Mastering Anxiety: Practical Tips to Find Calm and Take Control

Stephanie Strouth • June 27, 2025

Anxiety is a natural response from our body and mind, preparing us for situations that may bring uncertainty or fear, often triggered by stress, but sometimes, it can feel like it’s controlling us more than we are controlling it.

Some signs that you might be experiencing anxiety include feeling uneasy, fearful, or excessively worrying. These feelings are common, especially if you’re facing a big event or project. Anxiety can bring not only mental symptoms but also physical symptoms, making it a complex experience. Remember, you don’t have to manage these feelings alone—speaking with a mental health professional, such as an anxiety counselor or therapist, can provide guidance and support.

Symptoms of Anxiety: What to Look For

Anxiety symptoms vary for each person, and everyone copes differently. Symptoms can be broadly categorized into psychological and physical types, and you may experience both to varying degrees. If you’re considering seeing a therapist for anxiety or are wondering if you have anxiety, here are some common symptoms to look out for:

Psychological symptoms:

Feeling restless or on edge – Constantly feeling tense or "wired."

Difficulty with focusing – Anxiety can make it challenging to concentrate or complete tasks.

Persistent feelings of worry or unease – Worrying over many things, even small or unlikely events.

Irritability – Feeling unusually short-tempered or easily frustrated.

Overthinking – Spending too much time analyzing situations or replaying events in your mind.

Struggling to let go of worries – Finding it hard to stop worrying, even if you want to.


Physical symptoms:

Fast heart rate – Your heart may race as your body responds to stress.

Rapid breathing – You might find yourself breathing faster, sometimes leading to shortness of breath.

Tense muscles/headaches – Anxiety can cause muscles to tighten, leading to aches or headaches.

High blood pressure – Physical stress responses can increase your blood pressure temporarily.

Gastrointestinal issues – Anxiety can affect your digestive system, causing nausea, stomachaches, or other issues.

Sweating/trembling – You may notice sweaty palms, trembling, or a general feeling of shakiness.

If you’ve been experiencing any of these symptoms, seeking anxiety counseling may be a helpful next step. Therapy can provide tools and techniques for managing these physical and mental signs of anxiety. 

How to Cope with Anxiety: Techniques Used in Therapy

Learning to cope with anxiety is a key step toward managing it. While there is no one "correct" way to cope, each person finds different techniques helpful. Many anxiety counseling sessions focus on helping clients explore these strategies, providing a roadmap to find what works best. Exploring coping techniques online or through an anxiety counselor can be a great start. If you find one method isn’t working for you, don’t be discouraged; an anxiety therapist can work with you to discover other approaches. Reaching out to a mental health professional is one of the most effective ways to navigate anxiety, and we encourage you to connect with therapists who can offer personalized support.

Effective Coping Strategies for Anxiety Relief

Here are some commonly recommended anxiety management techniques, often taught in counseling sessions:

The 3-3-3 Rule – Identify three things you can see, three sounds you can hear, and move three parts of your body (such as your fingers, arms, and legs). This exercise grounds you in the present moment, helping to break the cycle of racing thoughts and promote mindfulness.

Meditation – Practicing meditation can calm the mind and reduce anxiety by focusing your attention on breathing or a particular word or phrase, leading to a relaxed state that counters stress responses.

The 4-7-8 Rule – Inhale for four seconds, hold the breath for seven seconds, and exhale for eight seconds. This breathing technique helps slow your heart rate, encouraging a sense of calm by activating the body's natural relaxation response.

Establish a Routine – A consistent daily routine can provide stability, making it easier to manage anxiety. Knowing what to expect each day helps reduce uncertainty and can provide a sense of control over your life.

Limit Caffeine Intake – Caffeine can increase heart rate and jitteriness, which can amplify feelings of anxiety. Reducing caffeine helps to avoid these physical symptoms that may otherwise exacerbate anxious feelings.

Learn Your Triggers and Avoid Them – Identifying what situations or experiences trigger anxiety allows you to prepare for them or avoid them when possible, reducing unexpected stress.

Try Exposure Therapy – While avoiding triggers can sometimes be helpful, there are situations where working through fears is necessary to move forward. Exposure therapy allows you to gradually and safely face these fears, building resilience and strengthening your ability to manage challenging moments.

Cognitive Behavioral Therapy (CBT) – CBT focuses on understanding and changing patterns of thinking that contribute to anxiety. It’s a highly effective treatment offered by licensed therapists, providing practical tools for reframing thoughts and managing anxiety.

