What Are Anxiety & Stress?

Anxiety and stress are normal human experiences, but when they become persistent, overwhelming, and interfere with daily functioning, professional support can help. Dr. Pratt provides evidence-based anxiety and stress management therapy that teaches you practical coping strategies, helps you understand your anxiety patterns, and builds emotional resilience so you can live with greater confidence and peace.

Anxiety & Stress Conditions We Treat

Generalized Anxiety Disorder (GAD)

Persistent, excessive worry about everyday situations—work, finances, health, relationships—that's difficult to control and interferes with daily life.

  • Constant worry about multiple areas of life
  • Difficulty controlling worry
  • Physical symptoms: tension, restlessness, fatigue
  • Sleep disturbances
  • Difficulty concentrating
  • Irritability
  • Worry lasts 6+ months and causes significant distress

GAD often develops gradually and can feel like normal worry at first. However, untreated anxiety significantly impacts work performance, relationships, and quality of life. Cognitive behavioral therapy is highly effective for GAD.

Social Anxiety Disorder

Intense fear of social situations due to worry about being judged, embarrassed, or negatively evaluated by others, often leading to avoidance of social interactions.

  • Fear of social situations or public speaking
  • Worry about being judged or embarrassed
  • Physical symptoms: blushing, sweating, trembling
  • Avoidance of social events or public situations
  • Difficulty making eye contact
  • Anxiety in anticipation of social situations
  • Relief when avoiding these situations

Social anxiety can severely limit opportunities and relationships. Gradual exposure therapy combined with cognitive restructuring helps you confront feared situations and reduce anxiety responses effectively.

Panic Disorder

Recurring unexpected panic attacks—sudden intense fear with physical symptoms—followed by worry about future attacks and avoidance of situations associated with panic.

  • Sudden onset panic attacks (5-20 minutes)
  • Physical symptoms: racing heart, sweating, trembling, shortness of breath
  • Fear of dying, losing control, or going crazy
  • Constant worry about future panic attacks
  • Avoidance of places or situations where attacks have occurred
  • Agoraphobia—fear of leaving home or being in public spaces
  • Significant life disruption and distress

Panic disorder often develops after an initial panic attack and can become severely limiting. Understanding panic physiology, learning breathing techniques, and gradual exposure to feared situations are highly effective treatments.

Health Anxiety (Illness Anxiety Disorder)

Excessive worry about having or acquiring serious illness despite reassurance from doctors. Often involves health-related research, repeated medical visits, or avoidance of medical care.

  • Excessive worry about having serious illness
  • Hypervigilance to body sensations
  • Frequent doctor visits or seeking reassurance
  • Avoidance of medical care or information
  • Excessive health-related research online
  • High distress despite medical reassurance
  • Symptoms persist 6+ months

Health anxiety creates a cycle of worry and reassurance-seeking that maintains the problem. Treatment focuses on reducing health-related behaviors while building tolerance for health uncertainty.

Chronic Stress & Burnout

Persistent stress from work, caregiving, or multiple life demands that depletes emotional resources, reduces effectiveness, and impacts physical and mental health.

  • Constant feeling of being overwhelmed
  • Exhaustion despite adequate sleep
  • Difficulty concentrating or making decisions
  • Cynicism or emotional detachment
  • Reduced sense of accomplishment
  • Increased illness frequency
  • Difficulty managing responsibilities

Chronic stress affects both mental and physical health. Identifying stressors, setting boundaries, building coping strategies, and making lifestyle changes can significantly improve resilience and well-being.

Specific Phobias

Intense, irrational fear of specific objects or situations (heights, flying, animals, etc.) that leads to avoidance and significantly impacts daily life.

  • Intense fear of specific object or situation
  • Immediate anxiety when encountering the feared stimulus
  • Avoidance of feared situations
  • Physical symptoms: racing heart, sweating, trembling
  • Recognition that fear is excessive
  • Significant life disruption
  • Symptoms persist for 6+ months

Phobias respond remarkably well to exposure therapy. Gradual, supported exposure to feared situations reduces anxiety responses and restores your freedom to participate in activities and travel.

