Long-term anxiety

Anxiety, when left unaddressed, can weave its way through the fabric of our lives, impacting our thoughts, emotions, and behaviours. For some individuals, the roots of long-term anxiety trace back to traumatic events in childhood, casting a shadow that lingers into adulthood. In this exploration, we will delve into the enduring effects of unmanaged anxiety and the transformative role that counselling, particularly cognitive behavioural therapy (CBT), can play in the journey towards healing.

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The long-term effects of unmanaged anxiety

When anxiety stemming from childhood trauma remains unexplored and untreated, its tendrils can extend far beyond the initial incident. The persistent presence of unmanaged anxiety can manifest in various ways, influencing both mental and physical well-being.

Impact on mental health

Unresolved childhood trauma can contribute to chronic anxiety disorders, including generalised anxiety disorder (GAD), social anxiety, or post-traumatic stress disorder (PTSD). The mind becomes a battleground of intrusive thoughts, constant worry, and a heightened state of alertness.

Emotional turmoil

Lingering anxiety can lead to emotional turmoil, with individuals experiencing intense and overwhelming emotions such as fear, guilt, shame, or anger. The emotional landscape becomes fraught with unpredictability, impacting relationships and overall life satisfaction.

Cognitive distortions

Long-term anxiety often gives rise to distorted thought patterns, shaping a negative view of oneself and the world. These cognitive distortions can perpetuate a cycle of self-doubt, pessimism, and a skewed perception of reality.

Impaired social functioning

The social repercussions of unmanaged anxiety can be profound. Individuals may struggle with forming and maintaining relationships, experience difficulties in social settings, or exhibit avoidance behaviours to cope with the fear of potential triggers.

Physical health consequences

The toll of chronic anxiety isn't limited to the mind. Prolonged exposure to stress hormones can contribute to physical health issues such as cardiovascular problems, digestive issues, and a weakened immune system.


The role of counselling and CBT

Counselling, and specifically cognitive behavioural therapy, serves as a beacon of hope for those grappling with the enduring effects of long-term anxiety rooted in childhood trauma. Here's how counselling can contribute to the healing journey:

Exploration of root causes

Counselling provides a safe and supportive space for individuals to explore the root causes of their anxiety. Delving into the past allows for a deeper understanding of the traumatic events and their lingering impact on present-day emotions and behaviours.

Unveiling coping mechanisms

Individuals often develop coping mechanisms to navigate the complexities of anxiety. Counselling helps unveil these mechanisms, shedding light on whether they are adaptive or maladaptive. Identifying unhealthy coping strategies is a crucial step in the therapeutic process.

Restructuring negative thought patterns

CBT, a cornerstone of many therapeutic approaches, focuses on identifying and restructuring negative thought patterns. By challenging irrational beliefs and distorted thinking, individuals can gain a more balanced and realistic perspective on themselves and their experiences.

Developing coping skills

Counselling equips individuals with practical coping skills to manage anxiety in real time. These skills may include mindfulness techniques, relaxation exercises, and strategies for navigating triggering situations without succumbing to overwhelming anxiety.

Empowering emotional regulation

Emotional regulation is a key aspect of overcoming long-term anxiety. Counselling provides tools and strategies for individuals to understand and regulate their emotions, fostering a sense of control and mastery over their mental and emotional well-being.

Building resilience

Through the therapeutic process, individuals can build resilience – the ability to bounce back from adversity. Counselling encourages the development of healthy coping mechanisms and a mindset that fosters adaptability and strength in the face of life's challenges.


The consequences of unmanaged long-term anxiety, rooted in childhood trauma, are far-reaching and profound. However, the journey towards healing is equally transformative. Counselling, with its empathetic guidance and evidence-based interventions like CBT, offers a path towards understanding, acceptance, and empowerment. 

The views expressed in this article are those of the author. All articles published on Counselling Directory are reviewed by our editorial team.

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Wantage OX12 & Rickmansworth WD3
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Written by Hope Therapy & Counselling Services, Offering Counselling, CBT, Hypnotherapy, EMDR & Mindfulness.
Wantage OX12 & Rickmansworth WD3

Ian Stockbridge is the founder and lead counsellor at Hope Therapy and Counselling Services. 

As an experienced Counsellor, Ian recognised a huge societal need for therapeutic services that were often not being met. As such the 'Hope Agency' was born and its counselling team now offers counselling and therapeutic support throughout the UK.

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