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July 28, 2025 by Alan Zupka

The Many Forms of Anxiety and What to Do About It

Understanding and Treating Anxiety: A Personalized Path Toward Relief

Anxiety is one of the most common mental health concerns people face, but it does not present in the same way for everyone. Some individuals experience racing thoughts before a meeting or presentation. Others feel overwhelmed or panicked at the thought of leaving home. Anxiety has many faces, and part of the healing process begins with recognizing how it uniquely manifests in your life.

As a therapist, I guide my clients in exploring the stories they tell themselves about anxiety—what it means, where it began, and how it affects their identity and daily life. From a narrative therapy perspective, we seek to understand not just the symptoms but the meaning you have assigned to your experiences. Together, we begin to separate the problem from your sense of self.

When Does Anxiety Become a Disorder?

It is perfectly normal to feel anxious from time to time. However, when that anxiety becomes persistent, overwhelming, or begins to interfere with daily life, it may point to an anxiety disorder. These conditions can disrupt routines, challenge relationships, and make even basic tasks feel burdensome.

Common anxiety-related diagnoses include:

  • Generalized Anxiety Disorder (GAD): A pattern of chronic worry and tension, often about everyday situations.

  • Social Anxiety Disorder: A fear of being judged, criticized, or embarrassed in social or performance situations.

  • Panic Disorder: Recurrent and unexpected panic attacks, often accompanied by fear of future attacks.

  • Phobias: Intense fear of specific objects or situations, such as flying or enclosed spaces.

  • Obsessive-Compulsive Disorder (OCD) and Post-Traumatic Stress Disorder (PTSD): These share traits with anxiety and often involve intrusive thoughts or hypervigilance.

In many cases, anxiety overlaps with depression, trauma histories, or occupational burnout. Identifying and addressing these intersections is a crucial part of effective care. From a CBT lens, we work to uncover and shift distorted thought patterns that contribute to ongoing distress. Through mindfulness-based practices, we increase present-moment awareness, reduce reactivity, and cultivate greater emotional regulation.

Anxiety Therapy Can Transform Your Relationship with Fear

Whether your anxiety feels like a constant undercurrent or strikes without warning, there are concrete tools and strategies available to help you regain a sense of calm, clarity, and confidence. Using a combination of evidence-based approaches, I help clients map out practical goals and apply techniques that promote lasting change.

We may work on identifying triggers, restructuring anxious thought patterns, developing grounding techniques, and increasing resilience through self-compassion and strengths-based exercises drawn from positive psychology. In some cases, collaboration with a medical provider regarding medication may also be helpful in easing the intensity of symptoms and supporting deeper therapeutic work.

You do not have to live in fear or remain stuck in the story anxiety tells about you. Change is possible. I invite you to reach out so we can begin building a therapy plan that honors your strengths, values your voice, and supports your healing, one intentional step at a time.

Filed Under: Anxiety, high functioning-anxiety, mental health

July 18, 2025 by Alan Zupka

What Is the 333 Rule for Anxiety?

Using the 333 Rule to Anchor Yourself in Moments of Anxiety

If you regularly experience anxiety, you may have found yourself searching for ways to ease your symptoms. One simple and effective grounding technique that I often introduce to my clients is the “333 rule.” This approach can help interrupt anxious thought loops and bring you back to the present moment.

When anxiety begins to take over, I invite you to pause and try the following steps:

  • Identify three things you can see around you

  • Identify three things you can hear

  • Move three different parts of your body—this might mean wiggling your fingers, rolling your shoulders, or tapping your foot gently

Why the 333 Rule Helps

The 333 rule is rooted in the principles of mindfulness and cognitive-behavioral therapy (CBT). It helps shift your focus away from distressing thoughts and into sensory awareness. By noticing what you see, hear, and feel through movement, you are gently reminding yourself that the present moment is a safe place to return to.

From a narrative therapy perspective, anxiety often speaks with a loud and compelling voice, telling stories that heighten fear and limit agency. Techniques like the 333 rule offer a chance to step outside of that story, if only for a moment, and begin to author a new narrative—one where you reclaim power and presence in your life.

This practice does not rely on any external tools, nor does it require a quiet room or a lengthy meditation. It is portable, adaptable, and easy to integrate into your daily life. Over time, practicing the 333 rule—even when you are not actively anxious—can build a foundation of internal stability and self-trust.

