Little research has examined what patients find most helpful with regard to their improvements during treatment. This study explores what specific therapeutic interventions people find most helpful regardless of the type of therapy they receive, and specifically focuses on patients seeking treatment for anxiety symptoms as their primary concern. Data was collected from 34 outpatients reporting high levels of distress related to anxiety symptoms. Patients rated the helpfulness of different psychodynamic–interpersonal and cognitive–behavioral therapist interventions during their treatment, and these ratings were examined for a relationship to overall improvement. Significant findings included exploring wishes, fantasies, dreams or early memories (r = .472, p = .005); exploring uncomfortable feelings (r = .443, p = .009); focusing on future life situations (r = .428, p = .012); feelings and perceptions are linked to past experiences (r = .400, p = .019); practicing behaviors learned in therapy between sessions (r = .345, p = .046); and providing information on symptoms, treatment, disorder (r = .341, p = .048). Trends toward significance between the rated helpfulness of the following therapist interventions with improvement in their therapy included providing explicit advice or direct suggestion (r = .338, p = .051) and exploring alternative understanding of patient experiences (r = .320, p = .065). Our findings suggest there are specific techniques in both psychodynamic–interpersonal and cognitive–behavioral approaches important during the change process of patients suffering from anxiety problems. This supports future research examining transtheoretical or integrative approaches in the psychotherapy of anxiety.