Understanding anxiety disorders
Anxiety disorders encompass a range of conditions, including generalised anxiety disorder, social anxiety disorder, and panic disorder. These disorders are marked by persistent fear, worry, or uneasiness, often accompanied by physical symptoms such as chest pain, trembling, or fatigue.
While small amounts of anxiety can actually enhance focus in situations like exams or interviews, chronic anxiety disrupts daily life, leading to avoidance behaviours and significant obstacles in personal or professional relationships. Common triggers include stress, health anxiety, or specific fears, and anxiety attacks can strike suddenly, creating overwhelming fear. Understanding and addressing these symptoms is key to restoring balance and mental wellbeing.
Types of anxiety
Anxiety disorders are diverse, affecting individuals differently based on their distinct triggers, symptoms, and intensity. They share a common thread of persistent fear and worry, which can disrupt daily life.
Generalised anxiety disorder
Nearly 8 million people in the UK experience generalised anxiety disorder (GAD), a condition characterised by chronic worry, fear, and nervousness. Unlike situational anxiety, GAD doesn’t require a specific trigger—people with this condition often wake up feeling anxious for no apparent reason.
GAD is what most people commonly think of when they hear the word ‘anxiety’. Commonly focused on future uncertainties, GAD manifests through a constant “what if” mindset, such as:
- “What if I fail at work?”
- “What if something terrible happens?”
Symptoms include fatigue, irritability, and restlessness, making everyday tasks daunting. Left untreated, GAD can severely impact one’s emotional and physical health, but with professional support—such as psychological therapy, mindfulness, and cognitive behaviour therapy (CBT)—it is manageable.
Social anxiety disorder
Social anxiety disorder goes beyond shyness, often making social interactions feel completely overwhelming and/or deeply terrifying. Rooted in a fear (without basis) of judgement, embarrassment, or ridicule, this condition can lead to avoidance of gatherings, workplaces, or even routine errands.
A person with social anxiety might fear others will laugh at or talk about them, despite no evidence of such behaviour. The thought of public speaking, eating in public, or attending social events can trigger extreme distress or even a panic attack.
For those experiencing social anxiety, personalised treatment plans that include exposure therapy, coping strategies, and support from a consultant psychiatrist or counselling psychologist can help rebuild confidence.
Panic attack disorder
Panic attack disorder is marked by sudden, intense episodes of fear that can feel life-threatening. During a panic attack, individuals may experience hyperventilation, chest tightness, dizziness, or a sense of impending doom. These episodes often come without warning and can be terrifying, both mentally and physically.
Fear of another attack leads many to avoid situations, places, or activities associated with previous episodes. Without treatment, this avoidance can lead to isolation and other mental health issues like depression or OCD.
Phobias
Phobias are anxiety disorders driven by intense, irrational fears of specific objects, situations, or activities. While many people feel nervous about flying, spiders, or heights, for example, those with a phobia experience anxiety far disproportionate to the actual risk.
Symptoms of phobias often include sweating, nausea, and panic, leading sufferers to go to great lengths to avoid the triggers. However, through therapies like integrative psychotherapy or cognitive psychotherapy, individuals can gradually face and overcome their fears, improving both mental health and quality of life.
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What causes an anxiety disorder?
The causes of anxiety disorders are complex, often stemming from a combination of genetic, environmental, and psychological factors. While research continues to explore the exact origins of these conditions, several contributing factors are commonly identified:
- Substance abuse: misuse of alcohol or drugs can disrupt brain chemistry, leading to or exacerbating an anxiety problem.
- Family history: a genetic predisposition to mental health issues, such as generalised anxiety disorder or depression, can increase the likelihood of developing anxiety.
- Brain chemistry: imbalances in neurotransmitters, such as serotonin and dopamine, can influence mood regulation, contributing to feelings of fear, worry, or psychological distress.
- Chronic health conditions: physical illnesses like epilepsy or movement disorders can lead to persistent stress and anxiety, often due to uncertainty about managing symptoms.
- Ongoing stress: long-term exposure to stressors, whether personal or professional, can overwhelm the body’s natural coping mechanisms, resulting in chronic anxiety or panic disorders.
- Trauma: experiencing significant loss, abuse, or life-altering events, such as the death of a loved one, can trigger post-traumatic stress disorder (PTSD) and related anxiety disorders.
- Personality traits: individuals with low self-esteem or perfectionist tendencies are more susceptible to developing social anxiety or health anxiety due to heightened self-criticism and fear of judgment.
It’s important to understand that anxiety disorders are not a sign of weakness.
They are real mental health conditions influenced by a variety of factors. Early intervention through psychological therapy, such as cognitive behaviour therapy (CBT) or mindfulness practices, can help address these underlying causes.
Symptoms of anxiety
Anxiety symptoms can vary widely from person to person and often manifest through physical, psychological, and emotional responses. These symptoms stem from the body’s natural fight or flight response, which, when overactive, can result in persistent and overwhelming feelings of fear, worry, or unease.
Different types of anxiety disorders, such as generalised anxiety disorder (GAD), social anxiety disorder, and panic disorders, may present with unique symptoms, but they all share one common feature: a pervasive sense of distress that interferes with daily life.
