Anxiety

Do you feel like you worry all the time, and it is interfering with daily life, affecting your sleep, focus, mood and relationships?

We all experience worry from time to time, before an exam, a big presentation, or while waiting for important news. Worry is part of how our mind processes challenges, and in small amounts, it can even be useful. It helps us stay alert, prepared, and motivated.

Anxiety, however, happens when worry becomes excessive, persistent, and hard to control. Instead of helping us cope, it starts to interfere with daily life, affecting our sleep, focus, mood and relationships. In some cases, anxiety may also trigger fear, especially in situations that feel threatening, such as phobias or panic attacks.

When these feelings become overwhelming or constant, it may be more than “just stress”. This is when we might be looking at an anxiety disorder.

Recognising the early signs and reaching out for support can make a big difference, helping you manage symptoms before they take over your everyday life.

What Is An Anxiety Disorder?

Feeling anxious once in a while is a normal part of life — for example, before an exam, a job interview, or when facing an important decision.

An anxiety disorder is different. The worries are much more intense, last longer, and can interfere with daily life.

There are many types of anxiety disorders, and what triggers anxiety can be different for each person.

Symptoms of Anxiety Disorders

Therapist at Us Therapy engaging in one-on-one care

Anxiety affects both the mind and the body. The exact symptoms can differ depending on the type of anxiety disorder, but many people experience a mix of the following:

Psychological

Physical

Constant nervousness or unease A racing or pounding heartbeat
Racing or obsessive thoughts that make it hard to focus Sweating or trembling
Feeling tense, restless, or easily irritated

Trouble sleeping / Insomnia

Intense fear, even when there is no immediate danger

Dizziness, nausea, or an upset stomach

Shortness of breath or feeling light-headed

These symptoms can range from mild to overwhelming, and they may come and go. These symptoms can make it difficult to focus, sleep, or go about everyday activities.What is important to remember is that anxiety disorders are not “just in your head” — they show up in the body too, and they are very real.

Types of Anxiety Disorders

Anxiety can show up in different ways. While the symptoms often feel similar, worry, fear, or physical tension, each type of anxiety disorder has its own patterns and triggers. Recognising these differences can help you better understand what you (or someone you love) may be experiencing.

Generalised Anxiety Disorder (GAD)

Constant, excessive worrying about many areas of life, even when things are going well. People with GAD often feel restless, on edge, or extremely tired from the mental strain of worrying all the time.

Separation Anxiety Disorder

Fear of being apart from loved ones or caregivers. While often linked to children, adults can also experience this type of anxiety. The thought of separation can bring on intense worry or distress.

Specific Phobias

Intense fear of a particular object, situation, or activity, such as flying, spiders, or heights. The fear may feel out of proportion to the actual danger, but can still trigger severe anxiety or even panic attacks.

Panic Disorder

This involves repeated panic attacks, sudden waves of intense fear that peak within minutes. Symptoms may include a racing heart, sweating, shaking, shortness of breath, or dizziness. Panic attacks can feel overwhelming and even mistaken for a medical emergency.

Agoraphobia

Strong fear of being in places where escape might be hard or embarrassing. This could include public transport, crowded places, or wide-open spaces. People may avoid these situations, which can make daily life very difficult.

Common Triggers Of Anxiety

Many everyday pressures, such as school, work, or relationship challenges, can stir anxiety.

It may not always be about what is happening right now; past experiences, personality traits, and even biological factors can also shape how strongly anxiety shows up.

When feelings become overwhelming, it is not unusual for people to avoid certain places, activities, or situations to escape the discomfort. Over time, though, this avoidance can shrink life’s possibilities and make the world feel smaller.

The key takeaway: anxiety disorders are not simply “nerves” or ordinary stress. They are real medical conditions, well-understood, highly treatable, and nothing to be ashamed of.

With the right support, it is possible to find relief and reclaim a fuller, freer life.

Causes of Anxiety Disorders

There is not just one cause of anxiety disorders — usually, it is a mix of biological and environmental factors that come together over time.

