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Psychology Session

ANXIETY

Do you find yourself overwhelmed by constant worry, racing thoughts, or a sense of dread that seems to follow you through your day? Do you wake up feeling tense or fall asleep replaying social interactions in your head? Perhaps your mind feels stuck in a loop of "what ifs," and your body is beginning to show signs of stress: fatigue, tightness in your chest, shallow breathing, or trouble sleeping.

Anxiety can show up in many forms. For some, it centers around health concerns or fears for loved ones. For others, it may be driven by career pressure, social expectations, perfectionism, or the painful unpredictability of the world around us. You may look "high-functioning" on the outside—successful, put-together, helpful—but internally, it feels like your mind never rests.

You are not alone, and more importantly, you don’t have to keep living like this. My practice provides individualized anxiety therapy in Denver, and across the U.S.

Understanding Anxiety: A Biological and Psychological Experience

Anxiety is not a flaw in your personality or a weakness in your character. It is a biological and psychological response designed to keep you safe. It originates in the body’s threat detection system—your sympathetic nervous system—which sends out signals when it perceives danger. This can be adaptive: anxiety helps you respond to real threats. But for many people, this system becomes overactive, interpreting uncertainty, emotional discomfort, or social evaluation as danger.

When this heightened state persists over time, it can turn into an anxiety disorder, which may include symptoms such as:

  • Chronic worry or fear

  • Restlessness or inability to relax

  • Muscle tension and headaches

  • Trouble sleeping or fatigue

  • Panic attack (racing heart, sweating, dizziness)

  • Avoidance of certain people, places, or experiences

  • Intrusive or obsessive thoughts

  • Difficulty concentrating or making decisions

 

Left untreated, anxiety can begin to affect every area of your life—from your work and relationships to your ability to enjoy rest, play, and purpose.

How Treatment for Anxiety Can Help

While anxiety may feel overwhelming, it is highly treatable. In fact, a wealth of research supports the effectiveness of psychotherapy for anxiety—particularly Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and Mindfulness-Based Interventions.

These approaches don’t just help you "cope." They help you build new pathways in your brain, create psychological flexibility, and develop the skills to navigate life’s challenges with more clarity and ease.

Evidence-Based Treatments We May Use:

Cognitive Behavioral Therapy (CBT)

Cognitive Behavioral Therapy (CBT) is one of the most effective, research-backed treatments for anxiety. It’s a structured, goal-oriented approach that helps you understand how your thoughts, emotions, and behaviors are connected—and how those patterns might be keeping you stuck in anxiety.

When you're struggling with anxiety, your mind often jumps to worst-case scenarios, overestimates danger, and underestimates your ability to cope. You might start avoiding situations that feel overwhelming or try to control things that are outside your control. Over time, these habits can actually increase your anxiety and make your world feel smaller.

 

CBT helps by teaching you how to:

  • Recognize anxious thought patterns (like catastrophizing or "what if" thinking)

  • Challenge and reframe unhelpful beliefs so they feel more realistic and supportive

  • Change avoidance behaviors that unintentionally reinforce fear

  • Develop practical coping tools—such as breathing techniques, problem-solving, or exposure strategies—to build confidence and resilience

 

One of the core ideas of CBT is that you don’t have to believe everything you think. Just because a thought feels true doesn’t mean it is. CBT gives you the tools to step back, evaluate your thoughts more objectively, and respond to anxiety in ways that support your well-being and long-term goals.

Most importantly, CBT is a collaborative process—you and your therapist work together to identify patterns, try out new skills, and celebrate your progress. Many people start to feel relief within a few sessions as they gain clarity and tools they can use in daily life.

Acceptance and Commitment Therapy (ACT)

ACT helps you create a new relationship with your thoughts and feelings. Rather than trying to eliminate anxiety, ACT teaches you how to observe it, allow space for it, and still make choices that align with your values. It supports self-compassion, psychological flexibility, and meaning-based living.

ACT is based on six core processes that promote psychological flexibility:

  1. Cognitive Defusion – Learning to step back from your thoughts and see them as mental events, not absolute truths.

  2. Acceptance – Making space for uncomfortable emotions instead of trying to control or avoid them.

  3. Contact with the Present Moment – Grounding yourself in the here and now, rather than being stuck in past regrets or future worries.

  4. Self-as-Context – Developing a stable sense of self that can observe experiences without being overwhelmed by them.

  5. Values Clarification – Identifying what truly matters to you in life.

  6. Committed Action – Taking purposeful steps, guided by your values, even when anxiety is present.

 

These processes work together to help you respond to anxiety in a more intentional and empowered way, rather than trying to control or eliminate it.

Mindfulness & Nervous System Support

Mindfulness-based interventions train your attention to stay anchored in the present moment, helping you shift out of autopilot thinking and into a space of awareness, clarity, and calm. By learning to notice your thoughts and bodily sensations without judgment, you develop greater emotional regulation and the ability to respond—rather than react—to internal stressors. This can be especially helpful when anxiety feels like it's taking over, offering a grounding tool that reconnects you to the here and now.

