Therapy forAnxiety
For when your mind won't shut off, even when things look fine. I'll help you set a clear goal, then use proven methods to get you there.
- Free10-minute consultation
- 24–48 HrsTypical time to a first session
- 11 StatesCA, CO, GA, FL, IL, NJ, NV, NY, MA, TX, VT
- In-NetworkUnited Healthcare, or private pay
What Anxiety Means in Therapy
Anxiety is your body's alarm system working overtime. It's meant to warn you about real danger, but it can start going off over emails, deadlines, money and conversations that haven't happened yet. It shows up as racing thoughts, tight shoulders, restless sleep or a short fuse with the people around you.
None of this means something is wrong with you. A lot of high performers learned to use worry as fuel, and that works for a while. Then it stops working. Therapy with me gives you a place to look at what's driving the anxiety with someone trained to help, and to leave with a plan.
Anxiety is one of the most common reasons people start therapy, and it's also one of the most treatable. Sessions start with where you are and what you want to change.
How It Tends to Show Up
Most people don't book a first session because they have decided they have an anxiety problem. They book because sleep, focus or patience started slipping and didn't come back.
Many people live with anxiety for years before they reach out, often because they're still getting things done. If a few of these sound like the last several months, it's worth a conversation.
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Common Anxiety Concerns I Work With
Anxiety rarely stays in one corner of life. Worry from work follows you home, and tension at home follows you to work. Choose an area to see how it can look and what I focus on in sessions.
When the pressure to perform never lets up
Plenty of high performers carry a constant low hum of worry about deadlines, reviews and whether they're keeping up. From the outside it can look like drive. On the inside it feels like you can never fully clock out.
In sessions we separate useful planning from the worry loop that just drains you. You keep the standards and lose some of the pressure that comes with them.
What I help with
- Perfectionism and fear of failure
- Dread before meetings or presentations
- Checking email around the clock
- Managing pressure before it turns into burnout
When the worry jumps from one thing to the next
Generalized anxiety rarely sticks to one topic. Once the work worry settles, money takes its place, then your health, then your kids. Each concern feels reasonable on its own, but together they leave little room to relax.
CBT is one of the best-supported treatments for this kind of worry. I help you spot the predictions behind it, test them, and build habits that turn the volume down.
Looking for more on this? See Cognitive Behavioral Therapy (CBT).
What I help with
- Catching worst-case thinking early
- Cutting back on overplanning and reassurance-seeking
- Getting more comfortable with uncertainty
- Calming the physical side of worry
When you're always wondering what people think
Social anxiety can look like confidence from the outside. You still run the meeting or show up to the event, then spend hours replaying what you said and how it landed.
Over time, many people start avoiding the situations that trigger it, which keeps the anxiety going. We work on the thoughts behind it and practice facing those situations one step at a time.
What I help with
- Speaking up in meetings
- Networking and social events
- Replaying conversations afterward
- Facing avoided situations step by step
When your body sounds the alarm out of nowhere
A panic attack can feel like a heart attack: racing heart, tight chest, shortness of breath and a sense that something is very wrong. Many people end up in an emergency room before learning what it was.
After the first one, the fear of another attack can start shaping your days. In sessions I help you understand what's happening in your body and practice responses that take the fear out of the sensations.
What I help with
- Understanding the physical side of panic
- Riding out an attack without fighting it
- Breaking the fear of the next attack
- Getting back to places you've been avoiding
When anxiety comes home with you
Anxiety doesn't stay at the office. It can show up as irritability with your partner, needing a lot of reassurance, avoiding hard conversations or shutting down when things get tense.
In sessions we look at how anxiety shapes the way you show up with the people closest to you, and what you can do differently when it flares.
Want to work on this with your partner? See Couples & Marriage Counseling.
What I help with
- Irritability with people you care about
- Needing constant reassurance
- Avoiding hard conversations
- Staying present at home
When the way you calm down starts costing you
Most people find a way to quiet anxious thoughts: longer hours, a few hours on a screen, pulling away from friends or a couple more drinks than usual. Each one helps in the moment, which is exactly why it sticks.
Over time those habits tend to feed the anxiety they were meant to calm. In sessions we look at what the habit is doing for you and build ways to settle your mind that don't come with a cost later.
What I help with
- Financial stress and money worries
- Overworking to avoid other problems
- Checking out through screens, gaming or scrolling
- Pulling away from friends and family
- Drinking or other substances to unwind
When nights are the hardest part of the day
For many people, anxiety is loudest at night. The distractions are gone, and tomorrow's to-do list, money worries and unresolved conversations all show up at once.
Poor sleep then makes anxiety worse the next day, and the cycle continues. We work on quieting your mind at night and building habits that help your body learn to sleep again.
What I help with
- Quieting a racing mind at night
- Breaking the cycle of worrying about sleep
- Building a consistent wind-down routine
- Cutting back on late-night screens and work
The Beliefs That Keep Anxiety Going
Most people pick up beliefs about worry and pressure early, from family, school, work and the culture around them. Many of those beliefs were useful at some point. Over time they can harden into rules that keep anxiety running in the background.