Biological Factors

Environmental Factors

Brain chemistry: Imbalances in chemicals like serotonin and dopamine can affect mood and anxiety.

Stress: Ongoing stress from work, school, or relationships can build up over time.

Brain activity: Overactivity in areas like the amygdala (which processes fear) can make someone more prone to anxiety.

Trauma: Experiencing a traumatic event (such as an accident, abuse, or loss) can change the way the brain processes fear and stress.

Medical conditions: Heart disease, diabetes, or breathing problems may contribute to anxiety.

Life circumstances: Major changes like moving, financial struggles, or caregiving responsibilities may also play a role.

Medication side effects: Some medications can trigger or worsen anxiety symptoms.

Genetics: Anxiety disorders can run in families, suggesting a genetic link.

In short, anxiety disorders are rarely caused by a single reason — they often develop from a combination of body, brain, and life experiences.

When To Seek Help?

It is normal to feel anxious sometimes,  but if anxiety is showing up often, feels overwhelming, or starts getting in the way of daily life, it may be time to reach out for support.

You should consider seeking help if:

  • The symptoms happen frequently and interfere with work, studies, or relationships.
  • You find yourself avoiding places or activities because of fear or worry.
  • You turn to unhealthy coping methods, such as alcohol, drugs, or overeating, to try to manage the anxiety.
  • The anxiety feels out of your control or is affecting your physical health.

Reaching out for help does not mean you are weak; it means you are taking an important step toward feeling better. With the right support, anxiety disorders are very treatable, and recovery is possible.

How Can Us Help You?

Us Therapy Staff

Experienced Therapists

Our processes and quality assurance is led by Dr.Emma Waddington, a UK-trained senior clinician psychologist and Founder of Us Therapy, with over 20+ years of experience in helping individuals in Singapore.

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Holistic & Personalised Approach

Our clinicians draw from various therapeutic models to create a holistic approach. At Us, we have seen hundreds of clients and we recognise that each individual is unique. Our approach is tailored to you but always includes customised treatment plans and integrative techniques.

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Thorough Assessment

At Us, we pride ourselves on our comprehensive assessment processes. We will undergo a thorough assessment process with you in your first sessions before we come up with a plan for your therapy.

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Our Therapists​

Dr Emma Waddington - Us Therapy

Dr. Emma Waddington

Dr Karin Rechsteiner - Us Therapy

Dr. Karin Rechsteiner

Dr. Natasha Mitter

Therapy Approaches

Anxiety disorders can be treated in many effective ways. The right approach depends on each person’s needs, but therapy often helps people regain control and feel more at ease in their daily lives.

Cognitive Behavioural Therapy (CBT)

CBT is one of the most effective treatments for anxiety. It helps you understand how your thoughts, feelings, and behaviours are connected. You learn practical skills to challenge unhelpful thinking patterns and replace them with healthier ones.Over time, you gain tools to calm your mind, manage symptoms, and feel more confident handling stressful situations.

Acceptance and Committment Therapy (ACT)

ACT focuses on accepting difficult feelings instead of fighting them, while helping you stay connected to your values and goals. You learn to live a full, meaningful life, even when anxiety is present.

Mindfulness and Relaxation Techniques

Practices such as deep breathing, meditation, and yoga teach the body and mind how to slow down and stay present. These tools can reduce physical symptoms like a racing heart, improve sleep, and create a greater sense of calm.

Exposure Therapy

This approach gently and gradually introduces you to situations or triggers that cause anxiety in a safe and supportive way. Each step helps reduce fear and build resilience, so the things that once felt overwhelming become more manageable.

Lifestyle and Self-Care Support

Simple changes such as regular exercise, better sleep, and healthy routines can also reduce anxiety symptoms. Building healthy habits supports recovery and improves overall well-being.The important thing to know is that anxiety disorders are highly treatable. With the right support, you can not only recover, but also learn skills that make you stronger and more resilient in the long run.

