Online therapy for anxiety
Anxiety rarely arrives as a single problem. It shows up as a 4:00 AM inventory of everything unfinished, a presentation that costs three days of dread, a body that stays braced long after the deadline passes. You may be performing well by every external measure and still spending most of your energy managing your own nervous system.
This work treats that pattern as something with structure rather than something to be endured. We identify what your anxiety is actually tracking, what it costs you, and which parts of it respond to skills you can practice this week.
Clinical approach
DBT skills with trauma-informed pacing
The approach combines Dialectical Behavior Therapy skills with trauma-informed pacing to stabilize autonomic arousal first. When your body is running at a constant low-grade alarm, insight alone does not reach it, so early sessions build concrete regulation skills you can use in the middle of a meeting or a sleepless night.
From that steadier baseline we untangle the underlying cognitive loops that keep regenerating the worry — the standards, predictions, and obligations that feel like facts. The pace is set deliberately: fast enough to produce change you can feel, slow enough that nothing gets destabilized in the process.
What the work tends to cover
- Distress tolerance and regulation skills for acute anxiety
- Sleep disruption, rumination, and the 3:00 AM loop
- Performance and anticipatory anxiety around visible work
- Physical symptoms of sustained autonomic arousal
- Boundary and workload patterns that keep the alarm on
- Diagnostic clarification when the picture is unclear
Ready to talk about anxiety?
Scheduling, eligibility checks, and intake paperwork all happen in the Headway portal.