Neurodivergent-Affirming Anxiety Therapy
Anxiety is not a character flaw or a failure of willpower. It is a what-if engine: a fear that feels urgent and true, followed by avoidance meant to keep it quiet, until the avoiding takes over more and more of your life. This practice treats anxiety and phobias with two evidence-based methods, ERP and Inference-Based CBT, delivered online to adults. One of them uses no deliberate exposure at all. Whatever the fear has narrowed, there is a way to get it back that is built around how your mind actually works.
Help with: panic & agoraphobia · social anxiety · emetophobia · driving anxiety · misophonia · generalized worry · health anxiety.
A real choice of method
Not exposure or nothing. ERP, I-CBT, and ACT are all on the table, and we decide together which fits, or how to combine them.
Treatment without exposure
I-CBT resolves the doubt behind the fear with no deliberate exposure, an option most anxiety care simply does not offer.
Neurodivergent-affirming
Autism and ADHD are respected, never targeted. Sensory pain is never mislabeled as anxiety to expose you to.
One therapist, all the way
I do every consultation myself to make sure it is a good fit, and you work with one named specialist start to finish, not a rotating match from a pool.
The fear, and the trap underneath it
Anxiety wears many forms, but underneath most of them runs the same loop: a what-if that feels dangerous, then avoidance or a safety behavior to make it stop. The relief is real but brief, and it teaches your brain the fear was justified, so the loop tightens. Breaking it means working on the loop, not white-knuckling the fear.
Anxiety and phobias I treat
Anxiety takes many shapes, and most people arrive looking for their specific one. Here are common ones, each with a dedicated page:
Fear-based eating difficulty
ARFID is not an anxiety disorder in the classic sense, but it is often driven by fear (of choking, vomiting, or new foods) and responds to related methods, so it fits alongside this work:
More than one way in, chosen to fit you
Most anxiety therapy offers one route: exposure. Here you have several evidence-based methods, and which one leads is a decision we make together, not a protocol you are handed.
Affirming ERP: exposure you choose
When you have built your days around avoiding the thing, the avoiding becomes the bigger problem, and ERP takes it apart step by step. It is delivered with structural consent: your list, your pacing, a real veto, sensory pain never conflated with anxiety, and nothing sprung on you. Read the affirming ERP introduction →
I-CBT: no deliberate exposure
Inference-Based CBT treats the fear as a doubt problem: it traces how "what if the worst happens" gets manufactured against the evidence of your own senses, and resolves the doubt at its source. No flooding, no provoking anxiety on purpose. Often the better fit when the fear is a reasoning loop rather than avoidance of a real situation. Read the full I-CBT introduction →
Weighing your options? Here's I-CBT vs ERP compared, and we'll settle it together in your free consult.
ACT: living alongside the fear
Acceptance and Commitment Therapy has a strong evidence base for anxiety, particularly social anxiety and generalized worry. Rather than aiming to remove the fear first, it builds room to act on what matters while the fear is present, loosening the struggle that keeps anxiety in charge. It can stand on its own or fold into the work above, and it fits especially well when the goal is a bigger life rather than a quieter mind. Read the ACT introduction →
Anxiety therapy that works with your neurodivergence, not against it
For neurodivergent adults, standard anxiety therapy often gets one crucial thing wrong: it treats sensory experience and neurodivergence as anxiety to be exposed away. Here they never are. Autism and ADHD are respected, the fear is what gets treated, and the methods are built for how your brain actually works.
Adults who tried exposure and it did not fit
If exposure felt intolerable, or you pushed through it and the fear came back, that is information, not failure. I-CBT offers a genuinely different route, and affirming ERP offers a version built on consent rather than endurance.
Autistic and ADHD adults
A specialty here: telling anxiety apart from sensory overwhelm and autistic experience, so therapy never targets your neurotype and sensory pain is never mislabeled as fear. Methods are adapted for neurodivergent nervous systems. This connects to my broader work with neurodivergent adults.
People whose world has narrowed
When anxiety has ruled out driving, socializing, travel, foods, or whole places, the goal is not just to feel calmer but to get your life back, one situation at a time, at a pace you set.
Anyone carrying more than anxiety
Anxiety rarely travels alone. The OCD, burnout, or depression alongside it get treated in the same place, by the same person, rather than split across referrals that never talk to each other.
Not sure which fear is running the show, or which therapy fits?
That is exactly what the free consultation is for. We will talk it through by phone, no pressure and no commitment, and you will leave with a clearer sense of your options.
Book a free 15-min consultationAnxiety therapy in your state
I see adults by telehealth in four states. Sessions are virtual, so you can join from anywhere in your state, including the rural areas where in-person anxiety specialists are hardest to find.
Insurance or private pay, your choice
Accepted insurance plans vary by state. Private pay rates are the same for individuals and couples, and for ERP or I-CBT.
Accepted plans differ by state, so verify your benefits first. The services page has the full breakdown.
The fear feels permanent. It is not.
Anxiety and phobias are treatable, and there is more than one way through. Book a free 15-minute consultation and we will find the one that fits you.
Book a free 15-min consultation