Let Us Work Together

If anxiety is something you are working through and you are interested in strategies like the 333 rule, I would be honored to support you. In my practice, I draw on cognitive-behavioral therapy, mindfulness, narrative therapy, and positive psychology to create a tailored and collaborative treatment approach that meets your specific needs.

Together, we can explore how anxiety has been affecting your life and begin to reframe the story you tell yourself about who you are and what you are capable of. Feel free to reach out to learn more about how I work, ask any questions you may have, or schedule an initial session. I look forward to the opportunity to support you on your journey toward greater calm, clarity, and self-compassion.

Filed Under: Anxiety

April 24, 2024 by Alan Zupka

Understanding Common Anxiety Disorders

Anxiety is very common—in fact, according to the Anxiety & Depression Association of America (ADAA), anxiety disorders affect 40 million U.S. adults every year. Yet many people don’t have a strong understanding of anxiety and may not realize that it can take many forms. Here are some of the most common types of anxiety:

  • Generalized anxiety disorder – Individuals with generalized anxiety disorder worry excessively about everyday issues (for example, health, family, work, and money) on most days for at least six months.
  • Panic disorder – This condition causes people to experience recurrent panic attacks, which are often accompanied by physical symptoms like chest pain, heart palpitations, shortness of breath, dizziness, nausea, and sweating. Panic attacks may also cause someone to feel like they’re dying or fear that they’re going crazy.
  • Separation anxiety disorder – Separation anxiety disorder causes someone to fear being separated from a person that’s close to them. This condition is more common in children but may also affect teenagers and adults.
  • Social anxiety disorder – While it’s common for people to feel shy, individuals with social anxiety disorder experience intense fears about social interactions. For example, they may worry that they’ll embarrass themselves or that others will judge them.
  • Agoraphobia – People with agoraphobia fear leaving environments that they consider safe (for example, their home), to the point that it disrupts their normal routine. They may fear that they won’t be able to escape a situation or that help might not be available to them.

Need Help Managing Anxiety?

If you’ve been diagnosed with or suspect that you have an anxiety disorder, we can help. Contact us today to schedule an appointment at a date and time of your choosing.

Filed Under: Anxiety

December 4, 2022 by Alan Zupka

Here’s How Social Isolation Affects Your Health

Many of us experienced social isolation during the recent pandemic. And none of us will deny that those days and weeks were very hard. Thankfully, the pandemic is over, and life for most of us has returned to normal.

But for some people, social isolation does not go away; it is now part of their “normal” existence.

Common Causes of Social Isolation

There are a variety of circumstances that cause people to be isolated from others or to choose to isolate themselves:

  • An abusive relationship – People in toxic relationships often choose to avoid contact with friends and family because they wish to hide their reality from others.
  • Grief – It is common to isolate oneself after losing a loved one. This is particularly true for many seniors who have lost many loved ones and friends.
  • Mental health issues – Anxiety, depression, and low self-esteem can often result in a desire to isolate oneself from the rest of society.
  • Physical challenges – Those with limited mobility or other physical challenges may decide life is easier and safer at home.

The Effects of Social Isolation on Your Health

We know there is a strong mind-body connection. How we feel emotionally affects how we feel physically. Studies are now revealing how social isolation can negatively impact our health. Here are just some of the effects on your health:

  • Reduced immune function
  • Trouble sleeping (which leads to inflammation and disruption of hormones)
  • Poor cardiovascular health
  • Poor cognitive function
  • Greater chance of stroke
  • Decreased wound healing
  • Increased risk of dementia
  • Higher risks of premature mortality

Coping With Social Isolation

If you are isolated from others for any reason, it is important to recognize you may be suffering mentally, emotionally, and/or physically. Here are some ways you can cope with the situation:

  • Practice self-care
  • Get outside
  • Reconnect with hobbies and interests
  • Get help

If you would like to speak to someone about your anxiety or depression caused by isolation and the reasons for the isolation, please reach out to me. I offer online therapy for those who feel more comfortable accessing help from home.

SOURCES:

Understanding the Effects of Social Isolation on Mental Health

https://www.webmd.com/mental-health/social-isolation-mental-health

https://www.medicalnewstoday.com/articles/isolation-and-mental-health

Filed Under: Anxiety, Depression, online therapy

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Alan Zupka

Alan Zupka | Counselor | LGBTQ Community | Orlando, FL

(407) 986-2888
alan@azupkacounseling.com

Orlando, FL 32803

"Be proud of who you are and not ashamed of how others see you."
--Anonymous

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