Area of focus

Anxiety Therapy

Quiet the racing thoughts. Settle the body. Build a steadier relationship with the present moment.

Who this is for

Adults living with persistent worry, panic, social anxiety, or high-functioning anxiety that looks fine on the outside and exhausting on the inside.

Common struggles

  • Racing thoughts you cannot turn off at night
  • A chest that tightens before meetings, calls, or hard conversations
  • Overthinking small decisions and replaying them for hours
  • Feeling 'on' all day and crashing the moment you stop

How therapy helps

Together we use Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, and gentle exposure work to interrupt the cycle, give your nervous system new information, and teach skills you can use long after our work ends.

Practical outcomes

  • Sleep that comes more easily
  • Tools to ground yourself in real time
  • A clearer sense of what your anxiety has been trying to tell you
  • Confidence in situations that used to feel impossible

Anxiety therapy that goes past 'just breathe'

Anxiety is a body-level alarm that has become oversensitive. That is why advice to relax rarely works: you cannot reason with an alarm system, you have to retrain it. Effective anxiety therapy works on all three layers at once — the thoughts that feed the alarm, the behaviors that quietly reinforce it, and the physiology that keeps it primed.

What anxiety looks like in the adults I see

  • Generalized worry that jumps to the next thing the moment one worry resolves
  • High-functioning anxiety — outwardly capable, internally exhausted, privately convinced you are one mistake from being found out
  • Panic attacks and the fear of the next one, which slowly shrinks where you are willing to go
  • Social anxiety, post-conversation replay, and the fear of taking up space
  • Health anxiety and the checking, googling, and reassurance-seeking that follow
  • Anxiety that shows up in the body first: chest tightness, stomach issues, jaw tension, disrupted sleep

The methods, and why they work

Cognitive behavioral therapy (CBT)

CBT is the most researched treatment for anxiety disorders. We identify the specific thought patterns driving your alarm, test them against evidence rather than argue with them, and build more accurate alternatives you actually believe.

Acceptance and commitment therapy (ACT)

Some anxiety does not need to be eliminated to stop running your life. ACT builds your capacity to feel anxious and act anyway, in the direction of what matters to you. For chronic worriers, this is often the piece that finally breaks the stalemate.

Nervous-system regulation

Skills that reach the body directly — paced breathing, grounding, and sleep and caffeine adjustments — lower the baseline so the cognitive work has something to land on.

What the first weeks look like

Session one is history and goals. Sessions two through four typically map your specific anxiety cycle — trigger, thought, body response, coping behavior — and start skills you can use immediately. From there we work on the avoidance patterns keeping the cycle alive. Most clients notice measurable change inside eight to twelve sessions, though the pace depends on how long the pattern has been in place.

Anxiety therapy by telehealth

Research finds video-delivered CBT for anxiety about as effective as in-person care. It also removes a barrier that matters specifically for anxious clients: no waiting room, no traffic, no rehearsing the walk in. Sessions are HIPAA-compliant and available to adults anywhere in Minnesota.

Questions people ask

Do I need medication for anxiety?
Not necessarily. Therapy alone helps many people substantially. For severe symptoms, therapy plus medication often works better than either alone — I do not prescribe, but I coordinate with your prescriber when you want that.
Is my anxiety bad enough to justify therapy?
If it is costing you sleep, relationships, work, or places you used to go, it qualifies. There is no severity threshold you have to reach first.
How is high-functioning anxiety treated differently?
The core methods are the same, but the work usually includes perfectionism, over-responsibility, and the fear of being seen as anything less than capable.

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