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Anxiety Therapy

Therapy plays an important role when anxiety is closely tied to eating disorders and patterns of disordered eating. In these situations, anxiety is not a separate issue running alongside eating concerns; it is often woven directly into how a person thinks about food, their body, and their sense of safety in the world. Effective therapy focuses on understanding this connection and helping individuals develop new ways to relate to anxiety without relying on disordered eating behaviors for relief or control.

When anxiety is linked to eating disorders, it often shows up as constant worry, fear of uncertainty, perfectionism, or an intense need to manage internal discomfort. Food, eating routines, and body-related rules can become ways to reduce that discomfort, even temporarily. Therapy does not begin by taking away coping strategies without support. Instead, it starts by helping individuals understand why these behaviors developed and what purpose they serve emotionally. This understanding is essential for creating change that feels safe and sustainable.

What are the therapies for anxiety?

Anxiety is treated primarily through evidence-based psychotherapies that target fear-based thinking, emotional regulation, and nervous system reactivity. These therapies are often used alone or in combination, depending on symptom severity, underlying drivers, and co-occurring conditions.

Cognitive behavioral therapy (CBT) is one of the most widely used treatments for anxiety. It focuses on identifying and modifying distorted thought patterns, beliefs, and behaviors that maintain anxiety. CBT helps individuals recognize how avoidance, reassurance-seeking, and catastrophic thinking reinforce fear, and it teaches practical strategies to reduce these cycles through cognitive restructuring and gradual behavioral change.

Exposure-based therapies are a core component of anxiety treatment, particularly for phobias, panic disorder, and social anxiety. These approaches involve systematically and safely facing feared situations, sensations, or thoughts rather than avoiding them. Over time, repeated exposure reduces the nervous system’s threat response and weakens the association between fear and avoidance.

Acceptance and commitment therapy (ACT) approaches anxiety differently by focusing less on symptom elimination and more on changing the individual’s relationship to anxious thoughts and feelings. ACT helps individuals develop psychological flexibility, tolerate discomfort, reduce experiential avoidance, and engage in meaningful life activities even in the presence of anxiety.

Psychodynamic and insight-oriented therapies address anxiety by exploring underlying emotional conflicts, relational patterns, and past experiences that contribute to chronic fear or hypervigilance. These therapies are particularly relevant when anxiety is rooted in trauma, attachment disruptions, or long-standing identity and self-worth issues.

Somatic and trauma-informed therapies focus on regulating the nervous system rather than primarily targeting thoughts. Approaches such as mindfulness-based therapy, body-based interventions, and trauma-focused modalities help individuals recognize physiological anxiety responses and develop skills to restore a sense of safety and stability in the body.

In practice, effective anxiety treatment is individualized. Forward-thinking care increasingly integrates cognitive, emotional, and physiological approaches rather than relying on a single modality, recognizing that anxiety is maintained by interacting psychological and biological systems rather than one isolated cause.

At Heal Marin in Greenbrae, California, Arin Bass, MFT, provides psychotherapy for individuals navigating the intersection of anxiety, eating disorders, disordered eating, and body image concerns. Her work is grounded in a compassionate, insight-oriented approach that helps clients understand the emotional roots of their struggles while building practical skills for managing anxiety more effectively. Therapy is individualized and collaborative, creating a supportive space for meaningful and lasting change.

To learn more or to schedule a consultation with Arin Bass, MFT, at Heal Marin in Greenbrae, California, contact the practice today. Support is available, and taking the first step can lead to greater emotional balance, flexibility, and peace around eating and self-care.

At a Glance

Arin Bass, LMFT

  • Licensed Marriage and Family Therapist Marin County
  • 20 years of experience
  • IAEDP SF Bay Area Chapter Hospitality Chair
  • Eating Disorder Recovery Support (EDRS) Sponsorship Chair
  • Learn more

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