Emma Garrick | Integrative Psychotherapist
For high-functioning adults who can feel it starting again and refuse to go back there.
Many of the people I work with are capable, reflective adults who have previously experienced anxiety, panic attacks or OCD.
Many know what stability feels like. Most have done therapy before. They understand their patterns well enough to recognise when something is shifting.
They have built lives that function.
Careers. Families. Responsibilities. Roles that depend on them.
Many of the adults I work with are navigating midlife pressures - parenting, leadership roles, caring for ageing parents, hormonal shifts - where old anxiety patterns can quietly resurface.
From the outside, very little appears wrong.
And yet, under pressure, something familiar begins to return.
Often the early signs are not dramatic.
More scanning. A quickening of your thoughts with a low hum of overwhelm. Older intrusive thoughts popping back in. Familiar sensations that feel uncomfortably recognisable. A subtle increase in checking, comparing, replaying.
Not a collapse.
But enough to bring the familiar thought:
“I can’t go back there.”
This is not first-time anxiety.
It is relapse.
And relapse responds best to early, structured intervention.
Relapse work is not the same as first-time anxiety treatment.
You are not starting from zero. You already have insight. You already have language. You may already have tools.
What you need is not a complete overhaul.
You need steadiness at the right moment.
In our work, we focus on recognising early relapse markers, strengthening strategies that have worked before, and interrupting patterns before they regain traction.
This is structured, time-bound work centred on relapse prevention.
This is not weekly therapy without direction.
It is targeted, strategic, and responsive to early shifts.
This work is grounded in evidence-based approaches used in OCD and anxiety treatment, including Cognitive Behavioural Therapy and relapse prevention principles, adapted specifically for high-functioning adults in midlife.
I work with a small number of clients at a time to ensure depth, clarity, and momentum.
I’m an award-winning Integrative Psychotherapist specialising in anxiety and OCD relapse prevention, with experience featured in national media and television. I have served as CEO of a national psychotherapy organisation.
Much of my work is with capable, thoughtful adults navigating midlife transitions, including parenting and caregiving pressures, where anxiety and OCD symptoms can resurface.
I understand what it is to function outwardly while something inside remains slightly braced.
I focus on structured relapse prevention therapy, not simply coping in the moment and not short-term relief, but recognising the early shifts that signal a pattern returning and changing direction before it consolidates.
This work also informs my current writing on midlife anxiety and OCD relapse.
I work independently, grounded in professional training, supervision, and ongoing development.
I work with a small number of clients at a time to ensure depth, clarity, and momentum.
"Emma’s guidance has brought real change to my life. I’ve noticed a marked difference in my mornings and evenings - fewer moments filled with anxiety, and more days where I feel genuinely at ease. The intrusive thoughts, sweaty palms, chest pain, and migraines aren’t as overwhelming as they used to be. "
"Emma's approach is unlike anything I've encountered before. She doesn't just provide temporary relief; she offers genuine, practical, everyday implementable help. She has been the most worthwhile expenditure on my entire journey to healing and I’ve been at this because of my anxiety and OCD for a long time."
If you can sense that familiar shift and the fear of going back there, specialist support is available.
Explore the Audio Library for steady, structured guidance during anxiety or OCD flares.
Or book a consultation for direct, specialist relapse support.