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Anxiety Counselling & Therapy Dublin

Therapy for generalised anxiety disorder (GAD), panic attacks, stress, PTSD, and more.

Let’s talk about it.

many shapes and forms

What is anxiety?

Anxiety is a state of heightened alertness that can feel psychological, physical, or both.

It may show up as persistent worry, racing thoughts, difficulty sleeping, irritability, muscle tension, or sudden panic. Some people experience a constant background unease. Others feel it in sharp waves that are intense and frightening.

Clinical terms such as generalised anxiety disorder, panic disorder, social anxiety or health anxiety describe patterns of experience. They can be helpful, but they do not always capture the personal meaning of what someone is living through. Anxiety is rarely just a set of symptoms. It often has a structure and a personal history.

At its core, anxiety can signal an internal conflict or pressure that has not yet found clear expression. Psychotherapy begins by taking that signal seriously rather than dismissing it as something to be eliminated as quickly as possible.

Common symptoms of anxiety can include:

  • Persistent or excessive worry

  • Racing or intrusive thoughts

  • Panic attacks

  • Difficulty sleeping

  • Muscle tension

  • Irritability

  • Avoidance of situations

  • Physical symptoms such as chest tightness or dizziness

Some physical symptoms can have medical causes. If you are experiencing new, severe, or worrying physical symptoms, it’s sensible to speak with your GP to rule out anything medical.

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always singular

What causes anxiety?

There is no single cause of anxiety. It is always shaped by the unique life of the person experiencing it.

For some people it follows a period of stress, loss, trauma or change. For others it develops gradually and becomes part of daily life. Physiological differences, early experiences, family dynamics and social pressures can all contribute.

Sometimes anxiety forms around specific concerns such as health, work, or relationships. At other times it feels detached from any obvious trigger. A person may say, “I know nothing is wrong, but I still feel on edge.” That gap between knowledge and feeling is often important.

In counselling & therapy we look beyond surface explanations. The aim is not to apply a universal story, but to understand how anxiety has taken shape in your particular life. Understanding how anxiety developed in your life is central to meaningful change.

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transforming anxiety

How anxiety therapy works

We listen carefully to patterns in what you say, what repeats, and what feels difficult to put into words. Rather than offering quick fixes, we focus on understanding how anxiety functions in your life.

Sessions provide a structured, confidential space to explore your thoughts and experiences in depth. Over time, connections begin to form. Patterns become clearer. Anxiety often starts to shift as its underlying logic becomes better understood.

Our therapists are qualified and experienced psychotherapists, each holding relevant postgraduate training and professional memberships. We work within recognised ethical frameworks and evidence-informed practice. Research in psychotherapy consistently shows meaningful improvements in anxiety and related distress when therapy is sustained and collaborative.

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Is therapy for anxiety right for me?

You do not need a formal diagnosis to seek therapy for anxiety.

Many people come because they feel stuck or confused with what they are experiencing. If anxiety feels persistent, intrusive, or difficult to manage alone, it may be worth speaking with a psychotherapist.

Counselling for anxiety is not about labelling you. It is about creating space to understand what is happening and why. Therapy can be particularly helpful if you feel that coping strategies have only provided temporary relief, or if the same symptoms continue to return in different forms.

If you are unsure, an initial consultation can help clarify whether anxiety therapy is appropriate for your situation. Together we can consider what you are experiencing and whether ongoing work would be beneficial.

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Our Approach to Anxiety Therapy

Anxiety does not mean the same thing in every life. It can take different forms, emerge for different reasons, and come to organise a person’s experience in very particular ways.

In our approach to anxiety therapy, we treat each person as singular. Rather than reducing anxiety to a checklist of symptoms or applying the same method to everyone, we aim to understand what may be driving it at a deeper level.

Psychoanalytically informed therapy in Dublin.

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What the Research Says

2014 — Psychodynamic therapy for anxiety disorders (Keefe et al.) [1]

A large meta-analysis across 1,073 patients found psychodynamic therapy was significantly more effective than control conditions, in treating anxiety disorders. 

2009 — Short-term psychodynamic psychotherapy for GAD (Leichsenring et al.) [2]

Short-term outcomes were assessed in a randomized controlled trial of short-term psychodynamic psychotherapy for GAD. Short term psychodynamic psychotherapy was associated with large improvements in clinician-rated anxiety and depression, with gains maintained at follow-up.

