— ANXIETY & CHRONIC STRESS —
Anxiety therapy for the person who looks like they're handling it
You're not falling apart. You're on time, prepared, and three steps ahead — and underneath that, your chest is tight from the moment you wake up.
Nobody has ever suggested you might be anxious. You handle things.
Online sessions across New York, Florida, and Washington D.C. for adults whose anxiety doesn't show up the way anxiety is supposed to.No waitlist. Most people start within a week.
— WHEN ANXIETY DOESN'T LOOK LIKE ANXIETY —
The version that doesn't get caught
Anxiety gets described as panic attacks and avoidance. For a lot of people it's the opposite — it looks like competence, and it feels like a body that never got the message.
What it looks like from outside
- Always prepared, with a backup plan for the backup plan, because being caught off guard is unbearable
- The person others describe as calm in a crisis
- Managing several things at once, always ready to jump in
- Quick to say yes, and putting what other people need ahead of your own without ever deciding to
- Good at your job, and unable to enjoy having done it
What it actually feels like
- Restless at night, with your mind speeding up the moment you lie down
- Waking up with everything already swirling, before anything has happened
- A racing heart before the alarm goes off
- Falling asleep fine and waking at 3am with the whole list running
- A tight chest, a jaw that won't unclench, shoulders somewhere near your ears
- Reading tone in how people reply to you, looking for evidence you've done something wrong
- Rehearsing a conversation for an hour after it ended
- Never quite being where you are, because you're running the what-ifs and the worst case
- Exhausted from carrying it alone — because relying on people has gone badly enough times to feel like proof
None of that shows up on a performance review. It shows up in your body, and in how much of yourself you have left by Friday.
— THE PATTERN UNDERNEATH —
Anxiety this steady usually started somewhere
Most of my clients didn't develop anxiety. They were raised in conditions where anticipating everything was the safest thing to do, and it worked.
If you grew up reading a room to know whether it was safe — whether a parent's mood had shifted, whether money was tight this month, whether you were about to be the one who had to hold it together — your nervous system learned that staying alert was the job.
For a lot of people it wasn't only childhood. It's also what happened afterward: being let down by people who said they'd be there, trust broken by someone close, a workplace or a family where you were the one holding it together and nobody was coming to take a turn. You weren't allowed to switch it off, and eventually you stopped trying.
It's not a flaw in your thinking. It's a nervous system that never got told it could stand down.
I know that pattern from the inside. I carried untreated anxiety and chronic stress for years the way a lot of first-generation adults do — quietly, while achieving. It took my body forcing a stop for me to take it seriously.
So when you tell me you're exhausted and can't slow down, you won't have to explain why that's hard.
If what you're describing sounds more like burnout than anxiety — the exhaustion of holding everything together, rather than the alertness underneath it — that's a different page →
— HOW THE WORK GOES —
We work with the alarm, not just the thoughts
Most anxiety treatment is about changing what you think. That helps some people. It doesn't do much when the anxiety lives below language — when your body reacted before you had a thought to challenge.
I'm somatic, attachment, trauma, and IFS-informed. Here's what that means in a session.
Somatic work
Anxiety is physical before it's verbal, and it has early signals long before the loud ones.
We learn what yours are — the ones you got good at ignoring, back when ignoring them worked. A knot in your stomach. Pressure across your back. A lump in your throat you swallow around and keep talking.
Then we build the words for it. Most people can say stressed and not much else at first. We use sensation words, a feelings wheel if it helps, and a lot of noticing out loud until you can name what's happening while it's happening. That's the skill — catching it at the early signal instead of at the panic attack.
When something shifts while you're talking, we slow down there instead of moving past it. Sometimes we do something with it — breathing together, or a stretch to get back in the room. I do it alongside you, and you can decline any of it without explaining why.
Parts work (IFS)
The part of you that plans for every outcome took that job on early, and it took it because nobody else was going to.
We don't try to get rid of it. We get to know it.
That means thanking it before we ask it to change anything — because it has been working, and it has been working without much credit. We get curious about what it's afraid would happen if it stopped. We look at what built it, and how young it was when it started.
