Anxiety & Stress

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Calm is possible, even when anxiety says otherwise

Some anxiety is a normal part of life. It may be helpful to seek support when worry feels persistent or overwhelming, or starts to affect work, relationships, or day-to-day life. Talking therapies can help some people explore ways of managing anxiety.

General information, not medical advice

This page is for general information and does not diagnose, treat, or replace advice from a GP or other qualified health professional. If symptoms are new, severe, worsening, or you are worried about your safety, seek appropriate medical or urgent support.

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Signs and symptoms

You might be experiencing anxiety & stress if you recognise any of the following:

  • Excessive, uncontrollable worry that's hard to switch off
  • Physical symptoms: racing heart, shortness of breath, trembling, sweating
  • Restlessness, feeling on edge, or wound tight
  • Difficulty concentrating, your mind going blank or racing
  • Irritability and low tolerance for uncertainty
  • Muscle tension and physical fatigue
  • Sleep difficulties, trouble falling or staying asleep
  • Avoidance of situations that trigger anxiety

What causes anxiety & stress?

Anxiety & Stress is rarely caused by a single factor. Common contributing factors include:

  • Chronic stress from work, finances, relationships, or health
  • Past traumatic or frightening experiences
  • Personality traits such as perfectionism or high sensitivity
  • Genetics, anxiety can run in families
  • Major life changes or uncertainty
  • Caffeine, alcohol, or disrupted sleep

How therapy can help

Talking therapy may help some people understand thoughts, beliefs, and behaviours linked with anxiety. Depending on assessment and the approach used, work may include tolerating uncertainty, considering alternative interpretations, or gradually approaching avoided situations. The therapist should explain the rationale, agree the pace, and review whether the work is helping.

Therapeutic approaches we use

  • Talking Therapy / Counselling

    A consistent space to discuss worries and their impact. Some people value this alongside more structured work, but the appropriate approach and outcomes vary.

  • Cognitive Behavioural Therapy (CBT)

    A structured talking therapy that can help you identify anxious thought patterns, test them, and develop more balanced ways of thinking.

  • Acceptance and Commitment Therapy (ACT)

    Teaches you to accept anxious thoughts and feelings rather than fight them, and to take action based on your values rather than your fears.

  • Mindfulness-Based Stress Reduction (MBSR)

    Uses mindfulness meditation and body awareness. It may help some people relate differently to anxiety or stress, but it is not suitable for everyone and does not replace assessment.

Frequently asked questions

Is anxiety curable?

People's experiences differ. Therapy can help some people understand and manage anxiety, but it does not promise a particular outcome.

How is therapy different from just trying to relax?

Relaxation techniques may help with symptoms in the moment. Talking therapy may also explore thinking and behaviour patterns linked with anxiety, but outcomes and the most suitable approach vary.

Will I have to talk about things that make me anxious?

A therapist may suggest discussing difficult topics or using gradual exposure where appropriate. They should explain the purpose, seek your agreement, and plan the pace collaboratively.

Can therapy help with physical anxiety symptoms?

Some therapeutic techniques may help a person respond differently to physical anxiety symptoms such as a racing heart or tension. New, severe, or unexplained physical symptoms should be assessed by a medical professional.

How soon can I start?

Availability varies. Check the current appointment options when you register; a GP can also discuss NHS and local support.

Content information and sources

Editorial status: Content checked against UK clinical guidance and NHS information. Reviewed . This is an editorial check; no named clinician is represented as having reviewed this page.

Authoritative UK sources relevant to this topic:

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