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Anxiety Therapy

Evidence-based strategies to manage anxious thoughts and regain a sense of calm

Anxiety is one of the most common mental health challenges. Whether you experience generalised anxiety, panic attacks or social anxiety, our therapists are trained to help you develop practical skills and lasting relief.

People often reach out when anxiety has started interfering with sleep, work, or relationships — not necessarily at a single breaking point, but after noticing the same worry patterns repeating.

Sessions typically focus on understanding your specific triggers, building practical grounding and coping techniques, and gradually working through situations that anxiety has made you avoid.

This may be right for you if...

  • Your mind races through worst-case scenarios and it is hard to switch off
  • Physical symptoms — a tight chest, racing heart, shortness of breath — with no clear cause
  • You avoid situations, calls, or events because the anxiety feels too overwhelming
  • Trouble falling or staying asleep because your thoughts will not quiet down
  • Panic attacks that come on suddenly, sometimes without an obvious trigger

Types of anxiety we work with

Anxiety therapy at Safe Expanse is for anyone whose worry, fear or tension has started to run their day. Some anxiety is useful: it gets you to the exam, the interview or the appointment on time. It becomes a problem when it does not switch off, when the physical symptoms arrive without a clear reason, or when you start organising your life around avoiding the things that set it off. Our therapists work with:

  • Generalised anxiety: persistent worry about many everyday things, restlessness, poor sleep, trouble concentrating
  • Panic attacks: sudden surges of fear with a racing heart, shortness of breath, dizziness or a sense that something terrible is about to happen
  • Social anxiety: fear of being judged in meetings, presentations, gatherings or ordinary conversations
  • Health anxiety and intrusive, repetitive worries
  • Exam, work and performance stress that has tipped over into something you cannot manage alone
  • Anxiety that sits alongside low mood, grief or a past traumatic experience

How anxiety therapy works at Safe Expanse

Your first session is a conversation about how anxiety shows up for you: what triggers it, what it feels like in your body, what you have started avoiding and what you have already tried. From there you and your therapist agree what to focus on and how often to meet. Most people start weekly or fortnightly.

Our therapists draw on Cognitive Behavioural Therapy (CBT) to work with the thinking patterns that keep worry going, practical grounding and breathing techniques you can use between sessions, and gradual, planned steps back into the situations anxiety has made you avoid. Where anxiety is rooted in something that happened in the past, Eye Movement Desensitisation and Reprocessing (EMDR) or trauma-focused work may be a better fit. Person-centred and solution-focused approaches sit underneath all of this: the aim is to understand your anxiety, not to tell you to stop worrying.

Anxiety in children and teenagers

Anxiety in young people often looks different from adult anxiety: tummy aches before school, refusing to go in, meltdowns over small changes, or withdrawing from friends. Several of our therapists work with children and adolescents and use play, art and other creative approaches alongside talking. See our children's counselling and teen counselling pages, or get in touch and we will suggest who is best placed to help.

Counselling alongside medical care

Our counsellors do not prescribe medication. If your anxiety comes with physical symptoms such as chest pain, palpitations or breathlessness, it is sensible to have a GP rule out a physical cause as well. If you are already seeing a doctor or psychiatrist, counselling can run alongside that care. Sessions are available in person at 37 Beach Road and at Minmed Sanctuary in Novena, and online for anyone in Singapore who prefers it.

What to expect

  • An initial session to understand your needs and goals
  • A personalised treatment plan
  • Regular sessions at a frequency that suits you
  • Ongoing review and adjustment as you progress
  • A confidential, non-judgmental therapeutic relationship

Therapists who offer this

Gladys Hu Gladys Hu Senior Therapist Abigail Yang Abigail Yang Senior Therapist Shi Min Shi Min Associate Counsellor Stanley Soh Stanley Soh Associate Counsellor Siew Leng Siew Leng Counsellor

Frequently asked questions

How do I know if my anxiety is bad enough for therapy? +

If worry or fear is affecting your sleep, your work or studies, your relationships, or what you are willing to do, it is enough. You do not need a diagnosis or a crisis to book a session. Many people come when they notice the same worry pattern repeating and want help understanding it.

Will I have to face the things I am afraid of? +

Not before you are ready. Facing avoided situations step by step is one tool among several, and it is always planned with you, at your pace. Early sessions focus on understanding the anxiety and building ways to steady yourself first.

What approaches do you use for anxiety? +

Our therapists use Cognitive Behavioural Therapy (CBT), grounding and breathing techniques, graded exposure, and person-centred and solution-focused work. Where anxiety is tied to a past event, Eye Movement Desensitisation and Reprocessing (EMDR) may be used. Your therapist will explain their approach in the first session.

How many sessions will I need? +

It varies with what you are working on. Some people find a handful of sessions enough to understand their anxiety and build tools they can keep using; others continue for longer. You and your therapist review progress together and you can stop or change frequency at any time.

What if I have a panic attack during a session? +

Your therapist is trained to support and help you through in the moment. It can also become useful material for understanding what sets off your panic and what helps it pass.

Do you prescribe medication for anxiety? +

No. Our counsellors and therapists provide talking therapy and do not prescribe. If you are on medication, counselling can work alongside it. If you think medication might help, we can talk through how to see a GP or psychiatrist.

Can I do anxiety therapy online? +

Yes. Sessions are available online as well as in person at 37 Beach Road and at Minmed Sanctuary in Novena. Online sessions suit people who find leaving the house difficult, or who simply prefer the privacy of home.

Further reading

Ready to get started?

Contact us to enquire about anxiety therapy or to book an appointment.

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