Online CBT Therapy for Anxiety: How It Can Help You Feel More in Control
By Breda Morrissey | CBT & Counselling
Do you ever find yourself overthinking conversations, worrying about things that might happen, or feeling as though your mind simply won’t switch off? Perhaps you notice your heart racing, feel tense, struggle to sleep, or find yourself avoiding situations that make you anxious.
Anxiety can affect many areas of our lives, from relationships and work to sleep, confidence and everyday activities. Sometimes, even when we know our worries may be out of proportion, it can be difficult to break the cycle.
The good news is that you can learn new ways of understanding and managing anxiety. Cognitive Behavioural Therapy (CBT) is one approach that can help, and online CBT therapy makes accessing support more convenient.
What is CBT and how does it help with anxiety?
CBT is a talking therapy that explores the relationship between our thoughts, feelings, physical sensations and behaviours.
When we feel anxious, we may automatically imagine the worst-case scenario, interpret uncertainty as danger or underestimate our ability to cope. These thoughts can increase physical symptoms of anxiety and lead us to avoid situations that feel uncomfortable.
Although avoidance can bring temporary relief, it can sometimes reinforce our fears over time.
For example, imagine you are invited to a social event. You might think, “I’ll feel awkward, nobody will talk to me, and I won’t know what to say.” This could leave you feeling anxious, with a racing heart and a strong urge to cancel.
If you stay at home, your anxiety may ease temporarily. However, you miss the opportunity to discover that you might have managed better than expected.
CBT helps you recognise these patterns, question unhelpful assumptions and gradually develop more helpful ways of responding.
Research and clinical guidelines support CBT as an effective treatment option for anxiety disorders (NICE, 2020).
What happens during online CBT therapy?
Online therapy allows you to work with a therapist through video sessions from a space where you feel comfortable and private.
During sessions, we can explore what triggers your anxiety, identify recurring thought patterns and understand the behaviours that may be keeping you stuck.
Depending on your needs and goals, CBT techniques may include:
- Understanding anxious thoughts: Learning to recognise unhelpful thinking patterns and consider alternative perspectives.
- Managing overthinking and worry: Developing practical strategies to step back from repetitive worries rather than getting caught up in them.
- Gradually facing fears: Building confidence through manageable steps instead of continually avoiding situations that cause anxiety.
- Understanding physical symptoms: Exploring how anxiety affects your body and practising techniques to respond more effectively.
- Building confidence and self-belief: Identifying underlying beliefs and developing a more balanced view of yourself and your abilities.
CBT is collaborative. You and your therapist work together to identify what is important to you, agree on realistic goals and practise skills that you can use in everyday life.
The aim is not to eliminate every anxious thought or feeling. It is to help you respond differently to anxiety so that it has less control over your decisions and your life.
Is online CBT as useful as attending therapy in person?
Online therapy offers a flexible way to access professional support without travelling to appointments. You can attend from home, fit sessions around work or family commitments, and access support even if you live outside a major town or city.
For many people, being in a familiar environment can also make it easier to talk openly.
CBT can be delivered online, in person or by telephone, although the most appropriate approach depends on your circumstances, needs and preferences. Evidence-based online interventions are also recognised in clinical guidance for anxiety (NHS; NICE, 2023).
You will need a private space, a reliable internet connection and a device suitable for video calls.
A small step you can try today
The next time you notice anxiety building, pause and ask yourself:
- What am I telling myself about this situation?
- What evidence supports my worry, and is there another way of looking at it?
- What small, helpful action could I take, even if I still feel anxious?
You do not need to feel completely confident before taking a step forward. Sometimes, confidence develops through discovering that you can manage situations you once found difficult.
If anxiety is persistent or interfering with your daily life, professional support can help you explore these patterns in greater depth.
Taking the first step towards managing anxiety
You do not have to navigate anxiety alone, and seeking support does not mean that you have failed to cope. It is an opportunity to understand yourself better, develop practical skills and begin making changes at a pace that feels manageable.
I’m Breda Morrissey, an accredited therapist specialising in CBT, counselling and psychotherapy. I offer online therapy sessions for adults across Ireland, providing a supportive, collaborative and non-judgemental space to explore difficulties and work towards meaningful change.
If anxiety, overthinking or worry is affecting your everyday life, you can learn more about my services at www.bredamorrissey.com.
You deserve support, understanding and the opportunity to feel more confident in your everyday life.
References and further reading
- National Institute for Health and Care Excellence (NICE). (2020). Generalised anxiety disorder and panic disorder in adults: management. Clinical guideline CG113.
- National Institute for Health and Care Excellence (NICE). (2023). Digitally enabled therapies for adults with anxiety disorders. Health technology guidance HTG676.
- NHS. Cognitive behavioural therapy (CBT). An overview of CBT, how it works and the conditions it can help with.