Journal Your Thoughts and Feelings – Writing down your thoughts and feelings allows you to release pent-up emotions and gain insights into your anxiety triggers. Journaling can also be a helpful way to track progress over time.

Do Things You Enjoy – Engaging in activities you enjoy can provide a healthy distraction from anxiety and boost mood. Doing things you love reinforces positive feelings, helping to balance the negativity that anxiety may bring.

Implementing these strategies can create a toolkit to help you manage anxiety, both during moments of stress and over the long term. If you’re interested in more structured support, connecting with a therapist or counselor specializing in anxiety can offer deeper insights and effective tools. Remember, finding what works best for you may take time, but every step you take brings you closer to greater peace and well-being.


If a therapist isn’t your jam, Anchoring Hope is bringing some cool options your way!

On Saturday November 16th at 6pm, our Wise, VA Office will be offering an anxiety-focused workshop reviewing these techniques and more!

OR, if you don’t really care for peopling, you can always download our app! Search your Apple Store for “Anchoring Hope” to gain access to several counselor-approved coping skills! Google users can also access the app by downloading the Passion.io app and searching for “Anchoring Hope”! Reach out if you need help to stephanie@ahchope.com .

Also, this blog was written by Hope Hall & Edited by Stephanie Strouth. Stephanie just couldn’t figure out how to add Hope as an author to the account because the process is unnecessarily complicated. 
By Stephanie Strouth • October 5, 2026
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By Stephanie Strouth • October 4, 2026
Starting therapy for the first time can feel unfamiliar. You may wonder what you are supposed to say, whether your concerns are “serious enough,” or what will happen once you sit down with a therapist.  The good news is that you do not need to arrive with everything figured out. Your first appointments are often an opportunity for your provider to learn more about you, what brought you to therapy, what you have been experiencing, and what you hope may improve. You may talk about current stressors, relationships, emotions, previous experiences, daily routines, or areas of life that have been difficult. Your therapist may also ask questions to better understand your history and help identify goals for treatment. Therapy is not about having someone tell you exactly how to live your life. Instead, it can provide a supportive space to understand yourself more clearly, explore patterns, develop coping strategies, and work toward changes that are meaningful to you. It is also normal if you feel nervous or unsure during your first appointment. Building trust with a provider can take time. You are allowed to ask questions, talk about what feels comfortable, and let the process develop gradually. At Anchoring Hope Counseling, we know taking the first step can sometimes be the hardest part. You do not need the perfect explanation for why you are reaching out. Sometimes simply knowing that something has not felt right lately is enough reason to begin the conversation. At Anchoring Hope Counseling: We Accept Most Insurances Therapy & Mental Health Medication Management 24/7 Access To Our Wellness App Telehealth Option Available For VA Residents Physical Locations in Abingdon, Wise, Pennington Gap, & Bristol, VA 📞 Call us or visit our site for a free consult today: (276) 298-5034 | www.ahchope.com
By Stephanie Strouth • October 3, 2026
Being thoughtful, dependable, and caring toward others can be positive qualities. But sometimes the desire to keep everyone happy can become exhausting.  People-pleasing may look like agreeing to things when you really want to say no, avoiding difficult conversations, worrying excessively about disappointing someone, or constantly adjusting your own needs to make other people comfortable. Over time, this can leave little room for your own emotions, preferences, and boundaries. You may become frustrated or resentful while still feeling guilty about making yourself a priority. You might even find it difficult to answer a simple question like, “What do I actually want?” because you are so accustomed to thinking about everyone else first. People-pleasing can develop for many reasons. For some people, keeping others happy may have become a way of avoiding conflict or maintaining a sense of safety and acceptance. Understanding those patterns can be an important part of changing them. Therapy can provide a supportive environment to explore why saying no or expressing your needs feels difficult. At Anchoring Hope Counseling, individuals can work with providers to improve communication, strengthen boundaries, and develop healthier ways of maintaining relationships without constantly ignoring themselves. You can care about other people while still having limits. Healthy relationships can make room for your needs too. At Anchoring Hope Counseling: We Accept Most Insurances Therapy & Mental Health Medication Management 24/7 Access To Our Wellness App Telehealth Option Available For VA Residents Physical Locations in Abingdon, Wise, Pennington Gap, & Bristol, VA 📞 Call us or visit our site for a free consult today: (276) 298-5034 | www.ahchope.com
By Stephanie Strouth • October 2, 2026
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By Stephanie Strouth • October 1, 2026
Difficult emotions can be uncomfortable. When sadness, anxiety, anger, frustration, or fear shows up, your first instinct may be to push it away, distract yourself, or tell yourself that you should not feel that way.  But emotions often become harder to manage when we spend all of our energy fighting them. Feeling something does not mean you have to act on every emotion or let it control your decisions. It simply means your mind and body may be communicating that something deserves attention. Learning to recognize emotions can help you respond to them more intentionally. Instead of immediately judging yourself for feeling anxious or frustrated, you can begin asking what may be contributing to that feeling and what you need in the moment. Therapy can help build this kind of emotional awareness. At Anchoring Hope Counseling, individuals can work with providers to better understand their emotions, identify triggers, develop coping strategies, and learn healthier ways to respond during difficult moments. Emotional wellness does not mean never feeling uncomfortable emotions. It means developing the tools to experience those emotions without feeling completely controlled by them. With support and practice, you can begin responding to yourself with greater understanding, patience, and confidence. At Anchoring Hope Counseling: We Accept Most Insurances Therapy & Mental Health Medication Management 24/7 Access To Our Wellness App Telehealth Option Available For VA Residents Physical Locations in Abingdon, Wise, Pennington Gap, & Bristol, VA 📞 Call us or visit our site for a free consult today: (276) 298-5034 | www.ahchope.com
