Anxiety can cause physical and emotional symptoms. A specific situation or fear can cause some or all of these symptoms for a short time. When the situation passes, the symptoms usually go away. 

Physical Symptoms:

  • Shaking

  • Muscle tension

  • Fatigue

  • Sweaty palms

  • Nausea

  • Shortness of breath

  • Heart palpitation


Mental Symptoms:

  • Irritability

  • Excessive worry

  • Irrational fears

  • Lack of concentration

Most common types of anxiety disorders: Generalized Anxiety Disorder, Panic Attacks and Phobias. 

Psychotherapy is a great way to get to the root cause of the anxiety and explore different techniques to help you cope, manage, and overcome. 


Depression is the experience of feeling sad and “down” for an extended period, to the point of feeling hopeless, helpless and worthless. Depression can interfere with everything, including school, family, and relationships.

Common symptoms can vary from mild to severe and can include:

  • Feeling sad or having a depressed mood

  • Loss of interest or pleasure in activities once enjoyed

  • Changes in appetite — weight loss or gain unrelated to dieting

  • Trouble sleeping or sleeping too much

  • Loss of energy or increased fatigue

  • Increase in purposeless physical activity (e.g., hand-wringing or pacing) or slowed movements and speech (actions observable by others)

  • Feeling worthless or guilty

  • Difficulty thinking, concentrating or making decisions

  • Thoughts of death or suicide


Symptoms must last at least two weeks for a diagnosis of depression.

Whether you are clinically depressed or experiencing sorrow in response to life experience, you need support. I can provide encouragement, skilled and empathetic listening, and you will be able to overcome negative patterns and distortions.

Caregiver Burnout

If the stresses of caregiving are being ignored, it can take a toll on your health and personal relationships - eventually leading to burnout. Burnout is a state of emotional, mental, and physical exhaustion. At this point, the caregiver and recipient will both suffer. 


Self-care is not a luxury, and it is a necessity. Cultivating your own emotional and physical well-being is equally important as ensuring your family members can attend their doctors' appointments and takes medication on time.


I can offer support in reducing stress and becoming self-aware of the feelings associated with caregiver stress. This will allow you to form strong relationships with your family, friends and the care recipient.


Grief is a very personal experience that varies between individuals. It is not linear and does not follow any timelines or schedules. You may experience sadness, anger, withdrawal, or feelings of emptiness. Everyone grieves differently, but there are some commonalities in the stages of grief.  



Five stages of grief:

  • Denial

  • Anger

  • Bargaining

  • Depression

  • Acceptance


Not everyone will experience all five stages or have a particular order associated. 


I can support you in identifying and work through any internal disorientations you may be experiencing.  It will allow you to attune to the nature of your loss and what it means to you.


Trauma is an emotional response to a distressing or disturbing experience. Everyone processes traumatic events differently because we face them through the lens of prior experiences. Some people may have overwhelming negative emotions, while others may feel numb and unable to feel pleasure or pain. Feelings of guilt or shame after a trauma has passed are normal. Some individuals may feel bad for surviving an event while others didn't or regret the way they reacted during an event.


Symptoms of Trauma:


Increase usage of Alcohol/Drugs

  • Overeating

  • Easily startled by noises or unexpected touch

  • Outbursts of anger/rage

  • Tendencies to isolate themselves

  • Feelings of detachment

  • Difficulty trusting or feelings of betrayal


I can help support you in reclaiming your power and face the reality of past events without feeling stuck or alone.


Self-esteem starts from within and cannot be dependent on external sources such as material possessions, status, or approval from others. 


Signs of low self-esteem:


  • Perfectionist Attitude

  • Sensitivity to criticism

  • Seeking reassurance

  • Trouble being alone

Individuals with low self-esteem often feel unlovable, awkward, or incompetent. They sometimes feel rejected and disapproved even if this is not intentional.  


I can help you explore the root cause of your low self-esteem and develop coping strategies to combat this.   It will help you to feel in an abundance of self-love, which will shine through many avenues in your life. 

Contact Me

If you have any questions, I would love to connect. Feel free to reach out at any time!

Talk Therapy with Vera

Vera Cheng, MSW, RSW

Registered Social Worker, Psychotherapist

Toronto, ON 

(647) 493-1557

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Disclaimer: All information shared on this website is provided for general information purposes only and does not constitute medical, legal, or other professional advice on any subject matter. The information presented is not intended to diagnose any condition, or replace psychotherapy, counselling or any type of mental health treatment. The author does not in any way guarantee or warrant the accuracy, completeness, or usefulness of any message and will not be held responsible for the content of any message.