Anxiety Counselling in Kilkenny
![Photo of Christina Tyrrell, MIACP, Counsellor](https://photos.psychologytoday.com/a80068cb-584b-4ebf-818b-0dffb971ee71/2/320x400.jpeg)
I am a qualified accredited counsellor/Psychotherapist based in kilkenny city.I specialize in working with people to overcome depression,anxiety,over-thinking and relationship issues. My approach in therapy is personal centered and to adopt a positive approach and ensuring they are able to live their lives to the maximum potential.
I am a qualified accredited counsellor/Psychotherapist based in kilkenny city.I specialize in working with people to overcome depression,anxiety,over-thinking and relationship issues. My approach in therapy is personal centered and to adopt a positive approach and ensuring they are able to live their lives to the maximum potential.
![Photo of Luke Martin, DCounsPsych](https://photos.psychologytoday.com/34c28bc7-0f01-46b2-814f-a0d351806790/2/320x400.jpeg)
Everyone suffers from moments of stress or anxiety and many of us battle with some sort of addictions or bad habits. However, if stress, anxiety, addictions or bad habits are preventing you from living the way you want, it might be time to get the help you deserve. Your mind is the most powerful resource you have. I can help you to learn how to use it to make powerful, lasting changes.
Everyone suffers from moments of stress or anxiety and many of us battle with some sort of addictions or bad habits. However, if stress, anxiety, addictions or bad habits are preventing you from living the way you want, it might be time to get the help you deserve. Your mind is the most powerful resource you have. I can help you to learn how to use it to make powerful, lasting changes.
![Photo of Majella Mary Phelan - Majella Phelan Counselling, MIACP, Counsellor](https://photos.psychologytoday.com/0de35c80-76ec-4459-a77f-feecabf24683/2/320x400.jpeg)
A client experiencing issues of anxiety, depression, family trauma, bullying, relationship challenges, parenting, low self esteem and confidence. A need to get to know oneself better. A need to understand a situation, a person, or circumstance more fully. A need for peace of mind and heart. A need for answers to internal questions that are causing unrest. The client wants peace of mind and heart as there is or are some thing(s) causing them distress. The client may not know what the issues are. I offer the client a safe space to discover what they need help with and walk with them on that journey.
A client experiencing issues of anxiety, depression, family trauma, bullying, relationship challenges, parenting, low self esteem and confidence. A need to get to know oneself better. A need to understand a situation, a person, or circumstance more fully. A need for peace of mind and heart. A need for answers to internal questions that are causing unrest. The client wants peace of mind and heart as there is or are some thing(s) causing them distress. The client may not know what the issues are. I offer the client a safe space to discover what they need help with and walk with them on that journey.
![Photo of Katarzyna Bascik, Psychotherapist](https://photos.psychologytoday.com/7e27bf55-8388-4a6d-bcc3-0f2701cc9f41/1/320x400.jpeg)
Are you looking for a safe place to talk? I'm here to listen to You. Perhaps you feel depressed, anxious, stressed or unwell. Maybe you struggle with addiction or eating problems. Perchance you are tired with every day life, feel alone or trapped, unmotivated or unhappy. I'm here for you, to equip yourself with coping skills and help you to reach your goals for a balanced, fulfilled and happy life. I can help you as well with your eating habits, loosing weight without restricted diet or problems with IBS, SIBO and every where when mind and gut play role.
Are you looking for a safe place to talk? I'm here to listen to You. Perhaps you feel depressed, anxious, stressed or unwell. Maybe you struggle with addiction or eating problems. Perchance you are tired with every day life, feel alone or trapped, unmotivated or unhappy. I'm here for you, to equip yourself with coping skills and help you to reach your goals for a balanced, fulfilled and happy life. I can help you as well with your eating habits, loosing weight without restricted diet or problems with IBS, SIBO and every where when mind and gut play role.
![Photo of Joan Byrne - Dinan Counselling Service, MSc, MIACP, Psychotherapist](https://photos.psychologytoday.com/7707d97a-8767-4db7-afa9-9b9f96143a8a/1/320x400.png)
Dinan Counselling Service
Psychotherapist, MSc, MIACP
Verified Verified
Kilkenny, County Kilkenny R95
Helping them to manage their emotions and behaviours reduces conflict and anxiety.
