Who comes to me about anxiety
Most people who call me about anxiety still get through their days. It just costs more than it used to: sleep goes first, then patience. You do not need a name for what you feel before you call.
What sessions look like
The first two or three sessions are mostly listening: what the worry is about, when it shows up, and what you already do to cope.
Then we pick one or two places to practice. I draw on cognitive behavioral therapy (CBT), which looks at the thoughts that feed worry, and acceptance and commitment therapy (ACT), which makes room for hard feelings.
I explain each exercise before we try it, and you can say no. Most clients meet weekly at first, and every few sessions we check that the work still fits.
Questions about therapy for anxiety
Do I need a diagnosis to start?
No. If you ask your plan for out-of-network reimbursement, the superbill needs a diagnosis code. We talk about what that means before I write one.
Do you prescribe medication?
No, I do not prescribe. I can give you the names of local prescribers who take new patients, and with your written permission I can coordinate with them.
Written and reviewed by Maren Ostrowe, LMHC, October 7, 2026