When to Seek Professional Help: Exploring Your Options

Self-help skills and lifestyle changes are powerful, but sometimes they aren’t enough. If anxiety is consistently interfering with your daily life, damaging your relationships, or causing you significant distress, it is a sign of strength to seek professional help. You do not have to manage this alone. A qualified mental health professional can provide you with a safe space to be heard and equip you with proven strategies to manage anxiety effectively.

Types of Therapy for Anxiety

Therapy, or psychotherapy, is not just about “talking about your problems.” It is a collaborative process where you learn new skills to handle challenges. Several types of therapy have been shown to be highly effective for anxiety.

Cognitive Behavioral Therapy (CBT): As we’ve discussed, CBT is a practical, goal-oriented approach that focuses on changing the unhelpful thought and behavior patterns that drive anxiety.

Acceptance and Commitment Therapy (ACT): ACT takes a slightly different approach. It teaches mindfulness skills to help you accept difficult thoughts and feelings without getting overwhelmed by them, and helps you commit to taking actions that are guided by your personal values.

Interpersonal Therapy (IPT): This therapy can be particularly helpful if your anxiety is linked to relationship difficulties, grief, or major life transitions, such as retirement or a change in health status.

Finding a Therapist and Navigating Telehealth

Finding the right therapist can feel daunting, but there are clear places to start.

Where to look:
Your primary care doctor is an excellent starting point for a referral. You can also contact your health insurance provider for a list of in-network therapists. The local Area Agency on Aging is another valuable community resource that can often point you in the right direction.

What to ask a potential therapist:
It’s okay to “interview” a few therapists to find a good fit. You might ask: “Do you have experience working with older adults on issues of anxiety?” and “What is your therapeutic approach?”

Tips for Telehealth:
Many therapists now offer appointments via video call (telehealth), which can be a convenient option. To make it work for you, find a quiet, private space in your home for the appointment. Do a test run of the technology beforehand and don’t be afraid to ask for help. Having a notepad handy can help you remember what you want to discuss.

Medication: A Conversation with Your Doctor

For some people, medication can be a very helpful tool for managing anxiety, often used in combination with therapy. It can help reduce the intensity of the physical and emotional symptoms, making it easier to engage in and benefit from therapy. However, this is a decision that must be made carefully in consultation with a medical professional, such as your primary care doctor or a psychiatrist.

It is crucial to have an open conversation about the potential benefits, risks, and side effects of any medication. Be sure to tell your doctor about all other medications and supplements you are taking to avoid any harmful interactions. Never start, stop, or change the dose of a medication without medical supervision.