Anxiety and panic attacks therapy – online CBT

Anxiety is a natural response, but when it starts limiting your daily life – you avoid situations, can't sleep, constantly worry – it's worth seeking help. In my work, I meet people struggling with generalized anxiety, panic attacks, social anxiety, phobias and obsessive-compulsive disorder. I provide online therapy using a cognitive-behavioral approach, also drawing on ACT and DBT tools.

How does anxiety manifest?

Many of my clients describe anxiety as a feeling that takes control of their entire body and mind. Rapid heartbeat, sweating, muscle tension, difficulty breathing – these are signals your body sends in response to perceived threat. Then come the catastrophic thoughts: 'something bad will happen,' 'I can't handle this,' 'I'll lose control.'

Anxiety often leads to avoidance – you start bypassing situations, places, or people that trigger your distress. The problem is that avoidance provides temporary relief but strengthens anxiety in the long run. It's a vicious cycle that can be broken.

Panic attacks – what are they?

A panic attack is a sudden, intense surge of fear that can feel like a heart attack – pounding heart, shortness of breath, dizziness, a sense of derealization. It's important to know that a panic attack, while extremely unpleasant, is not dangerous. In CBT, I teach you to understand the panic mechanism – how thoughts about physical symptoms fuel the spiral of fear – and gradually regain a sense of control.

How I work with anxiety in CBT

In anxiety therapy, we focus on understanding how your thoughts influence the fear you experience. Together, we identify automatic thoughts and beliefs that fuel anxiety and learn to observe and challenge them. We also work on gradual exposure—gently and safely confronting situations you've been avoiding. Additionally, we plan and carry out behavioral experiments that demonstrate that anxious scenarios rarely happen and that you have the resources to cope with them. The therapy also incorporates elements of ACT, helping you accept difficult emotions and act in line with your values, even when anxiety is present.

When should you seek help?

• You avoid situations, places, or people because of anxiety
• You constantly worry and can't stop
• You have trouble sleeping due to restlessness
• You experience panic attacks
• You feel physical symptoms (pounding heart, tension, shortness of breath) without a medical cause
• Anxiety limits your daily functioning