Anxiety Therapy for High-Functioning Adults —

Online in New York & Pennsylvania

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On the outside, you may appear capable, driven, and successful. On the inside, anxiety may be running a constant background loop — second-guessing, bracing for what might go wrong, scanning for mistakes, or holding yourself to impossible standards.

I offer warm, evidence-based anxiety therapy for high-functioning adults who feel stuck in cycles of worry, perfectionism, or relationship anxiety — so you can feel steadier, more confident, and less driven by fear.

Schedule A Free Consultation

No pressure. Just a brief conversation to see if we’re a good fit.

What High-Functioning Anxiety Can Feel Like

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  • Constant self-monitoring or people-pleasing

  • Panic beneath the surface, even during success

  • Trouble turning your mind off at night

  • Feeling driven, but never satisfied

  • Chronic overthinking or mental “loops”

  • Perfectionism and fear of making mistakes

  • Difficulty resting without guilt or pressure

High-functioning anxiety is often invisible to others — and deeply exhausting to live with. It may show up as:

You may be doing “well” on paper while feeling inwardly tense, unsettled, or burned out. Many people with high-functioning anxiety don’t seek therapy until the system starts to strain under its own weight.

Common Types of Anxiety I Work With

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  • High-functioning anxiety

  • Generalized anxiety

  • Panic attacks and panic disorder

  • Social anxiety

  • Health anxiety

  • Relationship and attachment-based anxiety (fear of abandonment, closeness, or rejection)

  • Perfectionism and chronic self-doubt (never feeling “good enough”)

  • Anxiety shaped by trauma or emotional neglect

If anxiety is shaping your decisions, relationships, self-worth, or nervous system in ways you don’t want, therapy can help.

How I Treat Anxiety in High-Functioning Adults

High-functioning anxiety often isn’t about a lack of coping skills — it’s about coping too hard for too long. Many of my clients are capable, thoughtful, and emotionally intelligent, yet feel trapped in cycles of overthinking, self-pressure, emotional monitoring, and constant anticipation of what might go wrong.

My approach helps you step out of fear-driven control and into steadier, more flexible ways of living and relating.

Understanding the Pattern, Not Just the Symptoms

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We begin by gently mapping the patterns that keep anxiety going, such as:

  • Overcontrol and perfectionism

  • Reassurance-seeking and checking

  • Mental review and rumination

  • Avoidance of uncertainty or vulnerability

  • Relationship hyper-monitoring

Rather than trying to “get rid” of anxiety, we work to understand how it operates in your nervous system and your relationships, so you can respond with more choice and less panic.

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Exposure, ERP & Learning to Tolerate Uncertainty

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For anxiety that is driven by fear-based avoidance, reassurance-seeking, or compulsive mental habits, I use Exposure and Response Prevention (ERP) in a gradual, supportive way.

This means learning how to:

  • Resist the urge to immediately neutralize fear

  • Sit with uncertainty without spiraling

  • Trust yourself instead of chasing certainty

  • Let anxious thoughts rise and fall without obeying them

The goal is not to “push through” fear, but to teach your nervous system that you can handle discomfort without losing yourself.

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ACT & Values-Based Living

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Anxiety often shrinks your world. Through Acceptance and Commitment Therapy (ACT), we work to reconnect you with what actually matters to you — your values, relationships, creativity, ambition, and sense of meaning — even when anxiety is present.

Instead of waiting to feel perfectly calm before living your life, you learn how to:

  • Move toward what matters with anxiety beside you

  • Stop organizing your life around fear

  • Build trust in your internal compass again

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Nervous System Regulation & Emotional Safety

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High-functioning anxiety often lives in a chronically activated nervous system — always alert, always scanning, always braced.

We work directly with:

  • Hyper-vigilance

  • Chronic tension

  • Shutdown and numbness

  • Emotional flooding

You learn how to create a greater sense of internal safety and steadiness, not through force or positive thinking, but through attuned, body-aware regulation and emotional processing.

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Attachment-Informed & Relationship-Focused Work

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When anxiety shows up most strongly in relationships, we explore how early attachment patterns may still be shaping:

  • Fear of abandonment

  • Fear of closeness

  • Emotional withdrawal

  • People-pleasing

  • Reassurance dependence

This work is done without blame, with the goal of helping you develop more secure ways of relating — to others and to yourself.

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What Therapy With Me Is Like

You’ll find my style is:

  • Warm and collaborative

  • Structured without being rigid

  • Direct without being harsh

  • Emotionally attuned and trauma-informed

You won’t be asked to simply “think positively” or override your feelings. Instead, we work toward clarity, steadiness, flexibility, and self-trust — at your pace.