2007 — Psychoanalytic psychotherapy for panic disorder (Milrod et al.) [3

A clinical trial tested psychoanalytic psychotherapy for panic disorder against a credible comparison treatment. The psychoanalytic therapy group were significantly more likely to respond at the end of treatment (73% versus 39%).

2013 — Psychotherapy improves anxiety in routine practice (van Rijn et al.) [4]

In a practice-based evaluation, patients receiving a range of psychotherapy approaches showed statistically significant improvements in anxiety and depression on routine outcome measures.

Research Summary

This is only a small sample of the available research, but it reflects the broader findings seen across larger reviews and clinical studies.

Overall, the evidence suggests that psychotherapy is associated with meaningful reductions in anxiety symptoms and distress, often alongside improvements in mood and day-to-day functioning.

Outcomes vary by person and circumstance, but the overall direction of findings is consistently positive.

Written & clinically reviewed by: Colin McDonnell — MA, MA, BA, APPI, ICP, M.Ps.S.I.
Psychoanalytic Psychotherapist & Clinic Director

Last updated: May 2026

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FAQ

Stress usually has a recognisable cause. There’s a pressure you can point to: work deadlines, money worries, a conflict, a decision coming up. Your system is responding to something concrete, even if it feels like too much.

Anxiety can feel different. It often shows up without a clear object. You feel tense, on edge, watchful – but you can’t name what you’re responding to.

It’s not that there’s “no reason.” It’s more that the reason isn’t clear yet and your body reacts before you’ve found words for it.

Stress has a cause you can name. Anxiety involves something closer to the heart – as if something in you is being stirred, even when you can’t yet say what.

The most important characteristic of anxiety is that it’s always unique. That’s the part people often miss. There are some common shared features, yes – but it isn’t generic. Anxiety is always singular: it takes the shape of your life, your body, and your way of coping.

So rather than asking “what are the symptoms?”, a better question is: how do you experience your anxiety?

For one person it’s the chest – tightness, breathing that won’t settle, a body on high alert. For another it’s the stomach – nausea, urgency, appetite disappearing, a constant sense of being unsettled. For someone else it’s the mind – endless scanning, replaying conversations, trying to get certainty, trying to eliminate every risk.

And sometimes it’s quieter than all of that: a flatness, a detachment, a feeling of not quite being present in your own day.

What matters most isn’t a catalogue of universal signs, it’s the unique experience you’re living with.

Yes – very commonly. Anxiety isn’t “just in your head.” It’s a whole-body state, and the divide between mind and body isn’t as clean as people like to imagine.

It can help to think of it this way: sometimes your body reacts before you’ve found words for what’s going on – as if it’s registering it first, and your mind is trying to catch up.

A practical note: if physical symptoms are new, severe, worsening, or frightening, it’s important to check them with a GP to rule out medical causes.

Anxiety often shows up when something gets too close for comfort — when your usual way of understanding yourself or the situation stops working for a moment, and you feel exposed without knowing exactly what to do with that.

We live by stories: I’m fine. It’s grand. It’s not a big deal. I should be able to handle this. Those stories aren’t lies – they’re how we keep going.

But sometimes something doesn’t fit inside anymore. A wish you don’t want to admit. A resentment you’ve been swallowing. A fear you’ve been outrunning. A change in how you see someone, or how you see yourself. When there’s no place for that to be acknowledged, it doesn’t disappear. It often returns as a feeling with no label.

That’s why anxiety can feel so close and so personal. It’s not pointing to a clear external danger. It’s more like a signal that something in you is pressing to be recognised, but you don’t yet have a clean way to name it.

Yes. That “wave” quality is very common in anxiety.

Anxiety isn’t a steady state. It tends to rise and settle. That’s why you can have days where you’re good, and then a small trigger sets it off: a conversation, a silence, a deadline, a health sensation, or even a look on someone’s face. 

Waves also happen because people unconsciously develop ways of keeping anxiety at bay – staying busy, staying in control, staying ahead of things, avoiding certain topics. When those strategies loosen (at night, on weekends, after a few drinks, on holidays, or when you finally slow down), anxiety can surface again.

So the wave isn’t proof that you’re “back to square one.” It usually means you’ve brushed up against the same sensitive area again.

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Panic Attack Therapy
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Health Anxiety Therapy
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Insomnia & Sleep Therapy
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Social Anxiety Therapy
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