Anne Douglas
LMFTNorth Carolina · 25 yrs exp
Stress, Anxiety · Relationship · Family · Grief · +15 more
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On this page you'll find clinicians who list Internal Family Systems among their approaches and who focus on panic disorder and panic attacks. Browse the listings below to compare clinicians by approach, credentials, languages, and experience and to learn more about parts-focused care.
North Carolina · 25 yrs exp
Stress, Anxiety · Relationship · Family · Grief · +15 more
Read profileColorado · 19 yrs exp
Stress, Anxiety · Relationship · Trauma and abuse · Grief · +12 more
Read profileFlorida · 20 yrs exp
Stress, Anxiety · Addictions · Relationship · Self esteem · +16 more
Read profileOregon · 26 yrs exp
Stress, Anxiety · Trauma and abuse · Grief · Depression · +10 more
Read profileKansas · 12 yrs exp
Stress, Anxiety · Relationship · Intimacy-related issues · Depression · +13 more
Read profileColorado · 15 yrs exp
Stress, Anxiety · Relationship · Intimacy-related issues · Self esteem · +10 more
Read profileNew York · 11 yrs exp
Stress, Anxiety · Grief · Self esteem · Relationship · +8 more
Read profileMissouri · 7 yrs exp
Stress, Anxiety · Addictions · Relationship · Self esteem · +13 more
Read profileLouisiana · 10 yrs exp
Stress, Anxiety · Relationship · Family · Depression · +12 more
Read profileTexas · 10 yrs exp
Stress, Anxiety · Relationship · Family · Depression · +14 more
Read profileCalifornia · 8 yrs exp
Stress, Anxiety · Addictions · Relationship · Self esteem · +15 more
Read profileTexas · 22 yrs exp
Stress, Anxiety · Relationship · Trauma and abuse · Depression · +16 more
Read profileNew Jersey · 8 yrs exp
Stress, Anxiety · Relationship · Trauma and abuse · Bipolar · +14 more
Read profileIndiana · 8 yrs exp
Stress, Anxiety · Addictions · Family · Trauma and abuse · +15 more
Read profileUtah · 6 yrs exp
Stress, Anxiety · Trauma and abuse · Self esteem · Depression · +8 more
Read profileVirginia · 31 yrs exp
Stress, Anxiety · Relationship · Family · Trauma and abuse · +12 more
Read profileFlorida · 17 yrs exp
Stress, Anxiety · Trauma and abuse · Eating · Self esteem · +14 more
Read profileNebraska · 25 yrs exp
Stress, Anxiety · Family · Trauma and abuse · Parenting · +12 more
Read profileSouth Carolina · 20 yrs exp
Stress, Anxiety · Relationship · Eating · Self esteem · +10 more
Read profileIllinois · 12 yrs exp
Trauma and abuse · Self esteem · Coping with life changes · Coaching · +8 more
Read profileOhio · 17 yrs exp
Stress, Anxiety · Family · Parenting · Depression · +12 more
Read profileLouisiana · 28 yrs exp
Stress, Anxiety · Relationship · Grief · Self esteem · +15 more
Read profileMissouri · 35 yrs exp
Stress, Anxiety · Trauma and abuse · Anger · Bipolar · +13 more
Read profileKansas · 17 yrs exp
Stress, Anxiety · Relationship · Family · Anger · +10 more
Read profilePanic disorder and panic attacks often feel like sudden, overwhelming waves that take over the body and the mind. From an Internal Family Systems perspective, those moments are not simply malfunctions to be eliminated but communications from parts that are doing their best to protect you. IFS, developed by Richard Schwartz in the 1980s, is built on the idea that the mind is naturally multiple - composed of parts with distinct roles and a core Self that is compassionate, curious, calm, clear, courageous, confident, creative, and connected. When panic appears, it usually reflects a pattern among protectors - managers that try to prevent painful material from emerging and firefighters that act quickly and intensely when pain breaks through. Beneath those protectors there are exiles carrying original hurts. The panic response is often a firefighter strategy - it can feel like an emergency fix that overwhelms your ability to use slower, more reflective responses. In IFS work you are invited to get curious about what those parts are trying to do rather than simply teaching new techniques to suppress symptoms.
