We all experience anxiety at different levels at some time or another. A level of anxiety can serve you well when there is danger and may keep you safe…like if you are walking down the street late at night, and hear strange footsteps behind you, my may feel your pulse speed up, your heart rate increase, and start walking faster. However, we can also experience anxiety when there is no conscious cause or reason to feel anxious to a higher level or degree.

Anxious confused

The same symptoms that occur when experiencing anxiety may be the same as in many physical medical disorders, however, they can also occur in everyday life quite suddenly for no apparent reason. A trauma, a loss, a life adjustment, a difficult relationship or issues at work and many more everyday difficulties that can occur at any time may trigger anxiety.


Anxiety / General Anxiety may appear in the form of many different presentations.  It can be symptomatic of other more serious conditions and exacerbates the symptoms of anxiety. In my experience anxiety can feel very scary.

Health Anxiety

This is a field that I have come to know more about due to it being so common today. Although I have to say that anxiety has become very generalised; and that it is more beneficial to work with the individual as well as the symptom like any negative symptoms that keep repeating. The good news is; that the person is always stronger than the symptoms; it can be about becoming aware of those strengths you have and channeling them to help you with your struggles.

I will do my best to explain about anxiety (GAD) in summary below in generic terms as I do not yet know you and your personal situation.  But as mentioned above, you are very welcome to have a FREE PRE-INITIAL PERSONAL ASSESSMENT to learn more about your individual circumstances with anxiety if you want to, and your best pathway forward, whether with me or other.


“GAD is a long-term condition that causes you to feel anxious about a wide range of situations and issues, rather than one specific event.
People with GAD feel anxious most days and often struggle to remember the last time they felt relaxed. As soon as one anxious thought is resolved, another may appear about a different issue.” 

Source:  https://www.nhs.uk/conditions/generalised-anxiety-disorder/

Do you feel for no apparent reason…NERVOUS?… FEARFUL?… DOUBTFUL?… LOW CONFIDENCE?… WORRYSOME?… PANICK ATTACKS?…  TENSE?… PHOBIA?… FEELING PRESSURED?… THOUGHTS RACING?… or other symptoms of what you think maybe anxiety.

Are you experiencing… SWEATY PALMS?… FEELING NAUSEAS?… TUMMY CHURNING… RACING HEART… FAST PULSE or other symptoms of what you think maybe anxiety. 

Anxious confused

What is Anxiety like for you?

Anxiety categories:

  •  Generalised Anxiety Disorder (GAD).
  •  Phobia Anxiety Disorder.
  •  Panic Disorder.
  •  Social Anxiety/Relationship Anxiety.

It is helpful to know what kind of anxiety you are experiencing in order to determine the right treatment plan for you!

Anxiety (Health) Management:
Health anxiety has its roots in a person thinking that they are getting unwell, or where everyday symptoms are catastrophized. It can be very distressing to the individual. Even thought the person knows on a rationale level that the symptoms are nothing probably to worry about, the person feels compelled to go to great lengths to convince themselves that everything is fine. This can be exhausting for the individual and interfere with general functioning.

Anxiety (Panic) Management:
Panic attacks can start for many different reasons. The good news is that they can be managed and with time controlled. 

Anxiety (Phobia) Management:
Phobia anxiety in my experience is usually the result of something that is totally unrelated to the phobia itself. However, every phobia is different as is every individual. 

Anxiety (Social) Management:
Crowds, relationships, performance, work, and areas can all be a struggle when a person is experiencing symptoms of social anxiety. It can hold a person back. Working through what your personal difficulties are with regards to social and relationship anxiety can help you to gain insight and tackle the symptoms and thus move forward.

If you work with me it starts with the FREE PRE-INITIAL ASSESSMENT to firstly help you to make an informed decision about your individual personal therapeutic pathway forward.  Thereafter, if you decide to book a face to face session, I will incorporate a FULL MENTAL HEALTH ASSESSMENT into your first therapeutic session.