What To Expect

The first session is all about getting to know you. It is a conversation—one where you can share what is been on your mind, what has been feeling difficult, and what you would like support with. Your therapist will ask questions about your background, experiences, and goals, but there is no pressure to answer any questions—just a safe space to begin.

To help tailor therapy to your needs, you may be asked to fill out some brief questionnaires before or after your first session. These can give insight into things like mood, stress levels, relationship patterns, or coping strategies. They are not tests—just tools to help your therapist understand how best to support you.

Each session is a step forward in your journey. Therapy is not just about talking—it is about discovering new ways to navigate life’s challenges, make sense of emotions, and feel like you are getting the most out of your life. Depending on your needs, sessions may focus on:

  • Exploring patterns of thought and behavior
  • Understanding past experiences and their impact on the present
  • Developing practical coping tools
  • Strengthening emotional resilience

After the first few sessions (or after assessments), a feedback session provides space to reflect on how therapy is going. This is a chance to talk about what has been helpful, what you would like more of, and how therapy can continue to best serve you.

Intervention is where meaningful change happens. Every therapy journey is unique, and the approach will be shaped around what works best for you. Some common approaches include:

🌱 Cognitive Behavioral Therapy (CBT) – Helping to identify and shift unhelpful thought patterns, reduce anxiety, and develop healthier ways to cope and new patterns of behaviour.

🧠 Schema Therapy – Deep, transformational work to uncover long-standing patterns that might be keeping you stuck, often rooted in early life experiences.

💙 Acceptance and Commitment Therapy (ACT) – Learning to handle difficult emotions with self-compassion and move towards what truly matters in life.

🌊 Eye Movement Desensitization and Reprocessing (EMDR) – A powerful approach for healing trauma and distressing memories, helping the brain reprocess them in a way that feels less overwhelming.

🧘 Mindfulness-Based Approaches – Building self-awareness, grounding techniques, and ways to manage stress and emotions with greater ease.

Fees

Individual Counselling Rates

Clinician type

Fees and Duration

Clinic Founder

$310

Principal Psychologist

$290

Senior Clinical Psychologist

$262

Educational Psychologist

$262

Clinical Psychologist

$236

Counsellor

$170

Expressive Arts Therapist

$170

Associate Psychologist

$130

Phone calls / Emails

Clinicians rate pro-rata (10 Mins)

FAQs About Anxiety Disorder

  1. Excessive worries – uncontrollable, overflowing worries that are disproportionate to the actual situation
  2. Physical symptoms – commonly include sweating, heat racing, trembling,
  3. Restlessness – continuous feeling of tension, unable to relax
  4. Sleep disturbance – difficulties staying or falling asleep due to the disturbance of anxious thoughts
  5. Trouble concentrating – difficulty processing information, or thinking deeply, as the mind is occupied with worries
Overcoming anxiety is a long process of emotional growth, alongside getting help from professionals. Mindful breathing can effectively calm down an anxious mind and bring thoughts back to the present. Alternatively, engaging in activities to distract the anxious thoughts, such as practising hobbies or exercising, or talking to a close friend or a trusted person, can relieve the symptoms too.   
Everyone worries from time to time — but if you often feel on edge, find it hard to switch off your thoughts, or notice that worry is taking up a lot of your energy, it may be a sign of anxiety.Some people describe it as feeling “stuck in their head,” constantly replaying worst-case scenarios, or stressing over even the smallest things. Others notice the physical signs – a racing heart, sweaty palms, trouble sleeping, or an upset stomach – that do not seem to go away.If these feelings keep showing up and start to affect your daily life, it could mean that anxiety is more than just everyday stress, and it is worth speaking to a therapist about it.
You can practice the 3-3-3 rule when you are feeling nervous or anxious, which helps you to stay grounded and present. In the activity, you are engaged with yourself and the environment, and you will identify: 
  • 3 Objects 
  • 3 Sounds
  • 3 Moving body parts