Anxiety and Depression

Anxiety and depression are among the most common reasons people seek therapy, and yet they remain deeply personal experiences. What they often share is a quality of entrapment: anxiety in loops of worry and anticipatory fear, depression in heaviness, withdrawal, and a muted relationship with life.


Talk-based approaches can be enormously helpful, but they rely on the capacity to articulate what is often felt rather than thought. Art psychotherapy offers a different entry point – one that works directly with the body and the image, bypassing the rumination that anxiety and depression can make so difficult to escape. For many people, art making offers a more accessible and less confronting path into the therapeutic process itself.


The act of externalising inner experience through image and object making creates distance and perspective, allowing what feels overwhelming or formless to become something that can be witnessed, explored, and worked with. Art psychotherapy also opens a channel to unconscious material that verbal approaches may not easily access. The symbolic language of imagery often communicates what words cannot.


The creative process is also therapeutic in its own right. Engaging with art materials provides a variety of sensory experiences that are soothing to the nervous system, absorbing in ways that interrupt overthinking, and capable of producing moments of genuine pleasure and aliveness that depression and anxiety can make feel out of reach. Research supports art psychotherapy's effectiveness in reducing symptoms of anxiety and depression, with studies pointing to improvements in mood, emotional regulation, and self-understanding.


What is anxiety?


Anxiety is a state of nervous system activation that can feel difficult to switch off. It may involve racing thoughts, anticipatory or ongoing worry, and a sense of dread or unease, accompanied by physical symptoms such as a rapid heartbeat, shallow breathing, muscle tension, numbness or tingling, or an upset stomach. Anxiety exists on a spectrum — from the normal, adaptive nervousness we all experience to more persistent patterns that interfere with daily life.


What is depression?


Depression often presents as a slowing or depletion of the system. It can include low mood, reduced motivation, emotional heaviness, loss of pleasure or interest, and a sense of disconnection from yourself, others, or daily life.


While anxiety is often associated with activation and alertness, depression is often associated with shutdown or reduced capacity. Many people experience both, sometimes alternating between overwhelm and exhaustion.


Depression is a mental, emotional, and physical experience — one that involves the nervous system, and the way life is processed over time.


Most common experiences of anxiety and depression


  • Restlessness or irritability
  • Overthinking or rumination
  • Persistent low mood or emotional heaviness
  • Trouble falling asleep or staying asleep
  • Changes in appetite or feeling physically unwell
  • Mental fog or fatigue
  • Difficulty concentrating or making decisions
  • Feelings of disconnection or numbness
  • Hopelessness or a loss of meaning or direction
  • Relationship challenges and withdrawal
  • Avoidance of people, places, or activities
  • Difficulty meeting responsibilities 
  • A sense of being stuck or unable to move forward

Hi, I’m Karen, a Registered Psychotherapist (Qualifying) and Professional Art Therapist.