What this can look like
- Worry that keeps running long after the day is over
- Panic attacks, or constant watchfulness for the next one
- Avoiding driving, crowds, meetings, travel, or medical appointments
- Health anxiety: checking symptoms, searching online, needing reassurance
- Specific phobias such as heights, driving, storms, or flying (see phobias I treat)
- Poor sleep because your mind won't switch off
How treatment works
Anxiety tends to stick around because of what we do to feel safe: avoiding, checking, seeking reassurance, over-preparing. Each of these brings short-term relief and teaches your brain the threat was real.
Treatment reverses that pattern, one step at a time. Using exposure and ACT, you practice facing what you've been avoiding, gradually and on a plan we build together. For panic, that includes learning that the physical sensations are uncomfortable but safe.
For some phobias, such as heights, driving, or public speaking, virtual reality exposure can be an optional middle step. You practice in a realistic simulated setting first, then take that progress into the real situation. VR supports real-world practice; it doesn't replace it.
Sessions are structured. We set specific goals, practice skills in session, and agree on what to try before we meet again.
This is why seeing a specialist matters. Approaches that center on reassurance or on avoiding what scares you can ease anxiety for a day and strengthen it over months. Specialized treatment does the opposite.
Common questions
How long does anxiety therapy take?
It depends on the problem and how much you practice between sessions. Many people notice progress within the first several sessions. We review your goals regularly, so you always know where things stand.
Do you prescribe medication?
No. I'm a counselor, not a prescriber. If medication might help, I can coordinate with your doctor or a psychiatric provider.
Can panic attacks be treated online?
Yes. Panic treatment works well over secure video, including practicing with the physical sensations of panic in a planned, gradual way.
Do you use virtual reality exposure?
Sometimes, and only if you want to. For fears that are hard to practice on demand, VR exposure can be a useful step between practicing in session and facing the real situation. It's one tool in the plan, not a substitute for real-world exposure.