THERAPY FOR GENERALISED ANXIETY DISORDER

Therapy for Generalised Anxiety Disorder (GAD)

Generalised Anxiety Disorder involves persistent and excessive worry across multiple areas of life. The worry can feel difficult to control and may be accompanied by muscle tension, fatigue, irritability, sleep disturbance and concentration difficulties.

Therapy can help you understand the worry cycle, reduce patterns that maintain anxiety and build more flexible ways of responding to uncertainty.

When Worry Becomes Persistent

Worry is a normal part of life. It becomes more concerning when it occurs most days, feels difficult to control and spreads across multiple areas such as health, work, relationships, finances or family responsibilities.

Generalised Anxiety Disorder commonly includes muscle tension, fatigue, irritability, sleep disturbance and concentration difficulties. The impact can extend beyond thinking alone and affect relationships, work performance and overall wellbeing.

At first, worry can feel protective. Over time, however, it may become repetitive and circular. Reassurance seeking, repeated checking and avoidance can provide short-term relief while unintentionally reinforcing the cycle.

How GAD Can Affect Daily Functioning

Many people with GAD continue fulfilling responsibilities while internally feeling chronically tense or mentally preoccupied.

  • Persistent worry across several areas of life
  • Difficulty switching off or relaxing
  • Muscle tension, fatigue or physical unease
  • Irritability or feeling constantly on edge
  • Sleep disturbance
  • Difficulty concentrating or making decisions
  • Reassurance seeking, repeated checking or avoidance
  • Reduced confidence, enjoyment or participation

Research indicates that GAD can be associated with reduced quality of life and occupational functioning [1].

Evidence-Based Therapy for GAD

Therapy is tailored to the person’s worry patterns, life context, strengths, preferences and goals. Psychological therapy is commonly recommended as a first-line treatment for GAD, with CBT supported by a substantial evidence base [2].

CBT may involve mapping the worry cycle, testing catastrophic predictions, reducing reassurance seeking, addressing avoidance and increasing tolerance of uncertainty. Recent evidence supports CBT for both short-term and longer-term outcomes in adults with GAD [2].

ACT focuses on psychological flexibility. It helps people notice anxious thoughts and feelings without allowing them to dictate every choice, while supporting values-based action [3].

Compassion-focused strategies may be useful when worry is accompanied by shame, harsh self-criticism or a strong internal threat response.

Mindfulness-based strategies may help people notice worry earlier, disengage from repetitive mental loops and return attention to the present task.

Slow breathing and other regulation strategies may support autonomic settling when GAD is accompanied by sustained physiological arousal [4].

Related Educational Articles

These articles provide further information about persistent worry, anxiety experiences and practical strategies.

Explore the lived experience of GAD, including persistent worry, physical tension, difficulty switching off and the impact on daily life.

Explore the broader Anxiety Disorders hub, including related services and educational articles.

Read about broader psychological support for anxiety when difficulties are not limited to persistent generalised worry.

Try four practical grounding exercises that may help during periods of heightened anxiety or distress.

Follow a brief mindful breathing exercise designed to support calm attention and nervous system settling.

What Therapy May Help You Work Towards

The goal is not to eliminate all worry. Some worry is understandable and useful. Therapy aims to reduce excessive and unproductive worry while restoring flexibility and participation.

Therapy may help you work towards:

  • Recognising triggers and maintaining patterns
  • Responding differently to uncertainty
  • Reducing reassurance seeking and repeated checking
  • Improving sleep, concentration and emotional regulation
  • Re-engaging with valued activities
  • Building confidence in handling difficult thoughts and feelings

GAD Therapy in Varsity Lakes and via Telehealth

Therapy for Generalised Anxiety Disorder is available in person at Varsity Lakes on the Gold Coast and via secure telehealth anywhere in Australia.

I provide psychology services for adolescents and adults. Treatment is individualised and practical, with strategies designed to generalise beyond the therapy room.

Related Resources

These pages connect this service with the broader Anxiety Disorders cluster and current appointment information.

Explore all anxiety-related psychology services and educational articles.

Read about broader psychological support for anxiety across different presentations.

View current appointment availability, funding information and options for in-person or telehealth sessions.

References

  1. Revicki, D. A., Brandenburg, N., Matza, L., Hornbrook, M. C., & Feeny, D. (2008). Health-related quality of life and utilities in primary-care patients with generalized anxiety disorder. Quality of Life Research, 17(10), 1285–1294. https://doi.org/10.1007/s11136-008-9406-6
  2. Papola, D., Ostuzzi, G., Tedeschi, F., et al. (2024). Psychotherapies for generalized anxiety disorder in adults: A systematic review and network meta-analysis of randomized clinical trials. JAMA Psychiatry, 81(3), 250–259. https://doi.org/10.1001/jamapsychiatry.2023.3971
  3. A-Tjak, J. G. L., Davis, M. L., Morina, N., Powers, M. B., Smits, J. A. J., & Emmelkamp, P. M. G. (2015). A meta-analysis of the efficacy of acceptance and commitment therapy for clinically relevant mental and physical health problems. Psychotherapy and Psychosomatics, 84(1), 30–36. https://doi.org/10.1159/000365764
  4. Zaccaro, A., Piarulli, A., Laurino, M., Garbella, E., Menicucci, D., Neri, B., & Gemignani, A. (2018). How breath-control can change your life: A systematic review on psycho-physiological correlates of slow breathing. Frontiers in Human Neuroscience, 12, 353. https://doi.org/10.3389/fnhum.2018.00353

Frequently Asked Questions

Common questions about therapy for Generalised Anxiety Disorder.

How is GAD different from ordinary worry?

Ordinary worry is usually temporary and linked to a specific concern. GAD involves persistent and difficult-to-control worry across multiple areas of life, together with symptoms such as tension, fatigue, irritability, sleep problems or concentration difficulties.

What therapy is commonly used for GAD?

CBT has a strong evidence base for GAD. Therapy may also draw on ACT, mindfulness, compassion-focused strategies, behavioural approaches and nervous system regulation depending on the person’s needs and formulation.

Does therapy aim to stop all worry?

No. The aim is to reduce excessive and unhelpful worry while increasing flexibility, confidence and effective engagement with daily life.

Is telehealth available?

Yes. Therapy is available in person at Varsity Lakes on the Gold Coast or via secure telehealth anywhere in Australia.

Ready to Take the First Step?

Therapy for Generalised Anxiety Disorder is available for adolescents and adults in person at Varsity Lakes on the Gold Coast and via secure telehealth across Australia.

For current availability, appointment types and funding information, visit the Appointment Availability page.