By Stephanie Strouth • September 30, 2026
For some people, stress about the upcoming week begins before Monday ever arrives. Sunday afternoon or evening may bring a growing sense of worry as you begin thinking about work, school, appointments, responsibilities, or everything waiting for you in the days ahead.  This anticipatory anxiety can make it difficult to enjoy the end of your weekend. Instead of feeling rested, you may find yourself mentally reviewing your schedule, worrying about unfinished tasks, or imagining stressful situations before they happen. By the time the new week begins, you may already feel mentally exhausted. Occasional worry about a busy week is normal. But when anxiety about what is coming regularly interferes with your ability to relax, sleep, or enjoy your time, it may be worth paying attention to what is driving that stress. Therapy can help you better understand anticipatory anxiety and the thought patterns that may be contributing to it. At Anchoring Hope Counseling, individuals can work with providers to develop healthier coping strategies, manage expectations, and learn how to stay more grounded in the present instead of mentally living several days ahead. You may not be able to remove every responsibility from your week, but you can learn healthier ways to approach them. Support can help the beginning of a new week feel less like something you have to fear and more like something you can navigate one day at a time. At Anchoring Hope Counseling: We Accept Most Insurances Therapy & Mental Health Medication Management 24/7 Access To Our Wellness App Telehealth Option Available For VA Residents Physical Locations in Abingdon, Wise, Pennington Gap, & Bristol, VA 📞 Call us or visit our site for a free consult today: (276) 298-5034 | www.ahchope.com
By Stephanie Strouth • September 29, 2026
Avoidance can bring temporary relief. If a conversation makes you anxious, you may postpone it. If a situation feels uncomfortable, you may try not to think about it. If a task feels overwhelming, you may put it off and tell yourself you will handle it later.  In the short term, avoiding something may reduce stress. But sometimes avoidance can make anxiety feel even bigger over time. The situation is still there, and your mind may continue thinking about it in the background. The longer it is avoided, the more intimidating it may begin to feel. This does not mean you should force yourself into situations before you feel ready. It means that understanding avoidance can be an important part of understanding anxiety. Sometimes what feels protective in the moment can unintentionally keep fear or uncertainty going. Therapy can help you recognize patterns of avoidance and understand what emotions may be underneath them. At Anchoring Hope Counseling, individuals can work with providers to build coping skills, increase confidence, and approach difficult situations in healthier and more manageable ways. You do not have to tackle everything at once. Progress can happen gradually. With support, even situations that once felt overwhelming can begin to feel more manageable. At Anchoring Hope Counseling: We Accept Most Insurances Therapy & Mental Health Medication Management 24/7 Access To Our Wellness App Telehealth Option Available For VA Residents Physical Locations in Abingdon, Wise, Pennington Gap, & Bristol, VA 📞 Call us or visit our site for a free consult today: (276) 298-5034 | www.ahchope.com
By Stephanie Strouth • September 28, 2026
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By Stephanie Strouth • September 27, 2026
Routines can give life a sense of stability. They help organize our days, create predictability, and make responsibilities feel more manageable. But when routines are disrupted by work changes, family demands, illness, travel, stress, or unexpected events, it can leave you feeling more emotionally unsettled than you expected.  You may notice that your sleep changes, motivation drops, stress increases, or everyday tasks begin to feel harder. Even small disruptions can have a bigger impact when you are already carrying a lot mentally or emotionally. Feeling off balance after a routine changes does not mean you are inflexible. It may mean that structure has been helping you manage stress more than you realized. When that structure disappears, the pressure that was already there can become more noticeable. Therapy can help you better understand how routines, stress, and emotional well-being are connected. At Anchoring Hope Counseling, individuals can work with providers to explore what has changed, identify what helps them feel grounded, and develop realistic strategies for creating stability during uncertain seasons. You do not have to rebuild everything at once. Sometimes balance returns through small, manageable steps. Support can help you figure out what those steps look like for you. At Anchoring Hope Counseling: We Accept Most Insurances Therapy & Mental Health Medication Management 24/7 Access To Our Wellness App Telehealth Option Available For VA Residents Physical Locations in Abingdon, Wise, Pennington Gap, & Bristol, VA 📞 Call us or visit our site for a free consult today: (276) 298-5034 | www.ahchope.com
By Stephanie Strouth • September 26, 2026
Someone asks how you are doing, and even if you feel stressed, anxious, burned out, or emotionally exhausted, you say you are fine without thinking much about it. Over time, this can become a habit that makes it harder to recognize when you actually need support.  There are many reasons people hide how they feel. You may not want to worry anyone, you may not feel comfortable being vulnerable, or you may not know how to explain what is going on. You may also be so used to pushing through difficult seasons that admitting you are struggling feels unfamiliar. The problem is that constantly minimizing your emotions can leave you feeling isolated. When everything stays inside, stress can continue to build without giving you space to process what you are carrying. Therapy can provide a place where you do not have to automatically say that everything is fine. At Anchoring Hope Counseling, individuals can talk honestly about what they are experiencing in a supportive, nonjudgmental environment. You do not need perfect words, and you do not need to have everything figured out before beginning. Being honest about how you feel can be an important step toward understanding what you need. You are allowed to say that things feel hard, and you are allowed to receive support. At Anchoring Hope Counseling: We Accept Most Insurances Therapy & Mental Health Medication Management 24/7 Access To Our Wellness App Telehealth Option Available For VA Residents Physical Locations in Abingdon, Wise, Pennington Gap, & Bristol, VA 📞 Call us or visit our site for a free consult today: (276) 298-5034 | www.ahchope.com