Schedule A Free Consultation

If this way of working resonates, I invite you to schedule a free, no-pressure consultation to see if we’re a good fit.

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Relationship-Based Anxiety & Attachment Patterns

For many people, anxiety is most intense in close relationships. This can look like:

  • Fear of abandonment or rejection

  • Hyper-vigilance to someone’s mood or distance

  • Needing frequent reassurance

  • Emotional shutdown when things feel too vulnerable

  • Feeling torn between wanting closeness and fearing it

  • Avoiding intimacy with those you want to be close to

Relationship-based anxiety is often connected to attachment patterns formed early in life — especially in environments that felt unpredictable, emotionally unsafe, or inconsistent.

In therapy, we explore how these patterns developed without blame and help you begin building more secure, steady ways of relating — to others and to yourself.

When Anxiety & Identity Intersect

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For many people, anxiety is shaped by:

  • Identity exploration

  • Gender or sexuality stress

  • Feeling unseen or misunderstood

  • Chronic pressure to perform or succeed

When these parts of identity are met with stress, invisibility, or pressure to conform, anxiety often becomes a way the nervous system tries to stay safe.

I offer LGBTQIA+ affirming care and strive to create a space where your full experience is respected, understood, and welcomed.

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Online Anxiety Therapy in NY & PA

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I provide secure, telehealth-based ERP and OCD therapy for adults anywhere in:

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PENNSYLVANIA STATE

NEW YORK STATE

Sessions take place on a HIPAA-compliant platform so you can access therapy from your home, office, or any private space.

What You Can Expect from Therapy

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Clients often begin to experience:

  • Less mental noise and urgency

  • More emotional steadiness

  • Stronger self-trust

  • Improved relationship security

  • Greater tolerance for uncertainty

  • Clearer boundaries and decision-making

  • More presence in daily life

  • Less self-pressure and mental overworking

The goal isn’t to eliminate anxiety entirely — it’s to stop organizing your life around it.

Frequently Asked Questions

  • Stress usually has a clear cause and settles once the situation changes.


    Anxiety tends to stick around — even when things are “fine” on paper.


    If you’re constantly bracing, overthinking, or feeling keyed-up without a clear reason, anxiety may be involved.

  • No.


    Most of my clients come in because they feel overwhelmed, stuck, or unable to slow their mind or body down — not because they’re seeking a label. If a diagnosis is needed for insurance or understanding patterns, we’ll talk about it together.

  • Many of my clients are successful, competent, and outwardly calm while feeling overloaded internally. Therapy can help you shift from coping constantly to actually feeling steadier, clearer, and more in control — without having to keep “holding it all together.”

  • Yes — and we tailor it.


    Relationship-based anxiety often requires working with patterns of closeness, fear, reassurance, or emotional withdrawal. We explore these gently and without blame, so you can build more secure, grounded ways of relating to others (and to yourself).

  • Yes.


    When anxiety is fueled by avoidance, overthinking, or reassurance cycles, ERP can help you learn to face discomfort without spiraling. We go slowly, collaboratively, and only at a pace that feels safe and doable — it’s never about forcing anything.

  • The goal isn’t to eliminate all anxiety — it’s to stop it from running your life.


    You’ll learn to respond to anxious thoughts and sensations with more steadiness, flexibility, and self-trust so they no longer dictate your decisions or relationships.

  • Many people notice small shifts within a few weeks — less rumination, a calmer baseline, or fewer panic spikes. Deeper changes (like attachment work, relationship patterns, or long-standing perfectionism) take longer.


    We move at a pace that supports real, sustainable change.

  • Yes — I provide secure telehealth therapy for adults in New York and Pennsylvania.


    Many high-functioning clients prefer online sessions because it allows therapy to fit into busy schedules without commuting.

  • That’s more common than you’d think.
    Therapy for anxiety works best when it addresses the system driving your symptoms — not just your thoughts.

    My approach combines nervous system regulation, ERP, ACT, and relational/attachment work to actually shift the patterns beneath your anxiety.

  • Only if it’s relevant and you want to.


    Some patterns — especially relationship anxiety, overcontrol, and chronic self-doubt — have origins worth understanding. But we always balance insight with practical tools for the present.

  • You don’t have to know yet.


    That’s what the free consultation is for — a short, no-pressure conversation where we explore what’s going on and whether working together feels like a good fit.

Ready to Get Started?

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Modern living room with brown leather sofa, yellow armchairs with patterned and solid pillows, a black coffee table with a plant and decorative items, and a geometric wall design.

If you’re tired of living in a constant state of pressure, self-doubt, or relational fear, support is available.

The first step is a brief, free consultation to talk about what’s going on and see if working together feels like a good fit.

Schedule a Free Consultation

No pressure — just a short conversation to see if this feels right to you.