Anna, 26, comes to therapy because of intense anxiety. Anna has not experienced a panic attack. But she is often on edge, worried, stressed, and has trouble sleeping through the night. Anna begins attending therapy. She discovers that she has suppressed some important feelings. Although part of her wants to marry her fiancé, another part of herself is not in love with him. Finding this internal conflict at first intensifies Anna's anxiety. She now has to face something she hasn't wanted face. Historically, Anna has been a people-pleaser. It's difficult for her to say "no" for fear of hurting others' feelings and then feeling her own guilt. Anna gains awareness about this. She begins unburdening her long-harbored guilt. Anna starts feeling less anxiety over allowing others to feel pain. Anna hasn't yet decided what she's going to do about getting married. But she now feels less anxiety, as she is no longer suppressing her ambivalence. She has more confidence about communicating how she really feels.