Anxiety and depression can look very different from one person to another. You may feel constantly keyed up, exhausted, irritable, withdrawn, stuck in negative thought loops, unable to make decisions, or frustrated that things you know should help still feel difficult to do.
Common anxiety concerns
- Chronic worry and difficulty tolerating uncertainty
- Panic attacks or fear of another panic episode
- Avoidance of situations that feel uncomfortable or overwhelming
- Social anxiety, perfectionism, health anxiety, or rumination
- Physical tension, sleep disruption, irritability, or difficulty relaxing
Common depression concerns
- Low mood, emotional numbness, or loss of interest
- Reduced motivation and procrastination
- Withdrawal from relationships or meaningful activities
- Harsh self-criticism, hopeless thinking, or shame
- Difficulty with sleep, routines, concentration, or energy
Therapy that connects insight with action
Depending on your goals, therapy may use CBT to examine thought and behavior patterns, ACT to strengthen values-based action and psychological flexibility, DBT-informed strategies for distress tolerance and emotion regulation, behavioral activation, exposure-based principles, mindfulness, problem-solving, and communication skills.
When anxiety or depression overlaps with trauma, grief or recovery
Anxiety and depression often do not occur in isolation. We can also look at how trauma, grief, substance use, chronic illness, caregiving, work stress, or major life transitions may be contributing to what you are experiencing. Related pages include Trauma & PTSD Therapy, Grief & Loss Therapy, and Addiction & Recovery Therapy.
Therapy in Wyomissing and online across Pennsylvania
In-person individual therapy is available in Wyomissing through Hearthfire Psychology. Virtual therapy is available throughout Pennsylvania through Headway, including Lancaster County.
Free anxiety and depression resources
The Free Therapy Resources library includes practical handouts on anxiety, panic, chronic worry, cognitive distortions, behavioral activation, problem-solving, perfectionism, sleep, rumination, and more.
