Online Therapy for Generalised Anxiety Disorder (GAD)

When worry spreads across work, health, relationships and everyday decisions, it can become difficult to relax or feel reassured. Generalised anxiety disorder (GAD) involves persistent, hard-to-control worry that affects daily life. Online therapy may be one route to support.

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Understanding generalised anxiety disorder (gad)

Everyone worries sometimes. GAD involves excessive worry across several areas of life, often accompanied by tension, restlessness, sleep difficulty or problems concentrating. Assessment belongs with a qualified healthcare professional.

Signs and everyday experiences

Worries may move from one topic to another. You may repeatedly plan for worst-case outcomes, ask others for reassurance or struggle to tolerate uncertainty.

What can contribute?

Stress, personal history and individual vulnerabilities can contribute. There is rarely one simple cause, and having GAD does not mean you are weak or failing.

How talking therapy may help

For adults with GAD, NICE recommends evidence-based options including individual CBT or applied relaxation, depending on assessment, preferences and treatment stage. A therapist should explain their training and what approach they offer.

A practical example

For example, someone who repeatedly checks emails for reassurance might explore the feared outcome, reduce checking in manageable steps and review what happened.

Choosing support and staying safe

If worry significantly affects functioning, speak with a GP about assessment and treatment options. Seek urgent help for immediate safety concerns. Online therapy may not suit every situation.

Further reading and related support

For additional information, read NICE guideline CG113. You may also find our anxiety therapy page, panic attacks therapy page, sleep problems therapy page helpful. Not every therapist provides every specialist approach; check their experience and suitability before booking.

Clinically reviewed by Daniel Rosenberg, Senior Counsellor | ACCPH Member | General Hypnotherapy Register (GHR) Registrant on 5 November 2026.

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Frequently asked questions

How is GAD different from everyday worry?

GAD involves persistent, difficult-to-control worry across different areas of life, causing distress or impairment. A clinician can assess whether diagnostic criteria are met.

Is GAD the same as panic disorder?

No. GAD centres on ongoing worry across multiple topics, while panic disorder involves recurrent unexpected panic attacks and related concerns. They can coexist.

What therapy does NICE recommend for adult GAD?

NICE includes individual cognitive behavioural therapy (CBT) and applied relaxation among evidence-based options for adults with GAD. See NICE CG113 recommendations.

Can therapy help with constant reassurance seeking?

It may help you understand the short-term relief reassurance provides and develop ways to respond to uncertainty differently.

Do I need a GP diagnosis to contact a therapist?

Not always. You can ask about support before diagnosis, but a GP can assess symptoms and discuss NHS treatment options.

Can GAD affect sleep?

Yes, persistent worry can interfere with sleep, although sleep problems have many possible causes. See our sleep problems page.

How do I choose a therapist for GAD?

Ask about experience treating GAD specifically, CBT or applied relaxation training, and how progress is reviewed.

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