Welcome. I am an Accredited (IACP) Counsellor and Psychotherapist, qualified to work with both Adults and Adolescents. My previous career as a critical care nurse supports my work in this area as it broadens my understanding of the many needs of my client. Difficulties and distress can arise in anyone's life at any time. Even with the support of family and friends, it may still be difficult to cope and function effectively. Sometimes it may be easier to talk with an independent person. In therapy I can offer a safe, secure and empathic environment.
Helping them to manage their emotions and behaviours reduces conflict and anxiety.
Welcome. I am an Accredited (IACP) Counsellor and Psychotherapist, qualified to work with both Adults and Adolescents. My previous career as a critical care nurse supports my work in this area as it broadens my understanding of the many needs of my client. Difficulties and distress can arise in anyone's life at any time. Even with the support of family and friends, it may still be difficult to cope and function effectively. Sometimes it may be easier to talk with an independent person. In therapy I can offer a safe, secure and empathic environment.
![Photo of Mariliis Liima, Pre-Accredited Member IACP, Psychotherapist](https://photos.psychologytoday.com/5df59740-ba09-4db8-8472-b41181ee4ddf/3/320x400.jpeg)
Mariliis Liima
Psychotherapist, Pre-Accredited Member IACP
Verified Verified
Kilkenny, County Kilkenny R95
Hi, I'm Mariliis. I provide support to people who have a variety of mental health concerns. If you are feeling overwhelmed, stressed or anxious and you might not be feeling like yourself. When you feel empty, disconnected or numb and you are struggling to find a purpose and meaning to your life. Please phone me today for support and hopefully together we will find the way to better your life.
Hi, I'm Mariliis. I provide support to people who have a variety of mental health concerns. If you are feeling overwhelmed, stressed or anxious and you might not be feeling like yourself. When you feel empty, disconnected or numb and you are struggling to find a purpose and meaning to your life. Please phone me today for support and hopefully together we will find the way to better your life.
![Photo of David Maher, MIACP, Psychotherapist](https://photos.psychologytoday.com/e6377c80-4e44-487f-8325-da182af3bae8/2/320x400.jpeg)
I have a special interest in issues surrounding depression, anxiety and overcoming fears.
I provide support for a variety of mental health concerns. I have many years of experience working in helping professions, particularly with young adults and teenagers. I have supported people suffering from depression and anxiety, as well as victims of abuse, neglect, and sexual assault. I have worked with people with identity problems, self-esteem and confidence issues; always offering the values of respect, acceptance, understanding and compassion. Your mind is the most powerful resource you have. I can help you to learn how to use it to make powerful, lasting changes.
I have a special interest in issues surrounding depression, anxiety and overcoming fears.
I provide support for a variety of mental health concerns. I have many years of experience working in helping professions, particularly with young adults and teenagers. I have supported people suffering from depression and anxiety, as well as victims of abuse, neglect, and sexual assault. I have worked with people with identity problems, self-esteem and confidence issues; always offering the values of respect, acceptance, understanding and compassion. Your mind is the most powerful resource you have. I can help you to learn how to use it to make powerful, lasting changes.
![Photo of Samantha Mair, Psychotherapist](https://photos.psychologytoday.com/538f0460-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I treat a variety of common mental health difficulties and life challenges (e.g. mood and anxiety disorders, OCD, PTSD, complex trauma, relationships issues, stress, low self-esteem, perfectionist traits). Some people aren’t quite sure what’s going on for them, but something just doesn’t feel right. Whatever your struggle is, I want to help you to get your life on track, break out of unhelpful patterns of behaviour, and find meaning and satisfaction in life. I can offer you a safe and non-judgmental space to explore what it is that’s causing you difficulty, and an evidence-based approach to help you to finally move forward.
I treat a variety of common mental health difficulties and life challenges (e.g. mood and anxiety disorders, OCD, PTSD, complex trauma, relationships issues, stress, low self-esteem, perfectionist traits). Some people aren’t quite sure what’s going on for them, but something just doesn’t feel right. Whatever your struggle is, I want to help you to get your life on track, break out of unhelpful patterns of behaviour, and find meaning and satisfaction in life. I can offer you a safe and non-judgmental space to explore what it is that’s causing you difficulty, and an evidence-based approach to help you to finally move forward.
