Anxious Thinking
by Mary Keogh, Registered Psychotherapist
What can it look like?
Anxious thinking often shows up as your mind goes into full “what if” mode, rapidly imagining worst-case scenarios and treating them as if they’re just around the corner. It’s your brain trying (very diligently, and perhaps a little dramatically) to keep you safe.
Helpful intention? Absolutely.
Helpful execution? Not always.
The result can be a lot of worry, even when there isn’t a real or immediate threat.
How it may feel:
Anxious thinking can bring a persistent sense of dread, fear, or unease. It may feel as though something isn’t quite right, even if you can’t put your finger on it.
Physically, it might show up as a racing heart, sweaty palms, butterflies in your stomach, or that restless, “on edge” feeling.
Mentally and emotionally, it can feel like your thoughts are running a marathon you didn’t sign up for, looping through worries, worst-case scenarios, and making it hard to truly relax.
A quick note before we continue:
The content here is for educational and informational purposes only. It’s not medical advice (I am not a GP) or a diagnosis (that is outside my scope of practice). Think of this as a gentle guide: helpful, but not the whole map.
How therapy can help:
Therapy, particularly evidence-based approaches like Cognitive Behavioural Therapy (CBT), can be very effective in working with anxious thinking.
CBT helps you begin to notice your automatic thought patterns and gently question them. Is this thought accurate? Is it helpful? Is it perhaps a little… overenthusiastic?
Over time, and with practice (and yes, some patience), you can learn to recognize, challenge, and reframe these thoughts into something more balanced and realistic.
Therapy can also support you in gradually facing fears, rather than avoiding them, and in building practical coping strategies—like relaxation techniques—to help your body settle when your mind speeds up.
Potential therapeutic goals:
When working with anxiety, some common goals might include:
Because ultimately, the goal isn’t to eliminate anxiety entirely (our brains would protest), but to change your relationship with it, so it no longer runs the show.
Want to know more about how Psychotherapy can assist you?
If any of what I have said in this blog resonates with you, please know that you’re not alone, and it’s okay to ask for support. If you have been thinking about therapy or are simply looking for a safe place to talk and be heard, I would welcome the opportunity to support you. I am here.
About the Author
Mary Keogh is a Registered Psychotherapist who practices at the Adelaide Health Clinic. She sees individuals aged 18 and older in her practice. Mary specializes in helping individuals manage stress, emotional challenges, complicated relationships (romantic, workplace, friendships or family of origin) and difficult life transitions, particularly in women’s health.
Want to know how therapy can support your mental well-being?
Book a 15-minute complimentary consultation with Mary Keogh and start the conversation on how she can support you today.