Anxiety Counselling. Bringing such presence and acceptance to your experience of anxiety can eventually loosen the grip it has over your life. Mindfulness and acceptance skills are cultivated to help you align yourself to a life of value and meaning.

References

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.

Craske, M. G., & Stein, M. B. (2016). Anxiety. Lancet (London, England), 388(10063), 3048–3059. https://doi.org/10.1016/S0140-6736(16)30381-6

Swain, J., Hancock, K., Hainsworth, C., & Bowman, J. (2013). Acceptance and commitment therapy in the treatment of anxiety: a systematic review. Clinical psychology review, 33(8), 965-978.

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FAQs

Common questions about anxiety counsellingCommon questions

Can't find your answer? Ask us a question.

  • You may want to talk to a counsellor when worry starts to shape your days. Maybe you lie awake going over what could go wrong, skip plans to avoid feeling anxious, or feel tense most of the time. You do not need to wait until things feel very hard. Reaching out early is fine, and you can share as much or as little as you like.

  • Yes, many people come to counselling for panic attacks. A panic attack is a sudden rush of fear that can bring a pounding heart, fast breathing, shaking or dizziness. With your counsellor, you learn what happens in your body during panic and practise ways to ride it out. Over time, you may feel less afraid of the next one and less likely to avoid places where panic has happened.

  • No, you do not need a diagnosis to start. You can come in because worry, nerves or panic are getting in the way of your life, whatever name you give it. Your counsellor will ask about what you notice and what you want to change, and you decide what to share and when.

  • Our counsellors may use approaches such as acceptance and commitment therapy (ACT) and dialectical behaviour therapy (DBT). ACT helps you make room for anxious thoughts and feelings instead of fighting them, so you can act on what matters to you. DBT teaches practical skills to calm strong emotions and get through hard moments. Your counsellor will shape the approach around you and your goals.

  • Yes, you can meet your counsellor online from anywhere in BC, or in person in Burnaby, Vancouver or Surrey. Online sessions can help when leaving home feels hard on an anxious day. We offer a free 15-minute consultation by phone or video, and our intake team suggests counsellors who fit what you need, your language, your budget and where you want to meet.

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