![Photo of Lesley Delaney, Psychotherapist](https://photos.psychologytoday.com/8d5654d8-1821-4f39-8e02-17f8060660b6/1/320x400.jpeg)
Stress, Anxiety, Low Self Esteem, Relationships and Loss are my specialisms.
I offer a safe relaxed space where you will be really listened to without judgement. My aim is to help you to understand yourself better, change destructive behavioural patterns, improve your emotional wellbeing and take more control of your life. Do you feel overwhelmed, stressed or depressed? Perhaps you are stuck or dissatisfied with your life or your relationship? Maybe work is taking over your life? Do you need help to make a change? Together we can explore your feelings, to make sense of what is happening or happened in your life. Together we can explore new perspectives and possibilities. I am here to help you.
Stress, Anxiety, Low Self Esteem, Relationships and Loss are my specialisms.
I offer a safe relaxed space where you will be really listened to without judgement. My aim is to help you to understand yourself better, change destructive behavioural patterns, improve your emotional wellbeing and take more control of your life. Do you feel overwhelmed, stressed or depressed? Perhaps you are stuck or dissatisfied with your life or your relationship? Maybe work is taking over your life? Do you need help to make a change? Together we can explore your feelings, to make sense of what is happening or happened in your life. Together we can explore new perspectives and possibilities. I am here to help you.
![Photo of Liz Campbell, Pre-Accredited Member IACP, Counsellor](https://photos.psychologytoday.com/56f52898-60ec-408e-861a-6c755e3ec6a0/1/320x400.jpeg)
The most important words you may ever say are “I need help” As humans, we all need the help of others at times of difficulty. Perhaps you have been trying to deal with life’s difficulties, but still feel stuck with certain aspects of your journey. Maybe it’s time to explore your inner world with a professional who will listen non-judgementally & with empathy to help you live your best life. I’m interested in people & the experiences that have shaped them. I understand how crippling anxiety & depression can be & that relationship breakdowns can be devastating. I can offer you a safe environment to explore what life has thrown at you
The most important words you may ever say are “I need help” As humans, we all need the help of others at times of difficulty. Perhaps you have been trying to deal with life’s difficulties, but still feel stuck with certain aspects of your journey. Maybe it’s time to explore your inner world with a professional who will listen non-judgementally & with empathy to help you live your best life. I’m interested in people & the experiences that have shaped them. I understand how crippling anxiety & depression can be & that relationship breakdowns can be devastating. I can offer you a safe environment to explore what life has thrown at you
![Photo of Caroline King Davy, MIACP, Psychotherapist](https://photos.psychologytoday.com/03a855fe-4d17-44a9-83d9-bd571244c564/1/320x400.jpeg)
Some clients have lost themselves and their identities. This can be due to childhood trauma or a life event that has brought painful emotions such as a significant loss or family/intimate relationship difficulties. The effects of these life experiences make day to day life very difficult, We experience anxiety and depression amplified by overthinking and worry. We need to find a safe space to share the experiences and counselling to process them. A Client comes for counselling to make positive change and live their best life. They want a strong sense of self, fulfilling relationships and help in finding their life's purpose.
Some clients have lost themselves and their identities. This can be due to childhood trauma or a life event that has brought painful emotions such as a significant loss or family/intimate relationship difficulties. The effects of these life experiences make day to day life very difficult, We experience anxiety and depression amplified by overthinking and worry. We need to find a safe space to share the experiences and counselling to process them. A Client comes for counselling to make positive change and live their best life. They want a strong sense of self, fulfilling relationships and help in finding their life's purpose.
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Maggie Lynch
Counsellor, Pre-Accredited Member IACP
Verified Verified
Kilkenny, County Kilkenny R95 (Online Only)
Areas I cover include but are not limited to Anxiety and Depression - Relationship difficulties - Personal Development - Life changes - Bereavement and Loss - Trauma.
