ANXIETY THERAPY FOR HIGH-FUNCTIONING ADULTS IN NYC & WESTCHESTER, NY
You learned early how to hold it together. Now you’re not sure how to put it down.
Anxiety therapy for high-functioning adults across New York City and Westchester County, NY. We offer online therapy for adults whose chronic stress, overthinking, and vigilance developed in the context of early responsibility, spirituality, or managing chronic illness.
We help you understand and soften the patterns you developed to hold everything together — so you no longer have to live in constant pressure.
You might recognize yourself here.
You are capable and dependable — often the one others rely on.
You anticipate problems before they happen.
You feel responsible for how situations unfold, even when they aren’t yours to manage.
You monitor how you’re coming across in conversations.
Rest feels uneasy, even when you’re exhausted.
You minimize your needs to avoid being “too much.”
You track your body closely — questioning whether what you’re feeling is real, serious, or acceptable.
You’ve been described as strong, but rarely feel at ease.
INSIDE, you're running on empty
INSIDE, you're running on empty
You’ve been managing for a long time.
It may be time to understand what it’s been costing you.
What you call anxiety often began as adaptation.
Learning to regulate yourself so others didn’t have to.
Becoming responsible earlier than you should have been.
Staying alert to subtle shifts in mood, expectation, or health.
Over time, vigilance became automatic.
Self-containment became protective.
Self-criticism became preventative.
You function well.
You are trusted.
But your nervous system is rarely at ease.
Therapy isn’t about taking away your competence.
It’s about understanding the patterns that shaped it, and deciding when you no longer need to live in constant readiness.
More controlled. Less explanatory. Stronger cadence.
Where These Patterns Often Take Shape
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Early Responsibility
You learned to manage yourself so others didn’t have to. Capability became identity.
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Spiritual or Moral Pressure
Getting it right mattered — ethically, relationally, spiritually. Self-scrutiny became reflexive.
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Living With Chronic Illness
When your body requires monitoring, vigilance makes sense. Over time, that vigilance extends beyond symptoms — shaping how much you ask for, how much you rest, and how much space you take up.
How Anxiety Therapy Works for High-Functioning Adults in NYC & Westchester
Anxiety therapy is a deliberate slowing down. Together, we examine the patterns that formed early and now operate automatically — patterns shaped by chronic stress, early responsibility, spirituality, or living with chronic illness.
Many high-functioning adults ask how therapy actually creates change. In our sessions, we focus on identifying the vigilance, over-responsibility, and internal monitoring that once felt necessary — and helping your nervous system experience something different.
We pay attention to:
How responsibility shows up between us.
When you begin monitoring or containing yourself.
How vigilance lives in your body.
What your anxiety has been protecting.
At times we explore family dynamics, spiritual frameworks, or the experience of living in a body that requires constant management. Not to assign blame — but to understand how your nervous system learned what felt necessary.
The goal is not simply symptom relief.
It is a different relationship to your internal experience — one that allows for more flexibility, less self-silencing, and more choice.
Testimonials
Book Your Free 15-Minute Consultation
A focused conversation to understand what brings you here and whether this work feels aligned.
Specialized Anxiety Therapy Across New York
We are a small, clinically focused practice providing depth-oriented therapy for adults across New York.
Our work centers on high-functioning individuals whose anxiety is shaped by early responsibility, spiritual or moral pressure, or the experience of chronic illness. We do not approach anxiety as a flaw to eliminate, but as a pattern to understand.
Each therapist brings a thoughtful, relationally attuned style grounded in psychodynamic and parts-informed work.
Amanda Phillips, LCSW — Founder & Primary Therapist
Amanda works with capable, self-aware adults who have spent years managing internal pressure. Her approach is steady, precise, and developmentally informed.
IFS-trained and relational in orientation, she helps clients examine the vigilance, over-responsibility, and self-containment that once felt necessary — and determine how they want to live with more flexibility and self-trust.
She has particular depth working at the intersection of anxiety, spirituality, and chronic illness.
Elizabeth Weiburg, LMHC — Associate Therapist
Elizabeth works with adults navigating anxiety, relational strain, and life transitions. Her style is attuned and direct, helping clients identify patterns that keep them bracing or self-silencing.
Her work emphasizes emotional clarity, nervous system awareness, and building a steadier internal foundation.
When you’re ready to look beneath the vigilance, we can begin.
A consultation gives us space to understand what brings you here and whether this work feels aligned. Schedule a consultation.
Frequently Asked Questions About Anxiety Therapy in NYC & Westchester
Find answers to common questions here.
Still need help? Feel free to reach out anytime!
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Anxiety therapy focuses on understanding the internal patterns driving chronic stress, overthinking, and vigilance. Many high-functioning adults developed these patterns early — through responsibility, spiritual or moral pressure, or managing chronic illness.
In therapy, we slow these patterns down and examine how they operate in real time, helping you develop more flexibility and steadiness without losing your competence.
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While coping tools can be helpful, our work goes deeper than symptom management. Rather than only reducing anxiety, we explore what your vigilance has been protecting and how it formed. This relational, parts-informed approach allows change to happen at the level of the nervous system — not just in thought.
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Yes. Research consistently shows that online therapy can be as effective as in-person therapy for anxiety. We provide secure virtual therapy across New York State, including New York City and Westchester County, allowing you to access consistent, depth-oriented care from your home or office.
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We are a private-pay practice and do not bill insurance directly. Many clients choose private-pay therapy for increased privacy, flexibility, and the ability to engage in deeper, long-term work without insurance limitations. If your plan includes out-of-network benefits, we can provide documentation for potential reimbursement.
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Many of the adults we work with have been in therapy before and are highly self-aware. Often, insight alone hasn’t shifted the deeper vigilance pattern. Our work focuses on what happens in real time — in your body and in relationship — allowing change to occur experientially rather than intellectually.
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The first step is scheduling a consultation. During that conversation, we’ll discuss what brings you in, answer your questions, and determine whether working together feels aligned. We offer online therapy throughout New York State, including NYC and Westchester County.