Hover over or tap a card to see how each one tends to play out.
Worry feels productive, like you're getting ahead of problems. Most of the time, though, it runs in circles without leading to a decision. Real preparation has an end point. Learning the difference lets you plan for what matters and let go of the rest.
Constant motion can keep anxiety at bay for a while. The cost is that your body never gets a chance to reset, and stress builds until it shows up as poor sleep, irritability or burnout. Rest is part of performing well, not a break from it.
Skipping the meeting, delaying the call or staying home brings fast relief. That relief teaches your brain the situation really was dangerous, so the anxiety comes back stronger next time. Facing things in small, planned steps is what actually shrinks it.
Some people are more prone to anxiety, and that's real. Being prone to it doesn't mean being stuck with it. Anxiety is one of the most treatable mental health concerns, and the skills you learn in therapy keep working long after sessions end.
Evidence-Based Anxiety Therapy
Sessions are structured and built around a goal. I start by pinning down what you want to be different, then use the approach that fits the problem and the way you like to work. Most people end up with a blend.
Pick what matters most to you right now to see where I'd likely start.
Cognitive Behavioral Therapy (CBT)
CBT looks at the connection between your thoughts, your body's stress response and what you do next. You'll learn to catch worst-case predictions, check whether they hold up, and gradually face the situations you've been avoiding. It has strong research support for anxiety, panic and worry.
Dialectical Behavior Therapy (DBT) Skills
DBT skills were built for the moments when anxiety moves faster than your judgment. You'll practice specific techniques for calming your body, getting through spikes of panic or dread, and staying present instead of spiraling. They're especially useful when anxiety comes on fast.
Motivational Interviewing (MI)
Motivational interviewing is designed for mixed feelings about change. Part of you may want to cut back on the drinking, overworking or scrolling that keeps anxiety at bay, while another part isn't ready to let go of what helps. MI helps you sort through that without being lectured, so any decision to change is yours.
Every session is held online over secure video. I won't ask you to open up faster than you are ready to. Trust gets built over time, and the pace is something we agree on together.
What People Get Out of Anxiety Therapy
People who start anxiety therapy often say they wish they had started sooner. Progress looks different for everyone, and your goal shapes the work. These are some of the changes clients commonly work toward.
- Catching anxious thoughts before they spiral
- Better sleep and more energy
- Less time spent worrying about what might happen
- Calmer reactions under pressure
- Facing situations you've been avoiding
- Coping habits that don't cost you later
- More patience with the people closest to you
Common Questions
What does anxiety therapy involve?
Anxiety therapy helps you understand what's driving your worry and build practical skills to manage it. Sessions focus on the thoughts, physical reactions and habits that keep anxiety going, using approaches like CBT and DBT skills, and on gradually getting back to the things anxiety has been holding you back from.
How do I know if my anxiety is bad enough for therapy?
You don't need to hit a breaking point. If anxiety is affecting your sleep, focus, relationships or the way you spend your time, it's worth addressing. The free 10-minute consultation is a low-pressure way to talk through what's going on and whether therapy makes sense.
I've never been to therapy. What happens in the first session?
After a free 10-minute phone call, your intake appointment covers what's going on, relevant background and what you want to be different. Depending on need, that first session can often be scheduled within 24 to 48 hours of reaching out. By the end you'll have a defined goal and a rough plan. Follow-up sessions build toward that goal, and we'll check progress together along the way.
How long does anxiety therapy take?
It depends on the goal. Some clients come in for one specific problem, like panic attacks or presentation anxiety, and finish within a few months. Others stay longer to work on patterns that go back further. Because the work is organized around a defined goal, we'll review progress regularly and decide together when you've reached it.
Is online therapy effective for anxiety?
Yes. Research shows telehealth therapy produces outcomes comparable to in-person sessions for common concerns such as anxiety and depression. Many people also find it easier to talk from a familiar space, with no commute or waiting room to add to the stress.
How much does it cost, and do you take insurance?
The 10-minute phone consultation is free. Intake and follow-up sessions are $195, and couples sessions are $205. I'm in-network with United Healthcare, though most clients choose private pay for the added privacy and flexibility. Payment is accepted by most major credit cards, Venmo, Cash App, FSA or HSA.
Which states can I book from?
Online sessions are available to clients located in California, Colorado, Georgia, Florida, Illinois, New Jersey, Nevada, New York, Massachusetts, Texas and Vermont.
Do you prescribe medication for anxiety?
No. As a licensed counselor, I don't prescribe medication. Therapy and medication can work well together, though. If you're considering medication, your primary care provider or a psychiatrist is the right place to start, and you can continue therapy with me alongside it.
Get in Touch
10 minutes, no cost. Tell me a little about what's going on and I'll follow up to find a time that works.