Life is not always straightforward, at times we can feel overwhelmed, stuck or alone. Relationships with others can be complicated and can cause stress, confusion and pain. You don’t have to figure it all out on your own. My name is Maggie and I am a qualified counsellor and psychotherapist and work with individuals. My aim is to walk alongside you for part of your journey, support you and help identify goals and solutions to issues while seeking to improve communication and coping skills. Counselling provides an opportunity to explore feelings, beliefs and behaviours and to identify aspects that individuals would like to change.
Areas I cover include but are not limited to Anxiety and Depression - Relationship difficulties - Personal Development - Life changes - Bereavement and Loss - Trauma.
Life is not always straightforward, at times we can feel overwhelmed, stuck or alone. Relationships with others can be complicated and can cause stress, confusion and pain. You don’t have to figure it all out on your own. My name is Maggie and I am a qualified counsellor and psychotherapist and work with individuals. My aim is to walk alongside you for part of your journey, support you and help identify goals and solutions to issues while seeking to improve communication and coping skills. Counselling provides an opportunity to explore feelings, beliefs and behaviours and to identify aspects that individuals would like to change.
![Photo of Tanya Coogan - Diamond Counselling, MIACP, Counsellor](https://photos.psychologytoday.com/2d03f021-3d96-44eb-88dd-2642a514b881/1/320x400.jpeg)
My experience welcomes issues such as anxiety, bereavement, depression, relationship difficulties, panic, stress, identity, self-esteem, confidence and youth issues.
At Diamond Counselling I offer a warm and confidential setting for you to explore personal issues, find clarity and discover ways of making a change in your life. Providing a space where you are accepted and accompanied on your journey towards insight, healing and growth. As an integrative therapist, I respect the unique needs and goals of each client and adapt my approach accordingly. I endeavour to support individuals in their experiences and challenges while also helping them to recognise their resilience and true potential. I work with adults/adolescents online and face-to-face in Carlow.
My experience welcomes issues such as anxiety, bereavement, depression, relationship difficulties, panic, stress, identity, self-esteem, confidence and youth issues.
At Diamond Counselling I offer a warm and confidential setting for you to explore personal issues, find clarity and discover ways of making a change in your life. Providing a space where you are accepted and accompanied on your journey towards insight, healing and growth. As an integrative therapist, I respect the unique needs and goals of each client and adapt my approach accordingly. I endeavour to support individuals in their experiences and challenges while also helping them to recognise their resilience and true potential. I work with adults/adolescents online and face-to-face in Carlow.
![Photo of Olivia Anne Fahy, MA, NAPCP, Psychotherapist](https://photos.psychologytoday.com/408c621c-754a-41be-a01f-ac1a750a7fdd/2/320x400.jpeg)
Olivia Anne Fahy
Psychotherapist, MA, NAPCP
Verified Verified
Kilkenny, County Kilkenny R95 (Online Only)
Some of the issues that I can help with include: Anxiety, depression, relationship issues, eating disorders, sexuality, stress, depression, family conflict, bullying, bereavement, self-esteem, etc.
I am an integrative psychotherapist and counsellor who specializes in Person-Centred Therapy and Cognitive-Behavioural therapy in order to offer support and understanding to clients who wish to have a session in person or online through Zoom. I am a pre-accredited member of NAPCP and have graduated with an MA from Irish College of Humanities and Applied Sciences.
Some of the issues that I can help with include: Anxiety, depression, relationship issues, eating disorders, sexuality, stress, depression, family conflict, bullying, bereavement, self-esteem, etc.
I am an integrative psychotherapist and counsellor who specializes in Person-Centred Therapy and Cognitive-Behavioural therapy in order to offer support and understanding to clients who wish to have a session in person or online through Zoom. I am a pre-accredited member of NAPCP and have graduated with an MA from Irish College of Humanities and Applied Sciences.
![Photo of Cynthia Cope - Cope Counselling, MA, MIACP, Psychotherapist](https://photos.psychologytoday.com/967b5edb-118c-43f9-adcc-eb5a7a6788db/3/320x400.jpeg)
Is everything getting you down? Anxiety and panic attacks taking over your life? Relationship issues becoming unbearable? Have you experienced a loss and finding it difficult to cope? Are you having health problems? I have worked with many sensitive issues in the past and can help you through this difficult time with therapy. I can guide you through and assist you to process your challenges. Establishing a better quality of life in a safe environment.