And we find out what else in you disagrees with it. There's usually another part that's exhausted, or that wants rest, or that wants to be honest instead of agreeable — and it's been losing the argument for years. We bring those parts into the same room and work out how they can operate together, so that what you decide comes from a settled place rather than from whichever part shouted loudest.
At your own pace
Not the pace you think you should be moving at. Those are different speeds, and the second one is usually part of the problem.
We learn to tell them apart by feel. Speed that comes from shame, scarcity, pressure or fear has a texture — usually heat, usually tightness, usually a push. Speed that comes from wanting something feels different in the body, and most people can learn to notice the difference within a few months.
That's the work: enough contact with what's happening in you to know whether a decision is coming from your values or from the alarm.
— WHAT TO EXPECT —
What sessions look like
| Format | Online, on a HIPAA-compliant platform |
| Length | 45–60 minutes |
| Frequency | Weekly or biweekly to start |
| Fee | $225, with a sliding scale from $140 |
| Where | Anywhere in New York, Florida, or Washington D.C. |
| Languages | English and Haitian Kreyòl |
| First step | A free 20-minute consultation |
This isn't a quick fix. Most people come in for the anxiety and find it opens a door to something older. That takes months, not six sessions. If what you need is shorter and more focused, I'll tell you and help you find the right person for it.
— IS THIS A FIT? —
Let's find out before you book
This is probably a fit if
- Your anxiety doesn't look like anxiety to anyone else
- You can't ignore it anymore — the panic attacks, the constant need to move, the wall you hit
- You'd rather catch it early than wait for your body to start shouting
- You get stuck in a thought and can't put it down
- It's spread — it started in one part of your life and it's in most of them now
- You've tried managing it with logic and it hasn't changed how it feels
- You want to know why the pattern formed, not just how to cope with it
- You can commit to weekly or biweekly work over months
And probably not if
- You need relief this week (If you're in crisis, call or text 988.)
- You want a short, focused piece of work rather than something that takes time
- You need to use Medicaid or Medicare — I'm not able to accept either
- You need an in-network therapist. I'm out-of-network with all plans
- You're outside New York, Florida, or Washington D.C.
If you read that and thought I don't know if I can slow down — that's not a disqualification. That's usually the thing we end up working on.
— WHERE MY CLIENTS ARE —
Online anxiety therapy across New York, Florida, and Washington D.C.
All sessions are online, so the only thing that matters is where you are during the appointment.
Most of my clients are in New York — Manhattan, Brooklyn, Queens, the Bronx, Staten Island, Long Island and Westchester. In Florida, Miami, Tampa, St. Petersburg, Orlando and Jacksonville. In Washington, D.C. — LeDroit Park, Pleasant Plains, Columbia Heights, Brookland, and anywhere else in the District.
For anxiety specifically, online has a particular advantage: you're in your own space, not a waiting room, and you don't spend the hour before an appointment managing the logistics of getting to it.
— COMMON QUESTIONS —
Questions people ask
Why do I wake up already anxious?
A few things make it worse. Going to bed with the list still running, or rehearsing a conversation while you're lying there — your mind picks it back up on waking because it never actually put it down. Caffeine or alcohol late in the evening. Hormonal shifts, which is why this often gets louder in perimenopause.
Waking at 3am with everything switched on, or a racing heart before you've left the bed, is one of the most common things people describe to me — and it's usually the symptom that finally gets someone to book.
Can anxiety make you exhausted?
Many of my clients arrive describing exhaustion rather than anxiety, having already had the bloodwork come back normal.Source: Neurobiological and Systemic Effects of Chronic Stress, Bruce S. McEwen, Chronic Stress, 2017.
What is high-functioning anxiety?
How do I know if it's anxiety or just stress?
Will therapy make me less driven?
Do I have to talk about my childhood?
Can therapy help anxiety without medication?
How long before I feel a difference?
— WHENEVER YOU’RE READY —
You've been managing this a long time
Twenty minutes, free, on the phone. You tell me what's going on. I tell you how I'd work with it. Nobody signs anything. If I'm not the right person, I'll say so, and I'll help you find who is.
No waitlist. If you reach out this week, we can usually start next week.