Can You Get Rid Of Anxiety - Even If It’s Been With You All Your Life?

Can You Get Rid Of Anxiety - Even If It’s Been With You All Your Life?

Sofiya Valshonok

Clinical Editorial

Herzliya, Israel

Medically reviewed by TherapyRoute
Anxiety can feel like part of your personality, especially when it’s been there for years. Read on to learn why long-term anxiety isn’t permanent, how CBT retrains the anxious brain, and how learned fear patterns can change, even after decades.

Many people believe that if anxiety has followed them since childhood, it must be part of who they are.

“I’ve always been anxious.”

“It’s just my personality.”

“I’ve tried everything - nothing really works.”


This belief is understandable, but it’s not accurate.

From a Cognitive Behavioral Therapy (CBT) perspective, long-term anxiety is not a life sentence. It is a learned system of thoughts, emotions, and behaviors. And what was learned can be unlearned.

Why Anxiety Feels So Permanent

Anxiety that lasts for years becomes familiar.

The brain gets very good at predicting danger, scanning for threats, and preparing for the worst.

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Over time:

Anxious thoughts feel automatic

Physical symptoms feel uncontrollable

Avoidance feels necessary for survival

The nervous system is not “broken” - it is overtrained.

CBT works precisely because it targets this overtraining.

What Makes CBT Different From Other Approaches?

CBT is not about:

Digging endlessly into childhood

Positive thinking or suppressing fear

Talking without changing anything in real life

CBT focuses on how anxiety is maintained today, not just where it came from.

It works on three interconnected levels:

Thoughts - the interpretations that trigger fear

Behaviors - avoidance, safety behaviors, reassurance-seeking

Body reactions - how we respond to physical anxiety sensations

Most importantly, CBT is active. Change does not happen only in the therapy room, it happens in daily life.

Why CBT Often Works Faster

CBT is considered one of the fastest evidence-based treatments for anxiety, and there are clear reasons why.

1. It Targets the Core Mechanism of Anxiety

Anxiety is fueled by a loop:

A threat interpretation

A physical reaction

Avoidance or control behaviors

Short-term relief

Long-term strengthening of anxiety

CBT interrupts this loop directly.

2. It Reduces Avoidance (the Real Fuel of Anxiety)

Avoidance feels helpful, but it teaches the brain:

“This situation is dangerous. Good thing we escaped.”

CBT gradually reverses this learning through planned, safe exposure, allowing the nervous system to relearn calm.

3. It Builds Skills You Can Use Independently

CBT does not aim for dependence on therapy.

Clients learn:

How to respond to anxious thoughts

How to tolerate uncertainty

How to stay present during physical anxiety

These are lifelong tools.

“But My Anxiety Has Always Been There…”

Long-term anxiety does not mean deeper anxiety - it usually means longer reinforcement.

CBT does not erase your past.

It retrains your present.

Many people who believed anxiety was part of their identity discover something surprising:

When anxiety decreases, they don’t disappear - they expand.

They are still sensitive, thoughtful, careful - but no longer trapped.

Is CBT the Right Fit for Everyone?

CBT is not magic, and it is not passive.

It requires:

Willingness to practice between sessions

Openness to discomfort during change

Collaboration between therapist and client

For those willing to engage, results are often:

Measurable

Sustainable

Faster than purely insight-based approaches

This is why CBT is recommended worldwide as a first-line treatment for anxiety disorders.

The Bottom Line

Anxiety can feel lifelong - but it is not permanent.

CBT does not promise a life without fear.

It offers something more realistic and more powerful:

Freedom from being controlled by fear.

And even if anxiety has been haunting you for decades, your brain can still learn a different way.

Because anxiety is not who you are.

It is something you learned - and learning can change.

Important: TherapyRoute does not provide medical advice. All content is for informational purposes and cannot replace consulting a healthcare professional. If you face an emergency, please contact a local emergency service. For immediate emotional support, consider contacting a local helpline.

About The Author

Sofiya

Sofiya Valshonok

CBT Psychotherapist

Herzliya, Israel

I help individuals and couples navigate life's complexities. Whether you're managing anxiety, exploring relationship concerns, or navigating professional changes, I offer practical support. We can work together using Cognitive Behavioural Therapy to understand your thoughts and build resilience. I provide flexible online and face-to-face sessions, making it easier to find tools that foster well-being and confidence.

Sofiya Valshonok is a qualified CBT Psychotherapist, based in , Herzliya, Israel. With a commitment to mental health, Sofiya provides services in , including Relationship Counseling, Trauma Counseling, CBT, EMDR, Family Therapy, Individual Therapy, Guided Visualisation, Sex Therapy, Addiction Counselling and Child / Adolescent Therapy. Sofiya has expertise in .