So You've Decided to Start Therapy for Your Anxiety…Here's How to Make It Work

So You've Decided to Start Therapy for Your Anxiety…Here's How to Make It Work

Michael Stein, PsyD

Michael Stein, PsyD

Dr. Michael Stein is a licensed clinical psychologist who has spent over 15 years specializing in the treatment of anxiety disorders and OCD using Exposure Therapy and other evidence-based behavioral interventions. He is the founder and owner of Anxiety Solutions, a group private practice that serves clients with anxiety and OCD both online and at its office in Denver, CO. He is also the author of "How to Stop Overanalyzing", a self-help video series. He sees clients, teaches, and supervises other therapists from Anxiety Solutions' Denver office. He is passionate about both helping his own clients overcome anxiety and OCD and expanding access to quality care for these problems.  

So You've Decided to Start Therapy for Your Anxiety…Here's How to Make It Work

Share
No
therapy

If you have made the wise decision that it is time to get help, first of all: good for you. Treatment for anxiety disorders requires a significant investment of time, energy, and effort. If you are going to invest so much, there are a few key things you can do to maximize your chances that your recovery from your anxiety disorder will be successful.

First and foremost, you need to choose a good therapist who specializes in treating anxiety. That starts by making sure your therapist practices evidence-based treatment (treatment methods that have demonstrated their effectiveness in research studies). For anxiety, this practically always means some form of cognitive behavioral therapy (CBT), most often with an emphasis on Exposure Therapy, a form of CBT that has been shown to be particularly effective for anxiety disorders. 

You should ask prospective therapists about their treatment methods, what percentage of their caseload is anxiety cases (most therapists treat anxiety but only a specialist spends most or all of their time on it) and whether they feel they are typically successful in treating anxiety (the answer should be a confident "yes").   The "Find a Therapist Directory" on this website is a good place to start looking for a qualified anxiety specialist.

Once you have found a good therapist, the most important thing you can do is quite simple: trust them.

Therapy for anxiety requires you to face your fears and do things that may feel risky and anxiety-provoking. It also requires you to practice new skills (like acceptance, tolerance of uncertainty, and mindfulness) that may feel unnatural to you at first. When your therapist suggests these things, your first reaction may be skepticism: "I can't do that", "That's too scary", and "That might work for other people but not for me" are common thoughts that people have when they first learn some of the strategies that work for anxiety. 

It's understandable and valid to be skeptical and scared, but look at it this way: if you don't trust your therapist, there is no chance that the therapy can work. If you trust your therapist, even if you're skeptical that it will work, there is at least the chance that the therapist's ideas are correct and that it will work.  So trusting your therapist is the only option you have that allows the possibility for success. And it's actually quite a good possibility for success; research shows that CBT/exposure therapy for anxiety is effective for most people who try it.

The importance of trusting your therapist ties into what I have found to be the biggest factor that determines clients' success in therapy for anxiety: doing your therapy homework. 

While therapy is a place to learn and practice the skills that are effective for anxiety, change doesn't actually happen during your therapy sessions. What really counts is you taking the things you've learned in therapy and applying them outside of sessions on your own. 

In my experience with both my own clients and the clients of all the students I've supervised, clients who do their therapy homework get better and clients who do not do their therapy homework do not get better.

Following through on therapy homework often requires taking risks and doing things that seem counter-intuitive. Clients who are successful in therapy typically approach it with a willingness to experience the discomfort brought about by therapy homework in the short-term, knowing that this will lead to relief of their anxiety in the long-term. 

For example, a client with contamination OCD (fears of germs) would be asked to touch things that they perceive to be dirty (e.g. door handles, floors, toilets, trash cans) and then not wash their hands, even though that feels like they are risking getting sick. Or a client with anxiety about losing a relationship might be asked to stop seeking reassurance from their relationship partner even though the uncertainty feels intolerable and reassurance feels good. 

There's no way around it: for anxiety to get better, you must go through the anxiety in the short-term. Generally speaking, clients who are willing to push through short-term anxiety get better and clients who are not willing to do this do not get better.

I hope these tips are helpful as you start your journey into treating your anxiety. It may feel daunting at first, but rest assured, you will be successful if you put the work in!

