Anxiety & panic counselling in Saskatchewan

Anxiety can take over more of your life than other people realize.

Chronic worry, panic, overthinking, perfectionism and avoidance can affect your work, sleep, relationships, confidence and everyday decisions—even when you appear to be functioning well from the outside.

STG Anxiety & Panic Care provides structured online counselling for adults across Saskatchewan.

Treatment begins by understanding what is keeping the problem going rather than assuming every person with anxiety needs the same approach.

Progress looks like

“You make a decision without asking three other people whether it was correct.”

Structured care

Treatment follows a clear clinical pathway rather than open-ended supportive counselling alone.

Individual formulation

Your clinician looks at the particular processes maintaining your difficulties.

Practical treatment

Behavioural experiments, exposure, reducing avoidance, changing reassurance or checking patterns, and practising new responses between sessions.

Progress review

Symptoms, functioning and treatment goals are reviewed throughout treatment.

Recognizing the pattern

Anxiety does not always look like anxiety.

You may not describe yourself as an anxious person. Instead, you may notice that you:

These experiences can arise through different clinical patterns. That is why treatment begins with understanding your pattern, not simply assigning everyone the same anxiety strategies.

Treatment pathways

Four common treatment pathways

You do not need to choose one. Your clinician determines the direction after the first session.

Panic & avoidance

For people whose difficulties involve panic attacks, fear of physical sensations, fear of another panic episode, or avoidance of places and activities because panic might occur.

Chronic worry & overthinking

For persistent worry, difficulty tolerating uncertainty, reassurance seeking, repeated checking, excessive research, indecision or feeling as though the mind is constantly anticipating problems.

Social & performance anxiety

For anxiety about judgment, embarrassment, appearing incompetent, speaking in groups, presentations, meetings or other social and performance situations.

Perfectionism & fear-based avoidance

For people whose anxiety shows up through rigid standards, fear of mistakes, overpreparation, repeated checking, procrastination or difficulty completing work because it never feels good enough.

Overlapping concerns

Sometimes it is more complicated.

Anxiety can overlap with ADHD, OCD, insomnia, depression, burnout, trauma-related symptoms and emotion regulation difficulties. Part of good treatment is recognizing these differences.

Concentration. Difficulty concentrating may come from ADHD, but chronic worry and poor sleep can also make concentration much harder.

Reassurance. Repeated reassurance may occur with generalized anxiety, while reassurance that functions as a compulsion may point toward OCD.

Procrastination. It can arise from fear of failure, but it can also reflect ADHD-related task initiation difficulties.

Assessment and formulation

How treatment begins

Care begins with a structured anxiety screening and clinical review ($40). A clinician reviews your results, sends a brief written summary and calls to discuss recommendations. If treatment is the right next step, the first session builds on that screening to develop a focused treatment direction.

Your clinician looks at what triggers the difficulty, what your mind predicts will happen, and what happens emotionally and physically when it does.

Then at what you do to protect yourself or reduce uncertainty, what helps immediately—and what may unintentionally keep the pattern going.

The anxiety cycle

↺ repeats

Treatment

Notice → Test → Approach → Learn → Generalize

Rather than relieving anxiety in the moment, treatment interrupts the loop: you notice the prediction, test it against what actually happens, approach what has been avoided, and let real experience update what your mind expects.

The initial phase

Treatment begins with six focused 75-minute sessions.

This does not mean everyone is expected to finish treatment after six appointments.

It gives you and your clinician a defined period to work in, and a clear point at which to review.

It is a defined period in which to understand the problem, begin active treatment and practise new behaviours in everyday life.

Along the way you measure whether things are changing—so that at the end of the phase, the decision about what should happen next is based on evidence rather than habit.

At Session 6, you review your progress together.

Possible next steps include:

Complete

You have made substantial progress and can continue independently.

Maintain

Regular treatment is no longer needed, but a planned booster may help consolidate progress.

Extend

The current treatment is working and additional focused sessions are appropriate.

Transfer

Another STG treatment pathway appears to fit better.

Step up

More specialized assessment or another level of care is recommended.

Not sure if this is anxiety? The screening and clinical review is where that gets clarified.

What sessions are like

This is an active treatment program.

Treatment also includes practice between sessions. The purpose is not to give you more paperwork.

It is to help the learning that happens during appointments transfer into everyday life.

What progress looks like

We do not measure success only by whether you feel anxious.

Progress may look like:

You still feel nervous in meetings, but you speak instead of staying silent.

You notice your heart racing but no longer leave immediately.

You make a decision without asking three other people whether it was correct.

You complete a routine task after one review rather than checking it repeatedly.

You tolerate uncertainty without spending the evening researching it.

You attend the social event even though you do not know exactly how it will go.

Anxiety may decrease as treatment progresses. But the larger goal is:

Anxiety has less control over your life.

Is this program right for me?

This service may be appropriate if:

When another service may fit better

STG Anxiety & Panic Care may not be the best primary pathway when another concern is clearly central:

If another STG pathway fits better, we can recommend that transition rather than asking you to continue with treatment that does not match the problem.

You do not need to know exactly what kind of anxiety you have before asking for help.

Start with a structured screening. A clinician reviews your results and recommends the next step.

Anxiety screening & clinical review

$40

Complete a structured screening for anxiety-related symptoms and receive:

A non-refundable $40 screening fee applies after submission unless the screening is covered through an approved funding arrangement such as NIHB. This is a screening and clinical review service, not a formal diagnostic assessment.