Is everything getting you down? Anxiety and panic attacks taking over your life? Relationship issues becoming unbearable? Have you experienced a loss and finding it difficult to cope? Are you having health problems? I have worked with many sensitive issues in the past and can help you through this difficult time with therapy. I can guide you through and assist you to process your challenges. Establishing a better quality of life in a safe environment.
![Photo of Fiona Hogan, MIACP, Psychotherapist](https://photos.psychologytoday.com/470d619e-5664-427b-908f-b0ca1ec1c4cf/1/320x400.jpeg)
You may have recently entered into a new relationship or had a significant change in your life and suddenly feel overcome with strong emotions. Or you may be feeling unable to feel anything, which is impacting your ability to enjoy life. You might find that anxious thoughts are getting in the way, that your sleep is poor and you are less able to cope with stress. I want to support you to overcome your symptoms and experiences to lead a better life. I will help you by tracing the origins of your feelings to help you overcome them for good rather than just giving you tips and tricks. But don't worry, there will also be tips and tricks
You may have recently entered into a new relationship or had a significant change in your life and suddenly feel overcome with strong emotions. Or you may be feeling unable to feel anything, which is impacting your ability to enjoy life. You might find that anxious thoughts are getting in the way, that your sleep is poor and you are less able to cope with stress. I want to support you to overcome your symptoms and experiences to lead a better life. I will help you by tracing the origins of your feelings to help you overcome them for good rather than just giving you tips and tricks. But don't worry, there will also be tips and tricks
![Photo of Mary Brennan, MSc, CPsychol PSI, Psychologist](https://photos.psychologytoday.com/4cddd68d-f42f-4903-b071-5cf6a7300cdb/1/320x400.jpeg)
Mary is experienced in helping people with a wide variety of issues, including but not limited to relationship, loss, grief, personal growth, self-harm PTSD, depression, OCD, life-stage issues, developmental issues, gender identity, anxiety, panic, ADD and ADHD.
If you find your thoughts, feelings and emotions are limiting your enjoyment to engage fully in life because of past experiences, life's demands, uncertain Covid-19 times; you may need to talk to a trained professional to enable you to get experienced psychological support I work from the viewpoint of seeing each client as unique and autonomous providing a safe, confidential, non judgemental, respectful, supportive space to explore areas of concern at your own pace. This process enables you to explore different perspectives, develop coping skill in order for you to realise your full potential and improve your quality of life.
Mary is experienced in helping people with a wide variety of issues, including but not limited to relationship, loss, grief, personal growth, self-harm PTSD, depression, OCD, life-stage issues, developmental issues, gender identity, anxiety, panic, ADD and ADHD.
If you find your thoughts, feelings and emotions are limiting your enjoyment to engage fully in life because of past experiences, life's demands, uncertain Covid-19 times; you may need to talk to a trained professional to enable you to get experienced psychological support I work from the viewpoint of seeing each client as unique and autonomous providing a safe, confidential, non judgemental, respectful, supportive space to explore areas of concern at your own pace. This process enables you to explore different perspectives, develop coping skill in order for you to realise your full potential and improve your quality of life.
![Photo of Margaret Mary Walsh Miacp, MIACP, Psychotherapist](https://photos.psychologytoday.com/1236876a-ea5c-42d0-bf17-4c2c529ef9db/1/320x400.jpeg)
Margaret Mary Walsh Miacp
Psychotherapist, MIACP
Verified Verified
1 Endorsed
Kilkenny, County Kilkenny R95
Counselling available face to face in Waterford and online nationally. Current availability daytime and evening. Give me a call for a chat about your needs. Individual and Couples counselling. Would you like to address negative thoughts? Do you suffer with Anxiety, Stress, Depression, Work Stress, Confidence, Relationships, Bereavement, Injury/illness, Loss issues? Are you experiencing burnout? Would you like to attend one to one counselling? I provide counselling from Monday to Friday, with some limited Saturday availability. Link in for a consultation.
Counselling available face to face in Waterford and online nationally. Current availability daytime and evening. Give me a call for a chat about your needs. Individual and Couples counselling. Would you like to address negative thoughts? Do you suffer with Anxiety, Stress, Depression, Work Stress, Confidence, Relationships, Bereavement, Injury/illness, Loss issues? Are you experiencing burnout? Would you like to attend one to one counselling? I provide counselling from Monday to Friday, with some limited Saturday availability. Link in for a consultation.