Michael Stein, PsyD

Michael Stein, PsyD

Dr. Michael Stein is a licensed clinical psychologist who has spent over 15 years specializing in the treatment of anxiety disorders and OCD using Exposure Therapy and other evidence-based behavioral interventions. He is the founder and owner of Anxiety Solutions, a group private practice that serves clients with anxiety and OCD both online and at its office in Denver, CO. He is also the author of "How to Stop Overanalyzing", a self-help video series. He sees clients, teaches, and supervises other therapists from Anxiety Solutions' Denver office. He is passionate about both helping his own clients overcome anxiety and OCD and expanding access to quality care for these problems.  

ADAA Blog Content and Blog Comments Policy

ADAA Blog Content and Blog Comments Policy

ADAA provides this Website blogs for the benefit of its members and the public. The content, view and opinions published in Blogs written by our personnel or contributors – or from links or posts on the Website from other sources - belong solely to their respective authors and do not necessarily reflect the views of ADAA, its members, management or employees. Any comments or opinions expressed are those of their respective contributors only. Please remember that the open and real-time nature of the comments posted to these venues makes it is impossible for ADAA to confirm the validity of any content posted, and though we reserve the right to review and edit or delete any such comment, we do not guarantee that we will monitor or review it. As such, we are not responsible for any messages posted or the consequences of following any advice offered within such posts. If you find any posts in these posts/comments to be offensive, inaccurate or objectionable, please contact us via email at [email protected] and reference the relevant content. If we determine that removal of a post or posts is necessary, we will make reasonable efforts to do so in a timely manner.

ADAA expressly disclaims responsibility for and liabilities resulting from, any information or communications from and between users of ADAA’s blog post commenting features. Users acknowledge and agree that they may be individually liable for anything they communicate using ADAA’s blogs, including but not limited to defamatory, discriminatory, false or unauthorized information. Users are cautioned that they are responsible for complying with the requirements of applicable copyright and trademark laws and regulations. By submitting a response, comment or content, you agree that such submission is non-confidential for all purposes. Any submission to this Website will be deemed and remain the property of ADAA.

The ADAA blogs are forums for individuals to share their opinions, experiences and thoughts related to mental illness. ADAA wants to ensure the integrity of this service and therefore, use of this service is limited to participants who agree to adhere to the following guidelines:

1. Refrain from transmitting any message, information, data, or text that is unlawful, threatening, abusive, harassing, defamatory, vulgar, obscene, that may be invasive of another 's privacy, hateful, or bashing communications - especially those aimed at gender, race, color, sexual orientation, national origin, religious views or disability.

Please note that there is a review process whereby all comments posted to blog posts and webinars are reviewed by ADAA staff to determine appropriateness before comments are posted. ADAA reserves the right to remove or edit a post containing offensive material as defined by ADAA.

ADAA reserves the right to remove or edit posts that contain explicit, obscene, offensive, or vulgar language. Similarly, posts that contain any graphic files will be removed immediately upon notice.

2. Refrain from posting or transmitting any unsolicited, promotional materials, "junk mail," "spam," "chain mail," "pyramid schemes" or any other form of solicitation. ADAA reserves the right to delete these posts immediately upon notice.

3. ADAA invites and encourages a healthy exchange of opinions. If you disagree with a participant 's post or opinion and wish to challenge it, do so with respect. The real objective of the ADAA blog post commenting function is to promote discussion and understanding, not to convince others that your opinion is "right." Name calling, insults, and personal attacks are not appropriate and will not be tolerated. ADAA will remove these posts immediately upon notice.

4. ADAA promotes privacy and encourages participants to keep personal information such as address and telephone number from being posted. Similarly, do not ask for personal information from other participants. Any comments that ask for telephone, address, e-mail, surveys and research studies will not be approved for posting.

5. Participants should be aware that the opinions, beliefs and statements on blog posts do not necessarily represent the opinions and beliefs of ADAA. Participants also agree that ADAA is not to be held liable for any loss or injury caused, in whole or in part, by sponsorship of blog post commenting. Participants also agree that ADAA reserves the right to report any suspicions of harm to self or others as evidenced by participant posts.

RESOURCES AND NEWS
Evidence-based Tips & Strategies from our Member Experts
RELATED ARTICLES
Block reference