Anxiety
Anxiety & Overthinking
Anxiety is rarely irrational. It is usually a system that learned to stay alert for good reason and never got the message that it could stand down. The goal is not to argue yourself out of it or to become someone who never worries. It is to understand what your anxiety is trying to protect you from, and to build a relationship with it that costs you less.
For minds that run ahead, rehearse conversations, and scan for what could go wrong — therapy that works with the anxiety rather than against it.
15 minutes, free, no obligation. Scheduling via Headway.
- Format
- Telehealth
- Available in
- New York State
- Languages
- English & Spanish
- Telehealth throughout New York State
- Therapy in English & Spanish
- Sessions 45–60 minutes
You may be here because
Some of this may sound familiar.
You cannot stop overthinking, and thinking harder has never once solved it.
You replay conversations for hours afterward, looking for what you got wrong.
You are physically tense in ways you only notice when you finally stop.
You make decisions by imagining every outcome, then make no decision at all.
You need reassurance, get it, and feel the relief drain away by the evening.
Your sleep is where the day’s worries go to be reviewed.
Who this may help, and what therapy may explore
Who this may help
- Adults living with persistent worry, rumination, or anticipatory dread
- High-functioning people whose anxiety is invisible to everyone around them
- Students and professionals under sustained performance pressure
- People with physical symptoms of stress — tension, restlessness, disrupted sleep
- People who have tried to "just stop worrying" and found it does not work
What therapy may explore
- What your anxiety is tracking, and what it believes will happen if it stops
- The difference between productive problem-solving and rumination that loops
- Practical tools for the physical side — breath, grounding, nervous-system regulation
- Avoidance, and the way relief in the short term can grow the fear long term
- Perfectionism, control, and the cost of never being allowed to get it wrong
- Reassurance-seeking, and what would make it less necessary
Karla’s approach
How I work with anxiety
I will not tell you your worries are irrational. Usually there is a real thread in there, and dismissing it only teaches the anxiety to argue louder. We start by taking it seriously enough to understand it.
From there the work is often quite practical. Cognitive Behavioral Therapy gives us a clear way to examine thought patterns and test them against evidence, and DBT-informed skills give you something concrete for the moments when your body is already at a nine out of ten.
Acceptance and Commitment Therapy is frequently useful here too, because a good deal of anxiety’s grip comes from the fight against it. Learning to let a thought exist without obeying it changes what it can do to your day.
We also look at the wider picture — sleep, workload, relationships, what is genuinely too much right now. Anxiety is not always a thinking error. Sometimes it is an accurate signal that something in your life needs to change.
Approaches that may be drawn on
- Cognitive Behavioral Therapy (CBT)
- Acceptance and Commitment Therapy (ACT)
- DBT-informed emotion-regulation and distress-tolerance skills
Not every approach is used with every client. What we draw on depends on what you are working through and what you find useful — and we talk openly about whether it is helping.
Questions
About anxiety therapy.
More general questions about fees, insurance, scheduling and telehealth are answered on the FAQ page.
Will therapy make me stop worrying altogether?
No, and that would not be a good goal. Some anxiety is useful — it is what makes you prepare and pay attention. The aim is to reduce the kind that runs constantly without giving you anything back, and to make the rest something you can hold rather than something that holds you.
Do you use CBT for anxiety?
Often, yes — CBT has strong support for anxiety and gives us a structured way to work with thought patterns. I do not apply it to everyone identically. If we find that the anxiety is rooted in something older, we may spend more time there instead.
Can therapy help if my anxiety is mostly physical?
Yes. For many people anxiety shows up in the body first — a tight chest, shallow breathing, a stomach that reacts before the thought is conscious. We can work directly on nervous-system regulation alongside the cognitive side. If symptoms are new or severe, I will also encourage a medical check to rule out other causes.
Related
Other ways we might work together.
Individual Therapy
One-to-one therapy for adults 17 and older — a steady, private place to understand what you have been carrying and decide what you want to do with it.
Trauma-Informed Therapy
Careful, paced work for people whose past still shapes their present — understanding what survival asked of you, and what it costs to keep doing it.
Burnout & Boundaries
For people who are dependable to everyone and running on empty — the work of setting limits without becoming someone you do not recognize.
Start with a short conversation.
A 15 minutes consultation costs nothing and commits you to nothing. We can talk about what has been going on and whether this is the right fit.
15 minutes, free, and no obligation to book a session afterward. Scheduling continues on Headway.
- Therapy in English & Spanish
- Telehealth across New York
- Response within two business days