Physical symptoms of anxiety
Physical symptoms are often the most noticeable and may include:
- Shortness of breath or difficulty breathing, common in panic attacks
- Tremors, twitching, or trembling
- Chest pain or heart palpitations, sometimes mistaken for a heart attack
- Excessive sweating or nervousness
- Fatigue or a feeling of being drained, often seen in GAD
- Nausea, abdominal pain, or gastrointestinal discomfort
- Headaches or migraines
- Insomnia and trouble falling or staying asleep
- Dizziness or feeling lightheaded
- Dry mouth or a constant sense of thirst
- Itchy skin or other unexplained physical irritations
Psychological Symptoms of Anxiety
Anxiety also impacts mental and emotional wellbeing, with symptoms such as:
- Restlessness and irritability
- Feeling constantly tense or “on edge”
- A fear of losing control or dying, particularly during panic attacks
- Persistent anticipation of the worst-case scenario or worries about the future
- A sense of detachment or unreality, often linked to depersonalisation disorder
- Difficulty concentrating or focusing on tasks
- Overwhelming fear, especially in social or unfamiliar situations
Variations by Disorder
Symptoms may differ depending on the specific anxiety condition:
- Generalised anxiety disorder (GAD) often causes chronic fatigue, irritability, and excessive worrying.
- Panic disorders are marked by sudden, intense fear accompanied by physical symptoms like chest pain and hyperventilation.
- Social anxiety disorder frequently leads to extreme fear of judgment, avoidance of social settings, and feelings of embarrassment.
- Phobias trigger disproportionate anxiety in response to specific objects or situations.
Our approach to anxiety treatment
Anxiety disorder treatment in London & beyond
At Orchestrate Health, we specialise in delivering confidential, curated anxiety disorder treatment in the comfort of your home, tailored to your unique needs. Our goal is to get to the root of your anxiety and help you achieve long-lasting mental wellbeing. Whether you’re dealing with generalised anxiety disorder (GAD), social anxiety disorder, panic disorders, or other forms of anxiety, our approach is always personalised and compassionate.
Stepped Care approach
Every individual experiences anxiety differently. Orchestrate Health functions within steps 2-4 of the Stepped Care model, ensuring you’ll receive the appropriate level of treatment; from weekly therapy sessions to comprehensive 24/7 live-in care, our services are flexible and designed to evolve with your progress.
Our specialist team
You’ll have access to a dedicated team of experienced mental health professionals, including:
- Consultant psychiatrists to assess, diagnose, and guide treatment
- Clinical psychologists and counselling psychologists for therapy and emotional support
- Mental health nurses and support workers for hands-on care
- Therapeutic support workers to help you develop practical coping strategies
- Recovery coaches to provide psychosocial support and life coaching
Evidence-based psychological therapy
Our treatment plans emphasise evidence-based therapies, such as:
- Cognitive Behavioural Therapy (CBT) to address unhelpful thought patterns, manage triggers, and develop healthier responses to anxiety
- Mindfulness techniques to reduce stress, improve focus, and calm the body’s nervous system
- Exposure therapy to help confront and overcome specific fears or phobias
- Integrative psychotherapy to address deep-rooted issues and enhance emotional resilience
Medication for anxiety relief
For some, anti-anxiety medications can play a vital role in managing symptoms. Our expert team will carefully assess your needs, prescribe suitable treatments, and provide ongoing reviews to ensure optimal results. Medications are always supported by therapy and emotional care.
In-home anxiety treatment
When anxiety makes daily tasks feel overwhelming, we offer in-home support to provide stability and comfort. This includes:
- Live-in mental health nurses for round-the-clock care
- Visiting mental health professionals for regular check-ins and therapy sessions
- Therapeutic Support Workers to guide relaxation techniques, breathing exercises, and daily emotional regulation
Supporting recovery across the UK
If you’re struggling with symptoms of anxiety, from panic attacks to persistent worries, let our team help.
Our anxiety disorder treatments are available not only in London, but also across the UK, ensuring accessible care for those who need it most. By offering private, discreet, and personalised treatment plans, we provide an alternative to NHS mental health care, where waiting lists can often delay crucial support.


Reach Out for Help Now
If you or a loved one require home anxiety treatment, Orchestrate Health’s team are here to help.
We deliver rapid assessments carried out at home by one of our psychiatric professionals, followed by a uniquely tailored care plan that best suits your needs.
Contact us today for a free anxiety assessment and start living the first days of your new life.
Orchestrate Health is a private pay service and works outside of the NHS. We are committed to ensuring patients receive the highest standards of care available.
To get in touch regarding our at-home or live-in mental health treatments at our luxury central London properties, please call us on 0800 193 3277 or email us here.
Anxiety Disorder Treatment FAQs
We provide expert treatment for a range of anxiety disorders, including generalised anxiety disorder (GAD), social anxiety disorder, panic disorder, and specific phobias. Our tailored approach ensures every client receives personalised care based on their unique needs and challenges.
Yes, we specialise in at-home mental health care, offering services such as live-in mental health nursing, visiting therapists, and recovery coaches. This ensures you receive discreet, effective, and compassionate care in the comfort and privacy of your own home.
We offer evidence-based therapies, including Cognitive Behavioural Therapy (CBT), mindfulness techniques, and integrative psychotherapy. These approaches help manage anxiety symptoms by addressing negative thought patterns, building emotional resilience, and reducing stress through proven coping strategies.
Our psychiatrists can prescribe and monitor anti-anxiety medications when appropriate. All medication plans are tailored to the individual, with regular reviews to ensure effectiveness, and supported by ongoing therapy to address the underlying causes of anxiety.
Yes, we are a private mental health service offering discreet, confidential care outside of the NHS. Our team delivers high-quality, bespoke support designed to meet your specific needs, with no waiting lists or delays in accessing treatment.