How Do Therapists Structure Anxiety Therapy Sessions?

Therapists structure anxiety therapy sessions with a brief check-in, collaborative agenda setting, a review of last week’s skills, introduction of one new tool, and a closing coping plan so you know exactly what to expect each time you walk into therapy.

Gloria Segovia
Read Time:
4
minutes

Key Takeaways for Anxiety Therapy Sessions.

  • Check-in: Start by sharing how your week went, including any anxiety spikes or wins.
  • Agenda Setting: You and your therapist decide what to focus on during the session.
  • Skills Review: Go over coping strategies you tried since the last visit.
  • New Tools or Techniques: Learn and practise a new anxiety-reduction method.
  • Addressing Triggers: If something urgent comes up, the plan adjusts to support you.
  • Coping Plan & Wrap-up: End with a practical plan to help you manage until the next session.

🎯 This flow helps build emotional safety, track your progress, and boost your confidence, especially if you are also managing recovery from substance use.

👉 Ready to take the next step? Learn more about anxiety therapy at AERCS and how to book your free 15-minute phone consultation.

Colourful infographic outlining the structure of anxiety therapy sessions, including check-in, agenda setting, skills review, new tools, and coping plans.

Therapists typically structure anxiety therapy sessions in five clear steps, a quick check-in, agenda setting, a brief skills review, learning new material, and finishing with homework plus a coping plan, so you always know what will happen from the moment you sit down until you walk out feeling supported and prepared.

Check-In: Taking Your Emotional Temperature.

At the start of each session, your therapist will ask how you are feeling today.

  • Purpose: Spot any spikes in anxiety or cravings right away.
  • Typical questions: “Rate your anxiety from 0 to 10,” or “Did anything stressful happen since we last met?”
  • Flexibility: If you had a sudden panic attack or an urge to self-medicate, the therapist can adjust the agenda on the spot.

Agenda Setting: Mapping the Next 50 Minutes.

Why It Matters.

Setting an agenda keeps the session focused and prevents conversations from drifting. Together, you and your therapist choose one or two priorities, such as practising a breathing technique or analysing a thought record.

Quick Tips for You.

  • Jot down pressing issues beforehand.
  • Bring any questions about last week’s homework.
  • Speak up if something urgent pops up, like a new work stressor.

Skills Review: What Worked, What Did Not.

Before diving into new material, you will review last week’s homework.

  • Celebrate wins: Maybe you used grounding to get through a noisy subway ride.
  • Problem-solve misses: If a thought-challenging worksheet felt confusing, your therapist will clarify it.
  • Data for progress: Regular review helps track how your anxiety scores change over time.

New Material: Adding Tools to Your Toolkit.

Depending on your treatment plan, this section may include:

TechniqueExample ActivityWhy It Helps
Cognitive RestructuringIdentify a catastrophic thought and replace it with a balanced oneLowers anxious predictions
Exposure PlanningRank feared situations, choose a mild exposure taskReduces avoidance
Mindfulness PracticeTwo-minute body scanEases physical tension

Therapists introduce one main concept per session so you are never overloaded.

Homework and Coping Plan: Keeping Momentum Between Visits.

Homework.

You leave with a specific assignment, such as tracking worry themes or practising progressive muscle relaxation. Expect homework to take 10 to 15 minutes a day.

Coping Plan.

  • Emergency steps: Who to call, what skill to use if panic strikes.
  • Addiction triggers: Strategies to avoid substituting substances for therapeutic skills.
  • Safety net: A reminder that you can email or call if a crisis surfaces.

This wrap-up ensures you feel safe and committed until the next appointment.

Putting It All Together: A Sample 50-Minute Timeline.

  1. Check-In (5 min)
  2. Agenda Setting (5 min)
  3. Skills Review (10 min)
  4. New Material (20 min)
  5. Homework & Coping Plan (10 min)

Knowing this flow can lower pre-session nerves and help you arrive ready to work.

How This Structure Supports Your Recovery.

  • Predictability reduces session anxiety, letting you focus on learning.
  • Regular skills reviews reinforce practice, which makes anxiety fall faster.
  • Built-in coping plans cut relapse risk because you leave each appointment with a clear strategy.

Anxiety Therapy Sessions.

Structured anxiety therapy sessions guide you through check-in, agenda, skills review, new learning, and homework with a coping plan. This predictable flow builds confidence, targets anxious thoughts, and keeps you safe between visits.

Ready to experience a well-structured therapy session? Visit our Anxiety Therapy page and book your free 15-minute phone consultation. Let’s create a plan that works for you.

What happens first in anxiety therapy sessions?

Sessions start with a brief check-in to gauge current anxiety and recent events.

How long do anxiety therapy sessions usually last?

Do anxiety therapy sessions always include homework?

Can anxiety therapy sessions address sudden addiction triggers?

Why end anxiety therapy sessions with a coping plan?

Do You Need Anxiety Therapy?

Take this quick self-assessment to see if anxiety therapy could help you manage symptoms.

1. Over the last two weeks, how often have you felt nervous, anxious, or on edge?

2. Over the last two weeks, how often have you been unable to stop or control worrying?

3. Over the last two weeks, how often have you had trouble relaxing?

4. Over the last two weeks, how often have you been so restless that it’s hard to sit still?

5. Over the last two weeks, how often have you become easily annoyed or irritable?

6. Over the last two weeks, how often have you felt afraid as if something awful might happen?

7. Over the last two weeks, how often have you had trouble controlling your worries?

Note: This questionnaire is educational only and does not replace a clinical assessment. If you wish to obtain professional guidance, please follow up with a licensed mental health professional.

About the Author

Gloria Segovia, SSW, BA, BSW (Spec Hons), MSW, RSW, RP, is a bilingual (English, Spanish) EMDR psychotherapist and clinical social worker with 15+ years of trauma-informed care for children, youth, families and couples. The principal and founder of AERCS Therapy, she integrates EMDR, Solution-Focused, Cognitive Behavioural Therapy, Emotion-Focused Therapy and the Gottman Method for couples counselling, to deliver strengths-based, culturally inclusive support. Gloria has practised in both private practice and hospital settings, and she supervises BSW/MSW students and emerging clinicians through York University. She is registered with the Ontario College of Social Workers and Social Service Workers and the College of Registered Psychotherapists of Ontario.