![Photo of Audrey Barlow, MIACP, Psychotherapist](https://photos.psychologytoday.com/aba21f7b-241e-458b-8a54-e40972a2b801/1/320x400.jpeg)
No man is an island! Yet connection with others is not always easy. I work with Adult & Adolescent clients with relationship issues, low self-esteem, social anxiety, depression, stresses of everyday living, may have suffered abuse, bereavement and loss, or had a difficult childhood where their needs were not met. Are you feeling unsettled, overwhelmed or in distress? I help the client explore within themselves to gain clarity, perspective and understanding about themselves and their lives, enabling them to move forward through the blocks in their path to embody a more positive future for themselves.
No man is an island! Yet connection with others is not always easy. I work with Adult & Adolescent clients with relationship issues, low self-esteem, social anxiety, depression, stresses of everyday living, may have suffered abuse, bereavement and loss, or had a difficult childhood where their needs were not met. Are you feeling unsettled, overwhelmed or in distress? I help the client explore within themselves to gain clarity, perspective and understanding about themselves and their lives, enabling them to move forward through the blocks in their path to embody a more positive future for themselves.
![Photo of Angela Black - Essential Counselling, APCP, Counsellor](https://photos.psychologytoday.com/e168a58f-4b71-4764-bea9-db090e5000af/3/320x400.jpeg)
Essential Counselling
Counsellor, APCP
Verified Verified
Kilkenny, County Kilkenny R95 (Online Only)
Waitlist for new clients
If you are over 18 years of age and experiencing anxiety or stress or confusion in your life and would like to talk to someone you have come to the right place.
I am a fully qualified and accredited psychotherapist and counsellor. Sometimes it can be difficult to make the decision to come to counselling and to make that first contact. Counselling can be a very positive and worthwhile experience. I am here to listen to you in a non judgemental way so that you feel safe to talk openly about any issue you may be experiencing.
If you are over 18 years of age and experiencing anxiety or stress or confusion in your life and would like to talk to someone you have come to the right place.
I am a fully qualified and accredited psychotherapist and counsellor. Sometimes it can be difficult to make the decision to come to counselling and to make that first contact. Counselling can be a very positive and worthwhile experience. I am here to listen to you in a non judgemental way so that you feel safe to talk openly about any issue you may be experiencing.
See more therapy options for Kilkenny
Anxiety Counsellors
What are the most common treatments for anxiety?
Talk therapy, particularly cognitive behavioural therapy, is the most common treatment for anxiety. Studies have shown it is equally effective as medication. Other forms of therapy are popular, depending on a patient’s experience. Exposure therapy, for instance, can be useful for people dealing with fears and phobias, or who have experienced traumatic events. Dialectical Behavioural Therapy may be useful for patients who need help with emotion regulation. Anxiolytic medications, like benzodiazepines, can also help with calming a person enough to focus on the skills they’ve learned, and physical exercise has been shown to help symptoms of anxiety across the board.
How long does therapy for anxiety take to work?
The amount of time needed to alleviate symptoms depends on the severity of a person’s condition. Some therapies may take 5-20 weekly sessions to show results. Anti-depressant medications typically take two to four weeks before a benefit is felt. Anti-anxiety medications are felt typically within 20-30 minutes. Medications are best used to offer a patient a better headspace in which to work on techniques learned in therapy. Exercise, improved sleep habits, and meditation are effective, but takes weeks or months to show results.
When should I seek treatment for anxiety?
Everyone feels anxious at times, but when anxiety causes disruption to your daily life, it may be time to seek help. Such disruption can be mental, physical, or both: having fear dominate your thoughts, avoiding situations or objects that bring on feelings of anxiety, or experiencing shortness of breath, sweating, dizziness, or panic attacks. When these symptoms are recurrent and distressing, it may be time to talk to someone.
How effective is treatment for anxiety?
Treatment for anxiety has been shown to be moderately to highly effective, according to a large body of psychology studies and analyses. For some people, treatment using CBT or exposure therapy alone is effective. Others respond best to a combination of medication and therapy.