General Anxiety Therapy

Most people feel anxious or nervous from time to time, especially when under extra pressure. For example, it is normal to feel nervous before speaking in front of a crowd or when waiting to sit an exam. Moderate anxiety in these situations can help us perform better. However, some people experience anxiety more frequently and intensely in a wide range of situations. This is called Generalised Anxiety.

How General Anxiety Can Affect You

General anxiety (often referred to as generalised anxiety) is a type of anxiety that involves ongoing worry across multiple areas of your life. Unlike other forms of anxiety — such as social anxiety, phobias, or OCD — it is not limited to a specific situation and is wide-reaching.

Generalised anxiety is driven by excessive and persistent worry about a range of concerns, such as upcoming events, social situations, relationships, health, or work.

This worry can feel difficult to control. You may want to switch off or take a break from your thoughts, but find that they continue to intrude, even when you try to distract yourself. At times, you may recognise that your worries are unlikely or exaggerated, yet still feel consumed by them.

General anxiety Can Affect Many Areas of Your Life

Over time, general anxiety can begin to affect many areas of your life, including:

  • Reassurance-seeking and avoidance: You may find yourself frequently seeking reassurance from others, or taking extra precautions to prevent things from going wrong. This can also include avoiding situations altogether or procrastinating on tasks such as work, study, or everyday responsibilities.
  • Impact on daily functioning and goals: Anxiety can hold you back from engaging fully in life, making it harder to complete tasks or move toward your longer-term goals.
  • Sleep difficulties: You may struggle to fall asleep due to ongoing rumination, or find yourself sleeping more during the day as a way of avoiding anxious thoughts. This can leave you feeling fatigued and depleted.
  • Difficulty concentrating: Anxiety can make it harder to focus, stay present, or engage in activities. This can affect your performance at work or study, as well as your ability to enjoy everyday moments.
  • Changes in mood: You may feel on edge, tense, or irritable. In more severe or prolonged cases, generalised anxiety can also contribute to low mood or depression.

At Peaceful Mind Psychology, our AHPRA-registered Melbourne psychologists are experienced in evidence-based therapies for generalised anxiety. We tailor therapy to your individual needs, helping you better understand and manage anxiety in a way that feels practical and sustainable.


How General Anxiety Therapy Can Help

General anxiety therapy focuses on helping you understand and change the patterns that keep anxiety going, while building practical skills to feel more in control.

In therapy, your psychologist will typically support you in the following ways:

  • Developing a shared understanding of your anxiety: Your psychologist will work with you to identify the factors maintaining your anxiety. For example, you may be avoiding certain situations, which can keep anxiety going by not allowing you to learn that the feared outcome may not occur. You may also notice unhelpful thought patterns — such as fears about yourself, your future, or the safety of loved ones — that intensify your anxiety. Understanding these patterns is the first step toward meaningful change.
  • Building practical strategies and confidence: You will learn evidence-based strategies to help reduce anxiety and manage it more effectively day to day. This often involves setting realistic, gradual goals to help you face feared situations in a supported and manageable way, building confidence over time.
  • Shifting unhelpful thinking patterns: Therapy will help you develop more flexible and balanced ways of thinking. This may include understanding where your anxiety patterns developed from, and what they’re function is, so you can begin to respond to them differently rather than feeling controlled by them.
  • Supporting long-term change: Over time, working with a psychologist can help reduce overall anxiety, decrease avoidance, and improve your confidence in managing challenging situations. Most people also experience a greater sense of calm, control, and ease in their daily lives.

If you would like to get started with some immediate strategies, you may find it helpful to read our article “Anxiety, Help I’m drowning”.

palm holding a tiny green leaf

Evidence-Based General Anxiety Therapy in Melbourne

There are a number of evidence-based approaches for anxiety treatment, and specifically for generalised anxiety. At Peaceful Mind Psychology, our psychologists draw on a range of therapeutic models and tailor treatment to your individual needs, preferences, and goals.

Approaches for anxiety therapy may include:

  • Cognitive Behavioural Therapy (CBT): CBT is one of the most well-researched treatments for anxiety. It focuses on identifying and changing unhelpful thought patterns and behaviours that maintain anxiety, while building practical coping strategies.
  • Psychodynamic Psychotherapy: This approach explores underlying emotional patterns and past experiences that may be contributing to anxiety. It can help you develop a deeper understanding of yourself and how these patterns influence your current responses.
  • Mindfulness-Based Cognitive Therapy (MBCT): MBCT combines elements of CBT with mindfulness practices, helping you develop greater awareness of your thoughts and emotions, and respond to them in a more balanced and less reactive way.
  • Self-help strategies: Your psychologist may incorporate practical strategies you can use between sessions, supporting you to build skills and confidence in managing anxiety in your day-to-day life.
  • Medication (where appropriate): In some cases, medication may be recommended as part of a broader treatment plan. This is typically discussed with your GP or psychiatrist and can be used alongside psychological therapy where appropriate.

Our psychologist’s approach to general anxiety treatment is flexible and personalised. We focus not only on reducing symptoms, but on helping you build long-term skills and insight so you can manage anxiety more effectively over time.


What to Expect in Your First Session

Your psychologist will begin to work with you to explore the factors that may be maintaining your anxiety, as well as any earlier experiences or patterns that may have contributed to how it developed. Many people find that the process of anxiety counselling brings a greater sense of clarity and understanding.

Together with your psychologist, you will begin to identify goals for therapy — focusing on the patterns and mechanisms that can be addressed to help reduce your anxiety over time.

