Anxiety Therapy in California & Virginia

Unhook from worry and panic with ACT-led care—practical tools to restore sleep, routines, and momentum.

Schedule Your Free 15-Minute Consultation

At a Glance — Online Anxiety Therapy

I help adults reduce avoidance and rumination so life gets bigger than anxiety. We’ll build regulation routines and take values-aligned steps even when discomfort shows up.

Quick Facts

  • Modality: 100% online (HIPAA-secure)

  • Approach: ACT-led; CBT for worry/behavior loops; graded exposure only when collaboratively chosen

  • Who I help: GAD, panic, performance pressure, trauma-linked anxiety

  • Availability: CA & VA (statewide)

  • Fees: $300 / 50 minutes • Self-pay • Superbills available

  • Licensure: CA PSY36022 • VA 0810007130

  • Start: Free 15-minute consultation

Foggy wooden pathway at sunrise symbolizing anxiety therapy journey toward clarity and healing.

What Anxiety Can Look Like (Beyond “I’m Stressed”)

Anxiety shows up in the mind and body—and avoidance can quietly shrink your world. Common presentations include:

  • Persistent worry, rumination, racing thoughts, or “what-ifs”

  • Panic attacks or dread about the next one

  • Social anxiety, perfectionism, fear of judgment, or performance stress

  • Health/safety worries, difficulty tolerating uncertainty, googling spirals

  • Restlessness, muscle tension, GI upset, headaches, or sleep disruption

  • Skipping situations, conversations, or sensations that trigger fear

Care focuses on understanding your threat system, learning evidence-based skills, and taking values-guided steps so life gets bigger again.

How I Treat Anxiety & Panic (Skills-First, ACT-Led)

We target the anxiety cycle—threat appraisal → body alarm → avoidance—so life expands again.

  • ACT — Taming the “What-If” Mind:

    Make room for anxious thoughts/feelings while moving toward what matters (work, relationships, health).

  • CBT — Tools for Worry & Rumination:

    Cognitive restructuring, worry scheduling, behavior activation, and sleep hygiene tailored to your routines.

  • CPT — Shifting Core Threat Beliefs:

    Rework beliefs about danger, control, and competence that keep anxiety sticky.

  • Exposure-Based Practice (Gentle & Graded):

    Interoceptive and situational exposures with full consent to reduce avoidance (elevators, presentations, driving, sensations).

  • Mindfulness & Grounding:

    Breath, orientation, and sensory anchors for panic and overload.

    If anxiety is relationship-driven, we incorporate attachment-informed strategies.

What to Expect in Therapy

We’ll unhook from worry and panic, restore sleep and routines, and rebuild momentum—ACT-led online therapy in CA & VA.

  • Clarify the loop: We pinpoint avoidance, reassurance seeking, and rumination that keep anxiety in charge.

  • ACT foundations: Notice > name > choose—so you take values-aligned actions even when discomfort shows up.

  • CBT supports: Behavioral scheduling, worry time, thought testing, and sleep strategies tailored to your day.

  • Exposure when ready: Graded, consent-based experiments for feared cues (public speaking, driving, health scares)—only when you choose.

  • Measurable progress: We track small wins (sleep, routines, avoided tasks) and adjust every few sessions.

Telehealth is provided with documented informed consent at your first appointment. We review risks, benefits, privacy, and alternatives per California and Virginia law.

Group of diverse adults in a supportive therapy session, symbolizing anxiety treatment and safe community at Next Mission Recovery.

Who I Work With

I help adults unhook from worry, panic, and rumination so sleep, routines, and momentum return—through ACT-led, skills-based online therapy across CA and VA.

  • Generalized anxiety & high-functioning anxiety (restless mind, over-responsibility)

  • Panic attacks & health/safety anxiety (body alarms, reassurance cycles)

  • Performance & workplace anxiety (tech, healthcare, legal/policy, public safety)

  • Trauma-linked anxiety (triggers, avoidance, startle)

  • Insomnia and stress-sensitive sleep (behavioral sleep supports)

  • Students, caregivers, entrepreneurs juggling pressure and depletion

  • Marginalized communities (LGBTQ+, BIPOC, and individuals affected by systemic trauma)

  • Adults 18+, online statewide; self-pay with superbills available

Where I Provide Care (California & Virginia)

Licensed in California (PSY36022) and Virginia (0810007130), I provide care online statewide.

Fees & Policies

Sessions are $300 per 50 minutes. Insurance is not billed, but superbills are available for potential reimbursement. Cancellations under 24 hours incur a 50% fee, and no-shows are charged in full.

Uninsured or self-pay? You have the right to receive a Good Faith Estimate of expected charges.

Schedule Consultation

Frequently Asked Questions

  • Generalized anxiety, panic, social anxiety, and anxiety linked to PTSD/C-PTSD or attachment patterns (fear of rejection, intimacy).

  • We’ll use ACT to reduce avoidance and move toward what matters, CBT for worry/rumination and routines, CPT-informed belief shifts, and graded exposure (when ready).

  • No. We begin with stabilization and skills. Exposure is consent-based and gradual, if/when it serves your goals.

  • Yes—online therapy for adults throughout California & Virginia.

  • $300 per 50 minutes; self-pay. I can provide a superbill for potential out-of-network reimbursement.

  • Yes. We’ll include behavioral sleep supports, values-based pacing, and skills for high-functioning anxiety and fatigue.

Have more questions? Visit my frequently asked questions about online trauma therapy page.