Lorraine Reeves-McLaren Psychotherapy

Problematic Worry

Understanding and Treating Excessive Worry

Feeling caught in a cycle of worry can be exhausting and isolating. It's more than just everyday stress; it's a persistent, often overwhelming feeling of unease about various aspects of life, even when there's no immediate threat.

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What someone might experience?

Someone struggling with excessive worry might find their mind constantly racing, often jumping from one concern to another. They might struggle to relax, have trouble sleeping, feel restless, or experience physical symptoms like muscle tension, headaches, or an upset stomach. Daily tasks can feel difficult, and they might avoid social situations or new experiences because of their fears.

It might feel like a pervasive sense of dread that impacts their ability to enjoy life and feel present.

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What therapy would work best?

For excessive worry, I would typically recommend Cognitive Behavioural Therapy (CBT). CBT is really effective because it helps you understand how your thoughts, feelings and behaviours are connected.

We'd work together to identify the specific worries, challenge unhelpful thinking patterns, and develop practical strategies to manage anxiety and reduce avoidance behaviours. Sometimes, elements of Mindfulness-Based Cognitive Therapy (MBCT) might also be integrated to help cultivate greater present-moment awareness and reduce rumination.

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How many sessions would I need?

The number of sessions can vary depending on individual circumstances and the severity of the worry. Generally, for excessive worry, clients might expect to need between 12 to 20 sessions. Some people find significant relief sooner, while others with more deeply ingrained patterns or co-occurring issues may benefit from a few more. We'd regularly review your progress and adjust our treatment plan as needed.

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What's the prognosis?

Outcomes for excessive worry with appropriate therapy are generally very good. While it might feel overwhelming now, over time with therapy most people experience significant improvement in their ability to manage worry and regain control over their lives.

The goal isn't necessarily to eliminate worry entirely – a healthy amount of worry can be normal and protective – but to reduce it to a manageable level where it no longer dictates your life. With the skills learned in therapy, you'll be much better equipped to handle future stresses and live a fuller, more peaceful life.