The Complete Guide to Understanding and Managing Anxiety

That tightness in your chest before a big presentation. The racing thoughts that keep you awake at night. The constant, nagging feeling that something is about to go wrong. If any of this sounds familiar, you’re not alone. Anxiety is one of the most common human experiences, but that doesn’t make it any less challenging to live with.

It can feel isolating, overwhelming, and confusing. You might wonder if what you’re feeling is “normal” or if you’ll ever get back to feeling like yourself. The good news is that you can. Understanding anxiety is the first step toward managing it, and effective, compassionate help is available through services like individual therapy.

At Fava Counseling, we’ve guided countless individuals in Atlanta and across Georgia through their journey with anxiety. This guide is designed to give you the same expert insights our therapists provide—clarity, practical tools, and a clear path forward. Here, you’ll find not just information, but a compassionate resource to help you move from feeling stuck to feeling empowered.

In This Guide, You’ll Learn:

  • The difference between everyday anxiety and an anxiety disorder.
  • The key emotional, physical, and behavioral symptoms to watch for.
  • Step-by-step coping skills you can use today for immediate relief.
  • An overview of proven, evidence-based therapies like CBT and EMDR.
  • Clear signs that it’s time to seek professional help in Atlanta or online.

What Anxiety Really Is

We all use the word “anxiety” to describe feelings of worry or nervousness, and that’s perfectly normal. In fact, anxiety is a natural and often helpful human emotion. It’s your body’s built-in alarm system, designed to alert you to potential danger and keep you safe. It’s the jolt of energy that helps you swerve to avoid a car or study for a final exam.

However, when this alarm system becomes too sensitive, it can start going off at the wrong times. An anxiety disorder is a medical condition where persistent feelings of fear and dread interfere with your ability to function in your daily life. Instead of being a helpful warning, it becomes a constant state of high alert, making it difficult to relax, focus, or enjoy the things you once loved.

The National Institute of Mental Health (NIMH) defines anxiety disorders as persistent, excessive fear or worry in non-threatening situations. It’s not just “being a worrier” or “being stressed”—it’s a genuine health condition that deserves care and attention. Understanding this distinction is crucial, as it validates your experience and opens the door to effective treatment.

Signs & Symptoms of Anxiety

Anxiety isn’t just in your head; it’s a full-body experience. Because the symptoms can be so varied, you might not even realize that the physical discomfort or behavioral changes you’re experiencing are connected to anxiety. Recognizing the signs is a critical step toward getting the right support.

Anxiety symptoms can be broken down into three main categories:

Emotional & Psychological Symptoms:

  • Persistent feelings of worry, dread, or apprehension
  • Racing or intrusive thoughts you can’t control
  • Difficulty concentrating or feeling like your mind has gone blank
  • Irritability, restlessness, and a feeling of being “on edge”
  • Catastrophizing—always expecting the worst-case scenario
  • A sense of impending doom or danger

Physical Symptoms:

  • Pounding heart or increased heart rate
  • Shortness of breath or a feeling of being smothered
  • Sweating, trembling, or shaking
  • Headaches, stomachaches, or digestive issues like nausea
  • Muscle tension and chronic pain
  • Fatigue and trouble sleeping (either falling asleep or staying asleep)

Behavioral Symptoms:

  • Avoiding places, situations, or people that trigger your anxiety
  • Procrastinating on tasks that feel overwhelming
  • Social withdrawal or isolation from friends and family
  • Being overly cautious or second-guessing every decision
  • Developing compulsive behaviors or rituals to ease worry

If this list feels familiar, know that you are not broken or weak. These are recognized symptoms of a treatable condition.

Everyday Coping Skills for Anxiety

While professional therapy is often the most effective long-term solution, there are practical steps you can take right now to manage anxiety in your daily life. Think of these as your personal toolkit for navigating moments of heightened stress. Integrating these coping skills for anxiety can help lower your baseline stress levels and give you a sense of control when you feel overwhelmed.

Breathing & Mindfulness Exercises

When you’re anxious, your breathing becomes shallow and rapid, signaling panic to your brain. Intentional, deep breathing can reverse this process. Here is a simple, step-by-step guide to the Box Breathing technique:

  1. Find a comfortable spot. Sit in a quiet place with your back straight.
  2. Exhale completely. Slowly let all the air out of your lungs.
  3. Inhale for four. Inhale slowly and deeply through your nose for a count of four.
  4. Hold for four. Hold your breath for a count of four.
  5. Exhale for four. Exhale slowly through your mouth for a count of four.
  6. Hold for four. Hold your breath at the bottom for a count of four.
  7. Repeat. Continue this cycle for 2-3 minutes or until you feel more centered.

The Power of Journaling & Routines

Anxious thoughts often feel like a tangled mess. Journaling provides a safe space to unravel them. It’s not about writing perfectly; it’s about externalizing your worries so they have less power over you. Try a “brain dump”—spend 10 minutes writing down everything on your mind without judgment.

Similarly, routines can create a sense of predictability and stability in a world that feels chaotic. A consistent morning or evening routine can anchor your day, reducing decision fatigue and creating pockets of calm.

FAQ: Can anxiety go away on its own?

No, a persistent anxiety disorder typically does not go away on its own. While everyday nervousness may pass, a clinical disorder requires tools and support to manage its underlying patterns of worry and avoidance. Ignoring it rarely makes it better, but actively addressing it with coping skills and professional guidance almost always does.