Just as importantly, the first session is an opportunity to get a sense of your psychologist. You should feel listened to, understood, and comfortable, without feeling judged. Establishing a sense of trust and connection is an important part of effective therapy.

If you are seeking psychology support for the first time, it can be helpful to understand what to expect and if you are feeling dissatisfied with the experience, how you can find a good psychologist.


Ongoing Therapy for Generalised Anxiety: What Progress Looks Like

In ongoing therapy, you and your psychologist will work through goals that address the patterns keeping your anxiety going.

This often involves:

  • Targeting key drivers of anxiety: Beginning with areas that can provide some early relief, while also working toward longer-term change
  • Learning practical skills: Developing strategies to manage anxiety in moments of distress, so you feel more equipped day to day
  • Understanding underlying patterns: Exploring beliefs about yourself or the world that may be contributing to your anxiety
  • Shifting unhelpful thoughts: Learning to step back from anxious thoughts and respond to them in a more balanced and flexible way
  • Reducing rumination: Working proactively to interrupt repetitive thinking patterns, which are a key driver of general anxiety
  • Making sense of your anxiety: Understanding how your anxiety or rumination may have developed, and how it may have served a purpose at some point in your life

Over time, progress in anxiety counselling often looks like:

  • A reduction in overall anxiety
  • Less time spent worrying or ruminating
  • Increased confidence in managing challenging situations
  • Improved ability to function day to day, including at work, study, and in relationships

Glen Iris Peaceful Mind Psychology room

Fees, Medicare Rebates and Mental Healthcare Plan

We aim to keep our fees accessible and below the recommended rates set by the Australian Psychological Society. Fees vary depending on the experience of the psychologist and whether you are seeing a clinical psychologist or a registered psychologist. You can find more detailed information on our fees in our FAQs.

If you have a Mental Health Treatment Plan from your GP, you may be eligible for a Medicare rebate under the Better Access initiative. To access this, you will typically need to book a longer appointment with your GP to discuss your mental health and obtain a referral.

Medicare rebates differ depending on whether you see a clinical psychologist or a registered psychologist. You can read more about current rebate amounts here.


Why Choose Our Psychologists for Help with Generalised Anxiety

At Peaceful Mind Psychology, we are highly selective in the psychologists we choose to work with. Alongside strong clinical training, we place particular emphasis on finding psychologists who are warm, with the ability to build meaningful therapeutic relationships.

Our psychology clinics have four locations in Glen Iris, Hawthorn, Armadale and Prahran. Our psychologist’s also offer Telehealth psychology to allow for convenience. Our Melbourne psychologist’s are trained to provide anxiety treatment for all types of anxiety disorders.

Importantly, we also offer our clients a personalised matching process. Our support team takes the time to understand your individual preferences, including the type of personality you may connect best with, as well as any preferences around age or gender. This approach helps you find a psychologist who feels like the right fit from the outset, supporting a stronger therapeutic connection and more effective outcomes in therapy.

If you’re ready to seek psychological support for anxiety, you can contact our support team at Peaceful Mind Psychology to be matched to one of our psychologists who are warm and professional. Or, you may like to address your anxiety using self help methods, including via valuable online modules in myCompass created by the Black Dog Institute.

FAQs for Generalised Anxiety

What are the causes of Generalised Anxiety?

General anxiety is usually caused by a combination of factors, rather than a single cause.

Some people may be more vulnerable to anxiety due to genetic factors, meaning a family history of anxiety or other mental health difficulties. Others may develop anxiety in response to life experiences, such as ongoing stress, significant life events, or challenging environments.

For many people, it is a combination of both — where life experiences interact with a natural predisposition toward anxiety.

It’s also important to understand that anxiety is part of the body’s natural stress and survival response. In many situations, anxiety can be helpful — it can motivate you, keep you alert, and help you respond to potential challenges.

However, when anxiety becomes persistent, difficult to control, or disproportionate to the situation, it can start to feel overwhelming and interfere with your day-to-day life.

What makes general anxiety worse?

Anxiety can be unintentionally reinforced by certain habits and patterns, even when you are trying your best to cope.

Some of the most common factors that make anxiety worse include:

  • Avoidance: Avoiding situations that make you feel anxious can bring short-term relief, but over time it teaches your brain that those situations are unsafe. This can cause anxiety to grow and spread into more areas of your life.
  • Reassurance-seeking and checking: Repeatedly seeking reassurance from others or the internet, or checking things to feel “certain”, may feel comforting in the moment — but it often reinforces doubt and keeps anxiety going.
  • Worry and rumination: Spending a lot of time thinking through “what if” scenarios can feel like problem-solving, but it tends to keep your mind stuck in anxiety rather than helping you move forward.
  • Safety behaviours: Doing things to prevent anxiety (such as always having an “escape plan” or relying on certain objects or habits) can reinforce the belief that you can’t cope without them.
  • Focusing too much on anxiety itself: When you become highly focused on your anxiety and try to get rid of it at all costs, it can actually amplify the experience and make it feel more intense.
  • Unhelpful expectations and self-criticism: Expecting yourself to feel calm or “in control” at all times can create additional pressure. When these expectations aren’t met, it can lead to self-judgement, which increases anxiety further.
  • Physical patterns such as rapid breathing:Fast, shallow breathing can signal to your body that something is wrong, increasing adrenaline and intensifying anxiety symptoms.

Understanding these patterns is an important first step. With the right support, you can begin to change how you respond to anxiety, which helps reduce its intensity over time.