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Anxiety Therapy Ottawa | Trauma & Grief Institute

When worry will not switch off.

Anxiety can make ordinary moments feel uncertain, urgent or unsafe. Therapy can help you understand the patterns beneath it, calm the alarm response and build more freedom in daily life.

Anxiety can be loud or quietly exhausting.

Sometimes anxiety arrives as panic, racing thoughts or a powerful physical response. At other times, it looks like overthinking, perfectionism, constant preparation, reassurance-seeking or avoiding anything that might go wrong.

These responses are not signs of weakness. They often reflect a nervous system working hard to prevent danger, disappointment, rejection or loss of control.

Persistent worry

Thoughts move quickly from one possibility to another, making it difficult to rest, focus or feel present.

Panic and physical alarm

A racing heart, dizziness, shortness of breath, shaking, nausea or fear that something terrible is happening.

Avoidance and shrinking

Situations, decisions, places or conversations begin to feel too risky, gradually limiting everyday life.

Control and perfectionism

Planning, checking or trying to get everything exactly right becomes the way to manage uncertainty.

You are more than the anxious pattern.

Therapy can help separate who you are from what anxiety predicts. Together with your clinician, you can notice triggers, understand the protective purpose of familiar responses and develop ways to stay connected to yourself while uncertainty is present.

Thoughts

“What if something goes wrong?” “I should have handled that better.” “I need to be certain first.”

Body

Tension, restlessness, stomach discomfort, sleep changes, fatigue or a feeling of being constantly activated.

Behaviours

Avoiding, checking, rehearsing, seeking reassurance, procrastinating or overpreparing.

Impact

Less space for relationships, creativity, spontaneity, concentration, rest and the experiences that matter.

Understanding the anxiety cycle creates room for choice.

A trigger can set off a prediction, a body alarm and an urge to escape or regain control. Avoidance may bring immediate relief, but it can also teach the nervous system that the situation was dangerous. Therapy helps interrupt this cycle carefully—without forcing you into experiences before you have the support and skills to approach them.

01

A trigger appears

A thought, sensation, memory, interaction or uncertain situation gets your attention.

02

The alarm activates

Your mind predicts danger while your body prepares to fight, flee, freeze or seek certainty.

03

Protection takes over

You avoid, check, control, withdraw or look for immediate reassurance.

04

Relief reinforces the pattern

Short-term relief can make the same protective response more likely the next time.

Therapy for anxiety, tailored to how you experience it.

TGI’s independent clinicians may use one approach or integrate several according to your concerns, goals, readiness and their professional scope.

Cognitive Behavioural Therapy

Explore links between thoughts, emotions and behaviours while developing practical ways to respond differently.

CBT Details Coming Soon

Art Therapy

Use art-making and creative expression to explore emotions, understand experiences and communicate what words alone may not capture.

Art Therapy Details Coming Soon

EMDR Therapy

May address experiences, images, beliefs or sensations that continue to activate fear in the present.

EMDR Details Coming Soon

Parts Work

Understand protective parts that anticipate danger, seek control or work hard to prevent painful outcomes.

Parts Work Details Coming Soon

DBT-Informed Skills

Strengthen mindfulness, distress tolerance, emotional regulation and effective communication.

DBT Details Coming Soon

Safe & Sound Protocol (SSP)

Experience guided listening that supports regulation and fosters safety and connection both within your body and in relation to the people and environment around you.

SSP Details Coming Soon
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What working on anxiety can look like.

Therapy is collaborative. The pace and focus are adjusted to what you need—not to a rigid formula.

01

Map the pattern

Identify triggers, predictions, physical responses, protective behaviours and the situations where anxiety has the greatest impact.

02

Build regulation and understanding

Learn what is happening in the nervous system and practise ways to respond when activation rises.

03

Approach change gradually

Experiment with new ways of relating to worry, uncertainty and avoidance at a pace that is challenging but manageable.

04

Expand life beyond anxiety

Reconnect with relationships, responsibilities, rest, creativity and experiences that anxiety has made harder to access.

Questions about anxiety therapy.

Therapy can help you understand panic symptoms, reduce fear of the physical sensations, build regulation skills and gradually change patterns of avoidance. Your clinician can also recommend medical assessment when appropriate.

No. You can seek support for worry, stress, fear, panic, perfectionism or avoidance whether or not you have received a formal diagnosis.

No. Trauma-informed anxiety treatment should be collaborative and paced. When approaching feared situations is part of treatment, it is planned carefully and built gradually with your participation.

Yes. Anxiety may be shaped by past experiences, loss, relationships, health concerns or ongoing stress. Therapy can address the anxiety while also making room for the experiences beneath it.

Use the TGI therapist-matching tool or review the team page to compare clinician approaches, age ranges, fees, appointment formats, languages and professional designations.

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