From Overwhelmed to Empowered, We’ll Help You Get There

You don’t have to navigate life’s chaos alone. At Anchoring Hope Counseling, we guide individuals across Virginia, just like you, who are ready to stop surviving and start thriving. Whether you're seeking therapy, mental health medication, or simply a fresh start, we’re here to help you reconnect with your most authentic self and reclaim your peace of mind.


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When life feels chaotic or heavy, it’s easy to lose sight of who you are and what you need. At Anchoring Hope Counseling, we meet you exactly where you are, without judgment, and help you reconnect with your strength, clarity, and self-worth.

Whether you're struggling with anxiety, trauma, relationships, or simply feeling stuck, we offer personalized care that empowers you to take control, feel grounded, and move forward with purpose.

You don’t have to do this alone. Let us walk beside you.

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    We accept Anthem, United/Optum, Cigna, and Aetna (plans through an employer, family member, or marketplace).  If you check your insurance portal to see if we accept your insurance, we may not show up on that directory. We do use insurance for individual sessions, but not for true couples/family therapy. If you wish to check your benefits prior to scheduling, you may complete a profile HERE. Call us at 276-298-5034 if you have additional questions. We also provide counseling at a private pay rate and can check your out-of-network benefits for policies we are not in network with. Unfortunately, Medicaid/Medicare does not have out-of-network benefits and will only pay for in-network providers. We are NOT in network with Medicaid/Medicare. 

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We understand that true healing involves more than just the time spent in session. That's why we provide our clients with awesome extras designed to enhance your overall experience. From tools to manage everyday stress to special offers that promote relaxation and wellness, our perks are crafted to meet your unique needs. At Anchoring Hope Counseling, we’re here to ensure that your path to well-being is as smooth and supportive as possible. With us, you have access to:


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