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James O'Neill Anxiety Therapist

Anxiety Therapy That Goes Deeper Than Symptom Management

Dec 16, 2025

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Most anxiety therapy focuses on managing symptoms - breathing exercises, thought replacement, maybe medication. And sometimes that's enough. But if you're reading this, you've probably already tried those approaches. Maybe they helped for a while, but the anxiety keeps coming back. Or maybe you sense there's something deeper going on that surface-level coping strategies aren't touching.

What if your anxiety isn't the problem? What if it's actually a signal - your mind and body trying to tell you that something fundamental needs to change?

The Problem No One Wants to Name

You've achieved what you were supposed to achieve. Good job, stable income, maybe a family. From the outside, your life looks successful. But inside, there's this constant hum of anxiety, or maybe it’s a lot. The Sunday night dread. The sense that you're one mistake away from it all falling apart. The exhausting vigilance of keeping it all together. Or maybe it is just not what you want it to be. 

Traditional therapy tells you to challenge your thoughts, choose a new one, “be positive,” practice self-care, set boundaries. These help to an extent. But they don't explain why the anxiety is there in the first place. Why does success feel like this? Why does doing everything "right" still feel so wrong?

The Reframe: No One Is Triggering You

Here's what I've seen working with men who carry this weight: Anxiety often shows up when there's a gap between who you've built yourself to be and who you actually are.

But here's the harder truth - and this is where real freedom begins: No one is triggering you.

Your boss isn't making you anxious. Your partner isn't making you stressed. The deadline isn't creating your panic. What's actually happening is that these situations are revealing patterns, beliefs, and wounds that already exist inside you. The trigger isn't doing something to you - it's showing you something about you. Our external world shows us a mirror of how we see ourselves.

This isn't about blame. It's about power. When you believe external circumstances control your internal state, you're trapped. You're at the mercy of everyone and everything around you. But when you realize you're the one creating your experience - that your anxiety is your response, not their action - everything shifts. That is a lot to unpack, so maybe something worth journaling if you do that kind of thing, and if you are reading this I hope you do.

The question becomes: Do you use stress, or does it use you?

Most men let stress use them. They react, defend, tighten, control, hide, or withdraw. They're being lived by their anxiety rather than living their lives. The stress runs the show. I know.

Real anxiety work means reclaiming that power. It means learning to use the energy of stress and challenge as information, as fuel, as an invitation to grow - rather than letting it hijack your nervous system, dictate your choices, and cripple you.

Taking Responsibility for Your Experience

This is where most anxiety therapy stops short. It teaches you to manage your reactions but never asks the fundamental question: Why are you reacting this way in the first place? What is at the root of my suffering?

When you start to realize that nothing is being done to you - that you are the one doing it all - everything changes. Your anxiety isn't happening to you. You're creating it through:

  • The meaning you assign to situations
  • The stories you tell yourself about what things mean
  • The beliefs you've inherited about who you have to be
  • The parts of yourself you've rejected or suppressed
  • The ways you've learned to protect yourself that no longer serve you

This realization can feel destabilizing at first. If you're creating your own anxiety, you can't blame anyone else for it. You can't wait for circumstances to change before you feel better. You have to actually look at yourself - and that's uncomfortable.

But it's also the most empowering shift you can make. Because if you're creating it, you can also uncreate it. If you've been using stress as a way to motivate yourself, punish yourself, or stay vigilant against threat - you can learn to use that same energy differently. You can choose.

That choice is where freedom and your power lives.

The Deeper Work

Real anxiety transformation requires moving from "What's happening to me?" to "What am I creating here, and why?" You are manifesting in every moment.

This means:

  • Recognizing your patterns - How do you manufacture anxiety? What situations reliably trigger your stress response? What beliefs are operating underneath?
  • Reclaiming your power - Understanding that if no one can trigger you without your participation, you have more control than you thought. The question shifts from "How do I cope?" to "Why am I choosing this response?"
  • Using stress consciously - Learning to relate to the energy of stress and challenge as fuel for growth rather than threat to survive. Do you use stress, or does it use you?
  • Examining core beliefs - What do you believe about yourself, worthiness, safety, success? These beliefs create your experience more than any external circumstance.
  • Building capacity - Through mindfulness and embodied presence, developing the ability to be with uncomfortable emotions without reacting, defending, or collapsing.
  • Making different choices - When you see clearly how you're creating your experience, you can choose differently. Not perfectly, not immediately, but progressively.

This isn't comfortable work. It requires:

  • Time (this isn't a 6-session fix)
  • Investment (both financial and emotional)
  • Willingness to look at uncomfortable truths
  • Daily practice (mindfulness, self-inquiry, presence)
  • Courage to let go of who you thought you had to be

Who This Work Is For

You might be ready for this approach if:

  • You're tired of blaming circumstances and ready to look at your part in creating your experience
  • You want to stop being used by stress and learn to use it instead
  • You're willing to examine the beliefs and patterns driving your anxiety, even when it's uncomfortable
  • You can handle the idea that no one is triggering you - you're triggering yourself (and that's actually good news)
  • You're ready to take full responsibility for your inner experience, not as blame but as power
  • You can invest $200/session because you know real transformation is worth it

This isn't for everyone. Most people want to stay in victim consciousness - where their anxiety is someone else's fault and they just need better coping skills. That's easier. It requires less of you.

But it also keeps you trapped.

What This Actually Looks Like

I work with clients through an integrated approach:

  • Mindfulness practices that regulate your nervous system and build your capacity to be with difficult emotions
  • Deep inquiry into the beliefs, patterns, and conditioning creating your anxiety
  • Somatic awareness to reconnect you with your body's wisdom
  • Practical tools for managing acute anxiety while doing the deeper work
  • Spiritual integration for those experiencing existential or awakening-related anxiety

Sessions are 50 minutes, $200, private pay (superbills provided for possible insurance reimbursement).

The Investment

Let me be direct: This work requires something of you. It requires showing up consistently, practicing between sessions, and being willing to feel uncomfortable as you grow. It requires paying for quality care without insurance dictating your treatment.

If you're looking for the cheapest option or the path of least resistance, this isn't it.

But if you're ready to understand what your anxiety is actually trying to tell you - and willing to do something about it - let's talk.

Ready to Stop Managing Anxiety and Start Transforming It?

If you're done with surface-level coping and ready to do the deeper work, schedule a free 15-minute consultation.

This brief call helps us determine if we're a good fit. You'll get a clear sense of my approach, and I'll understand what you're dealing with. No pressure, no sales pitch - just an honest conversation about whether this work is right for you.

Schedule your free consultation: (Here.)


Specializing in anxiety transformation, shame work, and mindfulness-based therapy for men ready to stop coping and start living.

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