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Areas of Therapy

Anxiety Therapy

Anxiety is the most common type of emotional issue and is essentially the body’s automatic response to a sense of threat. It affects adults, adolescents, and children alike when they face threatening or stressful situations. Anxiety manifests as a state of constant worry, fear, and apprehension, often accompanied by uncomfortable physical sensations like a rapid heartbeat, sweating, trembling, difficulty breathing, and in some cases, it also affects appetite and digestion.

Anxiety can appear in mild forms and dissipate quickly, but in certain cases, it may become chronic, significantly impacting quality of life and mental health, and interfering with daily functioning in family and romantic relationships, work, and studies.

Important Questions:

  • Is what you’re feeling actually anxiety?

  • What causes anxiety?

  • Will it always be like this?

  • What are the different solutions for anxiety?

  • Is avoidance an effective solution?

  • Can significant improvement be achieved without medication?

  • Is medication a suitable solution for you?

What Are the Symptoms of Anxiety?
If you’re experiencing two or more of the following symptoms, it is recommended to consult a professional to explore suitable therapy options:

  • Constant feelings of fear and worry

  • Rapid heartbeat

  • Excessive sweating

  • Difficulty concentrating

  • Difficulty breathing

  • Trouble sleeping, interrupted sleep, or oversleeping

  • Stomach aches, diarrhea, or nausea

  • Loss of appetite or increased appetite

  • Trembling or tingling sensations

  • Morning overwhelm upon waking

What Causes Anxiety?
Anxiety may result from a combination of genetic, psychological, and environmental factors. Traumatic events, chronic stress, major life changes, chronic illnesses, and certain personality traits can trigger anxiety. These factors and triggers can also influence the intensity of the anxiety experienced.

Effective Anxiety Therapy with Mindfulness-Based Body-Mind Psychotherapy
Mindfulness-Based Body-Mind Psychotherapy is a therapeutic approach focusing on the connection between body and mind, emphasizing experiential awareness of the present moment. This therapy is rooted in our current experiences and sensations, allowing us to process them effectively in real-time. The goal is to gain a deeper understanding of our feelings, emotions, and the significance of life events, creating ripples that influence all our coping mechanisms, in the present, past, and future.

This effective treatment can significantly reduce symptoms and help prevent the onset of severe anxiety in the future.

How Does Mindfulness-Based Body-Mind Psychotherapy for Anxiety Work?

  1. Present Awareness: Using mindfulness exercises, clients learn to be fully present, focusing on bodily sensations and arising thoughts without judgment or fear. This practice improves the ability to distinguish between anxiety sensations and actual reality.

  2. Self-Acceptance: The therapy encourages clients to accept themselves as they are, with all their thoughts and feelings, without trying to fight or avoid them. Self-acceptance reduces anxiety and enables a positive connection with one’s emotions and sensations.

  3. Body Connection: Through body awareness exercises, clients learn to listen to the signals their body sends, identifying the link between physical sensations and emotions. This body connection helps release tension and achieve relaxation.

  4. Conscious Dialogue: During sessions, the client and therapist discuss the client’s sensations and experiences in real time. This conscious dialogue allows for emotional processing and a deeper understanding of the roots of anxiety.

  5. Tools for Managing Anxiety: The therapist equips the client with practical tools to handle anxiety in everyday life, such as breathing exercises, meditation, and guided imagery.

Avoidance and Anxiety—Good Friends, but Not Yours

Avoidance is an attempt to evade anxiety triggers: avoiding social events to sidestep social anxiety, avoiding competitions to prevent feelings of potential failure, avoiding difficult conversations with a partner or boss to evade difficult outcomes, and so on. The more one expands and deepens the scope of avoidance, the more it restricts social, career, and personal growth, leading to a greater sense of insecurity. As challenging as it may be, the solution is correct confrontation with the help of an experienced, empathetic, and supportive professional.

What Are the Major Benefits of Mindfulness-Based Body-Mind Psychotherapy for Anxiety?

  • Inner Calm – Mindfulness and body awareness exercises help release tension and achieve relaxation.

  • Increased Self-Awareness – The therapy enhances self-awareness, allowing clients to understand themselves better.

  • Acquisition of Stress-Management Tools – Clients receive practical tools to handle stressful situations in everyday life, which they can use whenever needed.

  • Strengthening the Mind-Body Connection – Therapy enhances the mind-body connection, promoting emotional balance and overall well-being.

