Therapy for anxiety
Racing thoughts, sleepless nights, a constant hum of worry, or a tight chest that never quite lets go. Anxiety therapy is a place to understand what is driving it, especially if you also live with ADHD or a history of trauma, and to build something steadier than symptom management.
Online therapy for adults in Washington, Florida, Colorado, Idaho, Vermont, Delaware and South Carolina.
Is this you?
If several of these sound familiar, therapy may be worth a conversation. A free 15-minute call is the place to start.
- ✓Overthinking that runs long after the situation is over
- ✓Physical anxiety: restlessness, a tight chest, trouble sleeping
- ✓Perfectionism or fear of failure that drives everything
- ✓Anxiety that spikes in relationships, around conflict or when someone pulls away
- ✓A sense that it is connected to ADHD, burnout or things that happened earlier in life
How anxiety therapy works here
Through approaches such as mindfulness, cognitive restructuring, nervous system regulation and trauma-informed methods like EMDR and ART, you learn how to quiet anxious thoughts, reduce overthinking and respond to pressure with more balance. The goal is not to force yourself to stop worrying. It is to understand the worry, meet it with some compassion, and gradually regain a sense of control.
We also look at the deeper patterns that keep anxiety going: perfectionism, fear of failure, unresolved trauma or burnout. Addressing what is underneath is what makes change hold, rather than offering temporary relief. If anxiety sits alongside adult ADHD, or past experiences still affect your sense of safety, working with a therapist who understands both makes a difference.
What usually drives it
Anxiety is rarely just anxiety. These are the roots that come up most.
Perfectionism and fear of failure
The standards that keep you safe and exhausted at the same time.
Unresolved trauma
Old experiences that keep the alarm system switched on. EMDR and ART help here.
Burnout
Running on empty for so long that worry becomes the default setting.
Attachment patterns
Anxiety that lives in relationships. Details below.
Therapy for attachment patterns
Our earliest relationships shape the way we love, trust and connect throughout life. When those early bonds were inconsistent, neglectful or painful, they can leave patterns of insecurity that follow us into adulthood: fear of abandonment, difficulty trusting, emotional avoidance, or an intense sensitivity to conflict.
Attachment-focused therapy helps you examine your relational history and understand how it shapes your emotional world today. Through guided reflection, emotional regulation skills and trauma-informed approaches such as EMDR, you learn to recognise your triggers, express your needs safely and build connections rooted in trust. For people carrying long-standing or childhood trauma, this is often where clarity starts.
Attachment work is not only about how you relate to others. It also reshapes how you relate to yourself. Healing these patterns takes time and consistent support, and the aim is steadier boundaries, more self-worth, and the ability to give and receive closeness without fear.
In network with United Healthcare, Optum and First Choice Health. Out of network with most BCBS plans, with superbills for reimbursement. Free 15-minute consultation.
Ready when you are.
Book a free 15-minute call. If I'm not the right fit, I'll point you to someone who is.
Email sean@innerstandingpsychotherapy.com
Text preferred (509) 341-0067
Telehealth Washington, Florida, Colorado, Idaho, Vermont, Delaware, South Carolina
In crisis? Call or text 988. This practice is not an emergency service.