Settle the body
You cannot think your way out of a nervous system that has decided there is a threat. Grounding and breath work come first, not because they are profound, but because nothing else lands until they work.
The bracing can stop being your baseline.
Therapy for the kind of anxiety that does not look like panic. It looks like planning, checking, over-preparing, and never quite putting something down. Virtual throughout New York and Vermont, in person in Patchogue.
Book a free consult
Fifteen minutes, free, and nothing to prepare.
Prefer to call or text? 631-371-4888
- Focus
- Overthinking, anticipation, social anxiety and physical tension.
- Methods
- CBT, somatic and nervous system work, exposure where useful.
- Who
- Gen Z and Millennial women.
- Sessions
- Virtual across New York and Vermont, in person in Patchogue.
Insurance & payment
Select New York plans accepted: Aetna, Northwell Direct, UnitedHealthcare and Optum. Vermont clients and anyone out of network are private pay, and a sliding scale is available.
The version nobody calls anxiety
It is not always a racing heart. It is often a to-do list.
Anxiety that stays functional rarely gets named. It gets called being organized, being responsible, or just being like this, and it goes untreated for years because it keeps working.
- Drafting the conversation before you have it.
- Replaying the one you already had, looking for the mistake.
- A stomach that reacts before you consciously notice anything is wrong.
- Needing to know the plan, the parking and the exit before you can relax.
- Falling asleep fine and waking at four with everything already loud.
- Relief that lasts about ten minutes before the next thing arrives.
How the work goes
Regulate first. Reason second.
Name the actual fear
Anxiety is usually specific underneath a general feeling of dread. Getting to what you are genuinely afraid will happen makes it something we can look at rather than something that follows you around.
Interrupt the loop
Overthinking feels like problem solving and functions like avoidance. We work on catching the loop in progress, which is a skill, not a personality change.
Reduce what it costs you
The goal is not zero anxiety. It is anxiety that no longer decides where you go, what you say yes to, and how much of the evening it takes.
Worth saying plainly
Being high functioning is not the same as being fine.
A lot of people delay getting help because they are still doing everything: holding the job, showing up for friends, answering the messages. The bar they are using is collapse, and until they collapse it does not feel like it counts.
Anxiety is worth treating when it is expensive, not only when it is disabling. If a normal week costs you several hours of rehearsing, replaying and bracing, that is a real cost even though nothing visible has gone wrong.
Common questions
A few honest things before you book.
- Do I need a diagnosis to start anxiety therapy?
- No. Plenty of people who benefit from this work would not meet criteria for an anxiety disorder. The question that matters is whether anxiety is taking more from your week than you want it to.
- Will I have to do exposure exercises?
- Sometimes, and never as an ambush. Where facing something gradually is the right tool we plan it together, at a pace you agree to, and you always know what the next step is before it happens.
- Can therapy help if I am already on medication?
- Yes. Many people do both. I am not a prescriber, so medication stays between you and whoever manages it, and therapy works on the patterns underneath alongside it.
- Does anxiety therapy work over video?
- Yes, and for some people it works better. Being in your own space can make the nervous system work easier to practice, because you are learning to settle in the room where you actually get anxious.
Related
What else I work on, and where.
- Self-esteem and self-worthThe inner critic, approval seeking, and worth that moves with feedback.
- Eating disordersRestriction, food guilt, compensating, and rules that keep multiplying.
- Perfectionism and people pleasingPerfectionism, people pleasing, boundaries and the fear of being too much.
- Relationship issuesAttachment patterns, over-giving, jealousy and losing yourself in a relationship.
- Life transitionsGraduating, moving, career changes, breakups and identity shifts.
- Trauma and PTSDTrauma responses, hypervigilance, shutdown and the past showing up in the present.
You can bring it in before it becomes a crisis.
Fifteen minutes, free. Waiting until it gets bad enough is a rule you are allowed to stop following.
Book a free consult
Prefer to call or text? 631-371-4888
Insurance accepted for select New York plans: Aetna, Northwell Direct, UnitedHealthcare and Optum. Private pay and sliding scale available everywhere, including Vermont.