  • Natural Solution – No need for medication.

Is It Possible to Manage Anxiety Without Medication?
In cases of severe anxiety that impairs daily functioning, it is advisable to consult a psychiatrist or family doctor. If you decide to start medication for anxiety, it’s essential to also engage in emotional therapy to address the underlying challenges.

According to the experience of many clients, it is possible to manage anxiety with Mindfulness-Based Body-Mind Psychotherapy, which helps restore full functionality and significantly reduces avoidances that may greatly impact quality of life.

In Summary, Anxiety therapy through Mindfulness-Based Body-Mind Psychotherapy is a profound and in-depth process that allows clients to gain a better understanding of themselves, release tension, and achieve inner calm. The therapy helps clients develop tools to cope with anxiety and create a fuller and more peaceful life.

If anxiety is taking over your life, causing you to expand your circle of avoidances, and affecting your daily functioning, it might be time to seek an experienced professional who can help you embark on a path toward a more fulfilling life and reduce your suffering.

Case Studies

Tamar
Tamar, a young woman in her twenties, has been in a relationship for about two years with someone she envisions building a family with. However, she is consumed by overwhelming anxieties—fears that he will leave, betray her, or that their relationship will end. These anxieties control her life, interfere with her sleep, create tension in her relationship, and affect her quality of life. Although Tamar knows her partner loves her and trusts him, she constantly feels worried and anxious.

Our work focused on deeply understanding this anxiety, exploring and becoming familiar with the accompanying physical sensations, emotions, and thoughts. We traced the roots of her fears and worked on real-time techniques to manage the arising sensations. Tamar quickly began to feel a change. She found herself able to let go more, started sleeping better, went out alone to meet friends, and, a few months after therapy concluded, she updated me that her partner went on a trip abroad with friends, and she felt secure and calm, confident that this would not impact their relationship.

 

Tzipi
Tzipi, in her sixties, has struggled with driving anxiety her entire life. Living in a small village, her avoidance of driving had limited her life to that village alone. She relied on her husband or children to take her to doctor’s appointments or any errands outside of the village, and she disliked the feeling of helplessness this created in her life. She felt deep shame and guilt for being a burden on her family but couldn’t bring herself to start driving again.

In therapy, we allowed the anxiety to have space in the room, and from this, we could explore its meaning, what it protected her from, and what the experience needed at that moment. Several traumatic events from Tzipi’s life surfaced, which we processed, altering their impact on her present. Very soon, Tzipi started driving again—initially only to nearby places during daylight hours, but gradually, she gained confidence and expanded the radius of her trips.

 

Yossi
Yossi, in his late thirties, came to therapy after a complex medical procedure that was ultimately successful, yet he felt overwhelmed by anxiety, which affected his quality of life. Yossi is a successful attorney, divorced with three children, a marathon runner, and high-functioning in all areas of his life. However, recently, since the surgery, he struggled with insomnia and, when he did sleep, managed only a few hours. He began relying on sleeping pills to maintain the high performance level required of him. He came to therapy realizing that this was not a sustainable situation and wanting to "get back to himself."

Together, we processed the medical experience and began exploring and understanding the anxieties overwhelming him. We identified when they emerged, their patterns, the thoughts they generated, and the sequence of physical and emotional sensations they triggered. We traced these sensations back to childhood events, building in him a belief that he was “not good enough” and the feeling that he always had to prove his worth. We also gave space to less preferred parts of himself, examined his strong inner critic, and introduced self-compassion, starting with himself and radiating to those around him. He described feeling a newfound gentle softness within, along with the ability to choose action strategies from a place of choice, rather than necessity.

Note: All identifying details have been changed to protect client confidentiality.

Efrat Misholi Barak

Efrat Misholi Barak is a mind-body psychotherapist focused on mindfulness.
she Works with adults, teenagers and children, who face emotional difficulties such as Depression, anxiety or stress and with people dealing with trauma.
The treatment is available in Hebrew and in English.

 

Clinics: Tel Aviv, Ramat Hasharon (can also be scheduled via Zoom)

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Areas of Therapy:

  • Mindfulness-Based Body-Mind Psychotherapy

  • Anxiety Therapy

  • Trauma Therapy

  • Depression Therapy

  • Life Crises

  • Feeling Stuck

  • Readiness for Partnership

  • Sleep Difficulties Therapy

Efrat Misholi Barak
Phone No. - 052-3522214
Email - efratmb@gmail.com

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