Evidence-Based Therapies for Anxiety

If coping skills aren’t enough, that’s a sign of strength, not weakness. Modern therapy offers several highly effective, research-backed anxiety treatment options. At Fava Counseling, our therapists are trained in multiple modalities to provide care that is tailored to you.

Therapy Type What It Is Best For
Cognitive Behavioral Therapy (CBT) A practical, goal-oriented therapy that helps you identify and change negative thought patterns and behaviors that fuel anxiety. Generalized Anxiety, Panic Disorder, Social Anxiety, Phobias.
Acceptance & Commitment Therapy (ACT) A mindfulness-based therapy that teaches you to accept difficult feelings rather than fight them, and commit to value-driven actions. Perfectionism, Chronic Worry, Anxiety related to life transitions.
Eye Movement Desensitization & Reprocessing (EMDR) A structured therapy that helps the brain process and heal from traumatic memories that are often at the root of anxiety. Anxiety stemming from trauma (PTSD), phobias, and deeply rooted fears.

Cognitive Behavioral Therapy (CBT)

Cognitive Behavioral Therapy (CBT) is a practical, goal-oriented therapy that helps you identify and change the negative thought patterns and behaviors that fuel anxiety. It operates on the principle that your thoughts, feelings, and behaviors are interconnected. A therapist helps you become aware of distorted thinking (like catastrophizing) and gives you concrete tools to challenge those thoughts, empowering you with lifelong skills.

Acceptance and Commitment Therapy (ACT)

Acceptance and Commitment Therapy (ACT) is a mindfulness-based therapy that teaches you to accept difficult feelings rather than fight them. Instead of trying to eliminate anxious thoughts, ACT helps you change your relationship with them. The focus then shifts to clarifying your personal values and taking committed action to build a meaningful life, even in the presence of anxiety.

EMDR for Trauma-Related Anxiety

Eye Movement Desensitization and Reprocessing (EMDR) is a structured therapy designed to help the brain process traumatic memories that are often the root of anxiety. If you’ve experienced a distressing event, EMDR uses bilateral stimulation (like eye movements) to help your brain reprocess these memories, reducing their emotional charge and alleviating the anxiety they cause, especially for those with a history of trauma.

When to Seek Professional Help

It can be hard to know when it’s time to reach out. Many people wait until they’re at a breaking point, but you don’t have to. If you’re asking yourself, “Does therapy help with anxiety?”, the answer is a resounding yes.

Consider seeking counseling for anxiety if:

  • Anxiety and worry are interfering with your work, school, or relationships.
  • You spend a significant portion of your day feeling anxious or trying to manage your fears.
  • You are avoiding important activities or situations because of anxiety.
  • Your physical symptoms (like poor sleep or stomach issues) are becoming chronic.
  • The coping skills you’ve tried are no longer working or aren’t enough.
  • You feel a sense of hopelessness or feel that your anxiety is unmanageable.

Reaching out for help is a proactive step toward reclaiming your well-being. It’s an investment in yourself and your future.

Your Next Step: Anxiety Therapy in Atlanta & Online

You don’t have to navigate this journey alone. Understanding your anxiety is the first step, and taking action is the next. At Fava Counseling, our diverse team of compassionate therapists is here to provide culturally sensitive, evidence-based care tailored to your unique needs. We offer a safe, non-judgmental space for you to heal and grow, whether you prefer meeting in our Atlanta office or online from anywhere in Georgia.

If you’re ready to move from overwhelmed to empowered, we’re here to help. Learning to manage anxiety is not about eliminating it forever—it’s about building the resilience to live a full and meaningful life alongside it.

Ready to start feeling better? Contact us today to schedule your free consultation and learn more about our specialized Anxiety Therapy services.

Frequently Asked Questions (FAQ)

For more general questions about our practice, please visit our main FAQ page.

  1. How long does therapy for anxiety take to work?

The time it takes for anxiety therapy to work varies, but many people feel initial relief within a few sessions. Practical, skills-based therapies like CBT can yield results quickly. For more deep-seated anxiety or trauma, it may be a longer-term process, and your therapist will create a personalized plan with you.

  1. Will I have to take medication?

Not necessarily, as many people successfully manage anxiety with therapy alone. Medication can be a helpful tool, especially for severe symptoms, but it is a personal decision made with a medical doctor. Our therapists can help you explore your options for managing anxiety with or without medication.

  1. What if I’m nervous about starting therapy?

It’s completely normal to feel anxious about starting therapy! It takes courage to be vulnerable. Our practice is built on creating a safe and welcoming environment. We offer a free consultation so you can meet a therapist, ask questions, and see if it feels like a good fit before committing.

  1. Do you offer therapy for other related issues?

Yes. Anxiety often co-occurs with other challenges. We have therapists who specialize in a range of areas, including Depression Therapy, Trauma and PTSD Therapy, ADHD Treatment, and Therapy for Moms facing postpartum anxiety and other perinatal mood disorders.

About the Author

This article was written with contributions from the clinical team at Fava Counseling. Our therapists are licensed professionals with specialized training in evidence-based modalities like CBT, ACT, and EMDR. With years of experience helping clients in Atlanta and across Georgia, we are committed to providing expert, compassionate, and culturally sensitive care to help you achieve your mental wellness goals.

External Resources & Citations:

About Liz Fava, LPC

Liz provides individual and couples therapy for adults, including counseling for dating, engaged, and married couples. She also conducts couples workshops, and training and supervision for therapists.
Learn More About Liz Fava, LPC

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