You can call me on 07950 906421 or 07704 455944 to arrange your FREE PRE-INITIAL ASSESSMENT with myself, based on over 20 years NHS experience, inpatient, outpatient, community and private practise.  I will be delighted to hear from you, or if I cannot answer when you call,  I will call you back if you leave me a message either voicemail or text.  

Anxiety can have both psychological and physical symptoms.  Anxiety disorders can be categorized into 4 categories in my experience:

1)  Generalised anxiety (where the symptoms are continuous but may come and go to a degree).

2)  Phobia anxiety disorders (where the anxiety is irregular, and happens only in certain circumstances).

3)  Panic disorder (where the anxiety is irregular and unrelated to any particular circumstance, and

4)  Social anxiety or relationship anxiety (where the person, to a larger or lesser degree, struggles with relationships; mostly the relationship with oneself).

“In summary the psychological symptoms and physical symptoms can be some or more of the following:

Psychological arousal:

  • Fearful anticipation.
  • Irritability.
  • Sensitivity to noise.
  • Restlessness.
  • Poor concentration.
  • Worrying thought.

Autonomic arousal:


  • Dry mouth.
  • Difficulty swallowing.
  • Tummy discomfort.
  • Excessive wind.
  • Frequent loose motions.


  • Constriction in chest.
  • Difficulty inhaling.


  • Palpitations.
  • Discomfort in chest.
  • Awareness of missed heart beats.


  • Frequent or urgent micturition (urinate).
  • Failure of erection.
  • Menstrual discomfort.
  • Amenorrhea.

Muscle tension

  • Tremor.
  • Headache.
  • Aching muscles.


  • Dizziness.
  • Tingling in the extremities.
  • Feeling breathless

Sleep disturbance

  • Insomnia.
  • Night terrors.”

The above symptoms can be symptoms of anxiety but should always be checked out by a medical professional to rule out any medical condition.

Above information taken from:  Shorter Oxford Textbook of Psychiatry, Part 1, Fourth Edition, 2002.

PERSONAL ANXIETY TREATMENT PLAN:  It is important to seek a professional assessment to determine the best treatment plan if you are experiencing symptoms of anxiety where your daily life is being effected.  Everybody is unique, however, in my experience Cognitive Behavioural Therapy is an effective treatment plan for anxiety, although even just talking to a professional who is not emotionally caught up in what may feel like a turmoil, can help you to start to clear the pathway forward and recognise negative patterns that may be avoidable with insight.

I am mostly an integrative therapist which means I combine therapies; Psychodynamic, Person-Centred, and Cognitive Behavioural Therapy.  Integrative therapies can help for you to learn what the underlying cause of the anxiety is, and not just manage the symptoms.

Therapies that are effective with anxiety are, in my experience:

  •  Counselling (CBT):  Working with the conscious mind to discuss the issues at a conscious level.
  •  Integrative Counselling:  Combining therapies as above.
  •  Hypnotherapy (Hypnosis):  Working with the unconscious/subconscious mind and thus working with the subconscious to experience deep, deep, relaxation and accept positive suggestion     for your own well-being.
  • Life Coaching (NLP):  And further down the line, and probably much sooner, working towards a brighter future to reach be your optimum.

The above therapies are optional for you when working with me; as everyone is unique, I will advise and tailor the therapy to your flexible individual needs collaboratively, however, ultimately  you choose, with information from me, your pathway forward at your own pace and in your own time.

So call me and learn how it feels, or text me, on 07950 906421 or 07704 455944 for your FREE PRE-INITIAL ASSESSMENT – I will be delighted to hear from you – leave a message if I am not available and I will get back to you.

Other areas that anxiety can impact upon are weight, fertility, stress management, depression, relationships, work… and more.  If these areas, or another area is effecting you, and you think it is associated with anxiety, then this can be discussed at the FREE PRE-INITIAL ASSESSMENT.


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Warm Regards, Maggie Bell (BACP & GHR)
Maggie Bell Counselling & Hypnotherapy (Bromley & Lewisham), Portland Road, Bromley, Kent.  BR1 5AY
Mobile:  07950 906421 or 07704  455944
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