When you approach panic with parts work, the focus shifts from symptom control to understanding the purpose behind the reaction. A manager part might try to avoid places or sensations that could trigger a panic attack, while a firefighter part might trigger intense breathlessness, racing heart, or dissociation to move attention away from a buried exile. Exiles often hold shame, fear, or memories from earlier events. The Self, described through qualities like calm, curiosity, compassion, clarity, courage, confidence, creativity, and connectedness, can lead healing once protectors feel understood and no longer need to carry extreme burdens. In practical terms you and your therapist will aim to build relationships between Self and parts so protectors feel seen and respected. Rather than coercing a protector to stop, you will learn to ask it about its concerns, to unblend so you can speak for a part rather than from it, and to offer the Self's leadership so protectors can step back from extreme roles. Over time protectors may adopt less reactive strategies, and exiles can be unburdened of old pain. This process often reduces the frequency and intensity of panic responses because the system itself becomes more integrated and less driven by urgent, reactive patterns.
Your early sessions will usually prioritize safety, pacing, and building a trusting internal stance toward parts. A therapist who works with IFS will help you notice which part is present when panic begins - whether it is a vigilant manager scanning for threat, an inner critic chastising you for feeling anxious, or a firefighter that demands immediate action. Sessions typically move between gentle curiosity and grounded skills that stabilize the nervous system. Your therapist may guide you to identify and describe a part's sensations, images, and beliefs, and to explore the history that fed the exile the part protects. Before approaching vulnerable material, protectors are often consulted - you will be encouraged to ask permission from a protector before going further, which helps reduce internal conflict and escalation. Unblending is a central practice - learning to observe and speak about a part as a part instead of being overtaken by it. Later sessions may shift toward unburdening, a deliberate process in which an exile can release extreme beliefs and emotions it has been holding. The pace varies: some people progress steadily into unburdening after several months, while others take more time building trust and stabilization. Throughout, your therapist should respect your rhythm and support you in cultivating the Self's leadership so that changes are sustainable.
You might find IFS especially helpful if you feel inner conflict about anxiety - if there is a strong inner critic, long-standing self-blame, or a sense that parts of you are at war with each other. Because IFS focuses on relationship - between Self and parts and among parts - it can reduce shame and the compulsion to fight anxiety. IFS differs from skills-based approaches like cognitive behavioral therapy or dialectical behavior therapy in that it does not primarily teach techniques for symptom reduction. Instead, it changes how your internal system relates to fear and protection, which can create deeper and more lasting shifts. Many clinicians integrate IFS with evidence-based methods when appropriate; for example, exposure strategies from CBT or trauma-processing methods may be offered alongside parts work when you and your therapist agree it is helpful. IFS also pairs well with trauma-informed approaches since panic often has roots in earlier threats that exiles hold. That said, no single approach suits everyone. If your panic is very recent or strongly tied to a medical condition, a conversation with a clinician about combining approaches and about verifying licensure is an important step.
When evaluating therapists who list Internal Family Systems among their approaches, consider how they describe their experience with panic and parts work. Ask about whether they have completed IFS Institute trainings such as Level 1, Level 2, Level 3, or the Institute's separate certification, and ask about other education or specialty training related to panic, anxiety, and trauma. Many therapists learn IFS through workshops or clinical practice without completing every formal level, so it is appropriate to ask directly rather than assume any particular credential. In a consultation you can observe whether the clinician explains panic in terms of protective patterns - managers, firefighters, and exiles - and whether they emphasize building the Self's qualities like curiosity and compassion. Fit also includes communication style and cultural sensitivity. If you plan to work online, note that the reflective, internal nature of parts work translates well to video sessions; many people find they can develop a solid internal practice from home when the therapist guides pacing and stabilization. Finally verify professional licensure and areas of clinical focus, and discuss how the therapist integrates other methods if you want a blended approach. A good consultation will leave you with clarity about the therapist's approach and whether it resonates with how you want to work on panic.
Starting IFS for panic means committing to gentle curiosity and to learning to partner with the parts that have been trying to keep you safe. Early work tends to reduce self-criticism and increase your ability to witness panic without escalating it. As you and your therapist build the Self's presence in sessions, protectors often relax and make room for more measured responses to triggers. Progress is not always linear - some periods feel calm and steady while others bring unexpected intensity as previously hidden material comes into awareness. That is part of the unfolding and can be managed with pacing, grounding practices, and ongoing dialogue with your clinician. If you are exploring listings on this site, consider reaching out to several clinicians to ask about their IFS experience and about how they approach panic specifically. Clarifying these details can help you choose a therapist whose method and pace align with your needs and who will help you cultivate the internal leadership of the Self to transform panic into informed, compassionate care for parts that have carried too much for too long.
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