In addition to mindfulness, we may incorporate body-based and lifestyle practices that support your nervous system health, including breathwork for calming physiological arousal, mindful movement to release tension and increase self-regulation, and integrative nutrition guidance to reduce inflammation and stabilize mood. These approaches are aimed at helping you restore balance in both your mind and body.

This biopsychosocial approach—which integrates psychological insight, behavioral tools, physiological regulation, and lifestyle alignment—acknowledges that anxiety is not just "in your head." It's a whole-body experience that deserves holistic, compassionate, and evidence-informed care.

Telehealth Makes Anxiety Treatment More Accessible

Many people with anxiety find it difficult to attend in-person therapy—due to time constraints, social discomfort, or physical symptoms. That’s why I offer secure, HIPAA-compliant teletherapy for clients across Colorado and 42 states.

Telehealth has been shown in research to be just as effective as in-person therapy for treating anxiety disorders. It also makes it easier to maintain consistency, which is one of the strongest predictors of successful outcomes in therapy.

Types of Anxiety I Treat

I work with adults experiencing:

  • Generalized Anxiety Disorder (GAD)

  • Panic Disorder

  • Social Anxiety Disorder

  • Agoraphobia

  • Obsessive-Compulsive Disorder (OCD)

  • Specific Phobias

  • Health Anxiety

  • Perfectionism and Imposter Syndrome

  • "Everyday" anxiety, overthinking, and chronic stress

 

Whether your anxiety is constant and generalized, specific to certain fears, or showing up in perfectionistic self-pressure, we will tailor therapy to meet your unique experience.

What You Can Expect

Therapy is a collaborative process. You are the expert in your experience, and I bring the training, structure, and tools to help you navigate it. Our work together will include:

  • Building awareness of your thought-emotion-body patterns

  • Practicing new tools to relate differently to anxiety

  • Identifying and connecting to your values

  • Shifting behavior away from avoidance and toward meaningful action

 

Most importantly, you will be met with compassion, curiosity, and zero judgment. My role is not to "fix" you, but to help you reconnect with your strength, insight, and capacity to move forward—even with anxiety present.

FAQs ABOUT ANXIETY

1. Can stress be mistaken for anxiety?

Yes. Chronic stress and anxiety can feel very similar—tight chest, racing mind, restlessness, irritability. The difference is that anxiety includes a persistent sense of fear or apprehension, often about future events. Therapy helps distinguish and treat both, often using overlapping strategies like CBT and mindfulness.

 

2. What are some warning signs of anxiety?

  • Excessive worry or inability to stop overthinking 

  • Restlessness or feeling “on edge” and agitated

  • Trouble sleeping or concentrating

  • Racing heart or breathlessness, pit in the stomach, sweating

  • Avoidance of situations due to fear or extreme discomfort

Anxiety becomes a concern when it interferes with your daily life. This can happen to anyone. Many high-achievers and perfectionists live with “high-functioning anxiety”—appearing successful while internally feeling overwhelmed.

 

3. Does high anxiety ever go away?

With treatment, yes—anxiety can significantly reduce and become manageable, as simply a "passenger on the bus" of your life. It may not disappear completely (your brain’s job is to protect you), but through CBT, ACT, and mindfulness, you can change how you respond to anxiety, loosen its grip, and live a full life even with uncertainty present.

 

4. What type of therapy is best for anxiety?

  • Cognitive Behavioral Therapy (CBT) is a gold standard treatment for anxiety management

  • ACT builds psychological flexibility and helps you take action even in the presence of fear

  • Mindfulness-Based Stress Reduction (MBSR) and body-based practices help regulate your nervous system

  • While it's not therapy, for some clients, medication management is an integral part of the clinical treatment plan. I work closely with prescribers for continuity of care and to integrate the benefits of chemical and behavioral support

In therapy, we will tailor your treatment to your needs, patterns, and goals.

 

5. What is the best therapy for high-functioning anxiety?

High-functioning anxiety is often rooted in perfectionism, people-pleasing, and fear of failure. We use:

  • CBT to challenge self-critical thoughts and reduce overthinking

  • ACT to build tolerance for uncertainty and reduce control strategies

  • Mindfulness to cultivate presence and calm
    You don’t need to sacrifice your drive—you just need to stop sacrificing yourself in the process.

Jennifer Olson-Madden, Ph.D.

Psychologist and Consultant

720-588-3823

TELEPSYCHOLOGY SERVICES ONLY

2000 S. Colorado Blvd,

Suite 2000-1024

Denver, CO 80222 

For questions related to services and rates, please see the Psychological Services page.​

 

Jennifer Olson-Madden, PhD, LLC offers services for all ethnic and minority groups and LGBTQIA+ adults in Denver, CO and 41 other states nationwide.

 

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