Evidence-Based Anxiety & Stress Management

How Anxiety Treatment Works

Evidence-based anxiety treatment combines cognitive behavioral therapy, exposure-based interventions, stress management skills, and mindfulness techniques. Rather than just managing symptoms, treatment helps you understand your anxiety patterns, develop practical coping strategies, and ultimately overcome anxiety so you can live with greater confidence and peace.

Cognitive Behavioral Therapy (CBT)

Identifying and challenging anxious thoughts, changing avoidance patterns, and building adaptive coping strategies to reduce anxiety intensity and frequency.

Exposure Therapy

Gradual, supported exposure to feared situations or thoughts to reduce anxiety responses and restore your ability to engage in valued activities.

Stress Management & Coping Skills

Practical techniques for managing daily stress, setting boundaries, problem-solving, and building psychological resilience.

Mindfulness & Relaxation Training

Mindfulness practices and progressive muscle relaxation to help you observe anxiety without judgment and reduce physical tension.

Why Choose Evidence-Based Anxiety Treatment?

Proven Effectiveness

Cognitive behavioral therapy and exposure therapy have the strongest scientific evidence for treating anxiety disorders. Most people see significant improvement within 8-12 sessions.

Practical Skills You'll Use

You'll learn specific coping strategies and techniques you can use immediately—not just talk about your anxiety, but develop practical tools for managing it.

Non-Medication First

Behavioral treatment is first-line for anxiety disorders. You'll develop lasting skills and understanding rather than relying solely on medication.

Specialized Assessment

Dr. Pratt identifies the specific type of anxiety you're experiencing and tailors treatment accordingly—what works for panic is different from social anxiety treatment.

Long-Term Results

Skills learned in therapy continue to benefit you long after treatment ends. You gain understanding and tools that provide lasting relief from anxiety.

Flexible & Accessible

In-person sessions in Calgary or secure video sessions. Treatment fits your schedule and preferences.

What to Expect from Treatment

1

Comprehensive Assessment

We identify the specific type of anxiety you're experiencing, its triggers and patterns, and how it's affecting your life. This guides personalized treatment planning.

2

Psychoeducation & Skill Building

You'll learn how anxiety works, understand your specific anxiety patterns, and develop practical coping strategies through structured sessions and homework.

3

Gradual Exposure & Practice

Through guided exposure and behavioral experiments, you'll practice new skills in safe conditions and gradually face anxiety-provoking situations with support.

4

Independence & Maintenance

As anxiety reduces, we focus on maintaining gains and building confidence in your ability to manage anxiety independently. You become your own therapist.

Common Questions About Anxiety Treatment

How long does anxiety treatment take?

Most people see significant improvement within 8-12 sessions. Some conditions resolve faster, others may benefit from longer-term treatment. We establish a timeline during your initial assessment and track progress regularly.

Will I need medication?

Behavioral treatment is first-line for anxiety disorders. Many people successfully manage anxiety with therapy alone. However, if medication would be beneficial, we can coordinate with your physician. The choice is yours.

What if I'm uncomfortable with exposure therapy?

Exposure is done gradually, at your pace, with full support. We never force confrontation with feared situations. Gradual exposure reduces anxiety more effectively than avoidance, but we work collaboratively at your comfort level.

Can anxiety treatment help with panic attacks?

Yes. Understanding panic physiology, learning breathing and grounding techniques, and gradual exposure to situations associated with panic is highly effective. Most people with panic disorder see dramatic improvement with proper treatment.

What if I've tried therapy before without success?

Different approaches and therapist styles work better for different people. We'll discuss what has and hasn't worked previously and tailor treatment accordingly. Sometimes a different approach or specific technique makes all the difference.

Is anxiety treatment covered by insurance?

Most extended health insurance plans cover psychologist services. We provide detailed receipts for insurance claims. Check with your provider about coverage limits and deductibles.

Ready to Overcome Anxiety & Stress?

Don't let anxiety limit your life. Evidence-based treatment can help you build confidence, develop lasting coping skills, and reclaim your peace of mind.

Location: Calgary office or secure video sessions

Most extended health benefits cover psychological services