Therapy for Anxiety

For most anxiety disorders, weekly 45-minute sessions provide a sufficient frequency for therapeutic progress. This cadence allows sufficient time to implement new skills between sessions while maintaining momentum in treatment. As you progress and symptoms improve, we may consider transitioning to biweekly sessions. For more severe symptoms, twice-weekly sessions might be recommended initially. We'll determine the most appropriate schedule based on your specific needs and circumstances.

Progress in anxiety treatment is systematically tracked through both objective and subjective measures. At the beginning of treatment, we establish baseline measurements using validated clinical assessment tools specific to your anxiety symptoms. These assessments are repeated at regular intervals throughout therapy to quantify improvement. Additionally, we'll identify concrete behavioral goals and track your progress toward them. This data-driven approach ensures that we can objectively evaluate the effectiveness of treatment, make adjustments when needed, and achieve measurable improvements over time.

The work between sessions is crucial for effective anxiety treatment. You'll engage in personalized therapeutic assignments designed to reinforce skills learned during our sessions and facilitate real-world application. These typically include daily symptom tracking using standardized measurement tools, practicing specific cognitive techniques, gradual exposure exercises, and implementing behavioral changes. I provide clear instructions and necessary resources for these activities, and we review your experiences at the beginning of each session to inform our ongoing work.

Your privacy is paramount in our therapeutic relationship. All information shared during sessions is confidential and protected under applicable healthcare privacy laws. I maintain secure, HIPAA-compliant systems for all client communications and records. There are limited exceptions to confidentiality that are mandated by law, involving imminent risk of harm to yourself or others.

I require 48 hours' notice for cancellations to allow time to offer the appointment to other clients. Cancellations with less than 48 hours' notice will incur the full session fee, except in cases of genuine emergencies or sudden illness. I understand that unexpected circumstances arise, and I'm willing to discuss individual situations with compassion. For appointments that need to be rescheduled rather than cancelled, I'll make every effort to accommodate you within the same week when possible.

I offer a structured fee model based on session duration:

• 45-minute session: $210
• 60-minute session: $260

As an out-of-network provider, I can provide detailed invoices suitable for submission to your employer or private insurance for potential reimbursement.

I operate as an out-of-network provider, which means you're responsible for the initial payment of therapy fees. If your insurance plan includes out-of-network mental health coverage, you may be eligible for partial reimbursement. I provide comprehensive invoices with all necessary information for your insurance claim submission. I recommend contacting your insurance provider directly to verify your specific coverage for mental health services.

After each session, you'll receive a professional invoice with a secure payment link. I primarily use Wise (formerly Transferwise) for efficient processing. Bank wire transfers are also available if preferred. Payment is due within 7 days of receiving your invoice.

I maintain a limited number of sliding scale positions for clients experiencing financial hardship. Please discuss your situation during our initial consultation call if cost is a significant concern. I'm committed to making quality mental health care as accessible as possible while maintaining the sustainability of my practice.

I specialize in evidence-based treatment for:

• Panic disorder & Agoraphobia
• Generalized anxiety disorder
• Health anxiety
• Social anxiety disorder
• Post-traumatic stress disorder
• Obsessive-compulsive disorder

For other conditions, we can discuss your specific situation during our initial consultation to determine whether my expertise aligns with your needs or if a referral might be more appropriate.

Professional intervention is appropriate when anxiety begins to interfere with your daily functioning or quality of life. Key indicators include: persistent worry that's difficult to control, anxiety that causes you to avoid important activities, physical symptoms like panic attacks or sleep disturbances, anxiety that affects your relationships or work performance, or if you're using substances to manage your anxiety. Even if your symptoms seem manageable, early intervention often leads to more effective outcomes and prevents anxiety from becoming more severe over time.

Most clients experience meaningful symptom reduction within 10-20 sessions, though individual results vary based on anxiety severity, comorbidity, type, and your engagement with the therapy process. We'll establish clear treatment goals and regularly assess progress using validated measurement tools. CBT for anxiety is generally a time-limited approach focused on achieving specific outcomes rather than indefinite treatment. Many clients achieve their primary goals within 3-4 months of consistent weekly sessions.

I primarily utilize Cognitive Behavioral Therapy (CBT), which research consistently demonstrates is the most effective evidence-based approach for anxiety disorders. My structured treatment protocol includes comprehensive assessment, symptom tracking from the outset, collaborative treatment planning, and between-session assignments to maximize therapeutic gains. CBT focuses on identifying and modifying the thought patterns and behaviors that maintain anxiety, while developing practical skills to manage symptoms effectively.

Medication is not necessarily required for effective anxiety treatment, and many clients achieve significant improvement through therapy alone. However, I'm supportive of medication as a valuable treatment component for many anxiety disorders. If I believe medication might enhance your treatment outcomes, I'll discuss this with you while emphasizing, however, that you'll need to consult directly with your general practitioner or a psychiatrist for medical evaluation and prescriptions.

Research consistently demonstrates that online therapy for anxiety disorders is equally effective as in-person treatment. Studies show comparable outcomes for symptom reduction, client satisfaction, and therapeutic alliance. For many clients, online therapy offers additional benefits: elimination of travel-related barriers, reduced anxiety about attending therapy for those with social anxiety or agoraphobia, and the comfort of engaging in therapeutic work from a familiar environment.

For optimal online sessions, you'll need: a device with a camera and microphone (computer, tablet, or smartphone), a stable internet connection, a private, quiet space where you won't be interrupted, and Google Meet (free to use, no account required). I recommend testing your setup before our first session. If you encounter technical difficulties, I provide troubleshooting guidance and alternative connection options to ensure continuity of care.