Anxiety & overthinking
Anxiety therapy in NYC, for people who look fine.
To everyone else, you're doing great. Deadlines met, inbox handled. What nobody sees is the commentary running underneath: the conversation you replayed on the walk home, the 3am audit of everything that could still go wrong, the dread that shows up before your feet hit the floor.
The version of anxiety nobody notices
Most of the anxious people I work with have never had a panic attack at their desk. Their anxiety is quieter and better dressed. It looks like reading an email four times before sending it. Like saying yes to everything because no might disappoint someone, then lying awake doing the math on how to deliver it all.
It can even pass for competence. Anxiety makes you scan for problems, and scanning for problems is a skill the world pays well for. That's exactly why it's hard to put down. Some part of you believes the worry is load-bearing — that if you relaxed, you'd miss the thing, and everything you've built would come down.
How I work with it
I'm an active therapist, so this won't be months of nodding while you narrate your week. We get specific fast about when the spiral starts and what it thinks it's protecting you from. Then we test the load-bearing theory. You've been running the experiment where you worry constantly for your whole adult life; you already know those results. We run the other one.
If you want the technical version: I draw on psychodynamic and relational therapy to understand where the vigilance was learned, and on ACT to practice moving toward what matters while the alarm is still ringing. Waiting for the alarm to stop first is the trap.
What tends to change
Not a life with zero anxiety — nobody honest sells that. What changes is the volume, and your position relative to it. You catch the spiral in minute one instead of hour two. Decisions stop requiring three days of rehearsal. Sleep usually comes back first. And the anxiety stops getting a vote on things it never deserved one on, like which email to send and which career to want.
Common questions
Do I need a diagnosis to start?
No. Most people I see have never been formally diagnosed with anything and don't need to be. If the worry is loud enough that you're reading this page, that's reason enough to talk.
I already understand my anxiety. Why hasn't that fixed it?
Because insight and change are different muscles. You can map a pattern perfectly and still run it — most of my clients arrive with excellent maps. The work is practicing something different while the old alarm is going off, which is harder than another explanation, and more useful.
How often would we meet?
Most people start weekly — enough rhythm for the work to build on itself without taking over your calendar. Sessions are online, and we adjust the cadence as things shift.