Online Anxiety Therapy in California & Virginia

I provide online anxiety therapy for adults in California and Virginia—ACT-led care to unhook from worry and panic, reduce avoidance, and regain daily functioning. Treatment integrates CBT, structured exposure when helpful, and mindfulness in a HIPAA-compliant, self-pay format that protects your privacy.

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.

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

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

In our first meeting, we’ll clarify your goals, review your history at a safe pace, and build a collaborative plan. You’ll leave with tools you can start using immediately. Sessions are online, secure, and HIPAA-compliant. I’m a self-pay practice (no insurer involvement unless you request a superbill). Therapy usually runs weekly or bi-weekly, 50 minutes each, with short courses (8–16 sessions) or longer-term care available.

Who I Work With

I specialize in adult care and regularly support:

  • Generalized anxiety, panic disorder, and social anxiety

  • Trauma-related anxiety — including PTSD and C-PTSD with fear, avoidance, or hyperarousal

  • Attachment challenges — fear of rejection, abandonment, or intimacy

  • Veterans & Active-Duty Military adjusting to transitions or moral injury

  • Federal employees & clearance-sensitive roles — supported with privacy-focused, insurance-free therapy

  • Immigrants & refugees facing uncertainty, displacement, or cross-cultural stress

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

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.

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

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.