Anxiety Therapy in San Francisco, CA

Online anxiety therapy throughout California and Virginia.

Feel calmer, trust yourself, and stop letting anxiety run your life.
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Is Your Anxiety Running the Show?

Maybe you’re the person everyone sees as capable, responsible, and put-together, but inside, you’re constantly worrying and second-guessing yourself. You replay conversations, overthink texts and changes in someone’s tone, worry about disappointing people, and feel like you have to get things right or be exposed as a fraud.

At work, you may question whether you’re actually good enough despite your accomplishments. At home, you may be exhausted from managing, anticipating, and taking care of everyone else. You may want to ask for what you need, but worry you’ll be seen as needy, difficult, or too much. So you say yes when you mean no, take on more than you can handle, and put yourself last.

Even when nothing is wrong, your body may still feel on edge.
Maybe you:

  • Can’t stop worrying or turn your mind off

  • Expect something to go wrong even when things are going well

  • Worry that saying no will disappoint or upset someone

  • Constantly second-guess yourself and your decisions

  • Avoid healthy risks because you’re afraid of failing, disappointing someone, or getting it wrong

  • Remain quiet when you have something important to say

When anxiety becomes your default way of navigating the world, it can quietly keep you small. You may stay in familiar relationships or roles, hold back at work, or avoid opportunities because uncertainty and visibility feel too risky.

Therapy can help you understand what your anxiety is trying to protect you from, feel calm and grounded in your body, reconnect with your own needs and instincts, and develop the confidence to make choices that aren’t dictated by fear.

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How anxiety affects your relationships, self-esteem, and daily life.

For many high-achieving women, anxiety doesn’t necessarily look like falling apart. It can look like functioning incredibly well while feeling exhausted inside.

  • Constant worry is exhausting.

    What if you could go from:

    1. Replaying conversations and analyzing what you should have said → Letting a conversation be over without picking it apart?

    2. Anticipating everything that could go wrong and expecting the worst → Feeling more present and able to tolerate uncertainty, even when you don’t know what will happen next?

    3. Thinking about something over and over in the hope that you’ll finally feel certain → Trusting yourself enough to make a decision without needing complete certainty?

    Therapy can help you understand the cycle of worry and learn to respond to uncertainty without needing to solve everything immediately.

  • Anxiety can make relationships feel like something you have to constantly manage. You may monitor someone’s mood, seek reassurance, overexplain yourself, or worry about being rejected or abandoned. Over time, this can affect how you see yourself. You may wonder whether you're too sensitive, too needy, too emotional, or simply not enough.

    What if you could go from:

    1. Feeling anxious about how others perceive you and constantly monitoring their reactions → Feeling more secure in yourself, even when you don't know exactly what someone else is thinking?

    2. Struggling to say no, ask for what you need, or set boundaries because you’re afraid of disappointing someone → Expressing yourself honestly without feeling like you’re risking the relationship?

    3. Taking responsibility for other people’s feelings and believing it’s your job to keep everyone happy → Allowing other people to have their own feelings without making them your responsibility?

    Therapy can help you understand the connection between anxiety, attachment, and self-worth so you can build relationships where you can be connected without abandoning yourself.

  • Anxiety has a major impact on the body. You may experience a tight chest, clenched jaw, tense shoulders, a knot in your stomach, restlessness, difficulty sleeping, fatigue, or a constant feeling that you need to be ready for something to go wrong.

    What if you could go from:

    1. Feeling tense, restless, overwhelmed, or constantly on edge → Feeling more grounded and able to settle in your body?

    2. Feeling uncomfortable when you’re not being productive, always needing to do something or stay busy → Being able to slow down and rest without feeling like something is wrong?

    3. Pushing yourself until you’re exhausted and burned out → Recognizing when your body needs a pause and responding before you reach your limit?

Somatic therapy can help you become more aware of these patterns and learn how to work with your nervous system rather than constantly fighting against it.

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How anxiety therapy in San Francisco, CA can help

  • People-Pleasing

    People-pleasing can feel like kindness, but when you're constantly monitoring what everyone else needs, you can lose touch with what you need.

    We'll explore what makes it difficult to say no, disappoint someone, or let another person be uncomfortable—and help you practice honoring your needs without being consumed by guilt.

  • Self-Abandonment

    Self-abandonment can happen so gradually that you may not even realize you're doing it. You may automatically look to other people for reassurance before trusting your own judgment.

    Therapy can help you reconnect with your feelings, needs, values, and instincts so you can begin asking, “What do I actually want?” instead of only, “What will keep everyone else happy?”

  • Anxious Attachment

    If you tend to become preoccupied with relationships, seek reassurance, fear rejection, or feel unsettled when someone pulls away, attachment patterns may be contributing to your anxiety.

    We'll explore where these patterns came from, why they made sense, and how you can develop a greater sense of security within yourself and your relationships.

  • Move Beyond Imposter Syndrome

    You can be successful and still feel like you don't belong. Imposter syndrome can keep you overworking, overpreparing, and second-guessing yourself. You may be waiting to take that big opportunity until you feel completely confident, but just end up staying in the same place.

    Therapy can help you separate your actual abilities from the fear that you're not enough, so you can take healthy risks, pursue what matters to you, and let yourself be seen.

  • Break the Burnout Cycle

    You may be carrying the emotional load at work and at home, pushing past exhaustion, or feeling guilty whenever you rest. Together, we'll explore the beliefs and patterns keeping you stuck in overfunctioning and help you create a more sustainable relationship with achievement, responsibility, and rest.

  • Calmer Nervous System

    Anxiety therapy, and practices such as breath work and grounding, can help you develop a nervous system that has more flexibility and a greater capacity to move through uncertainty.

    Through somatic and mindfulness-based approaches, we'll practice noticing what is happening in your body and responding with greater awareness rather than automatically reacting from old patterns.

Meet your San Francisco anxiety therapist

Online therapy available throughout California and Virginia

Hi, I’m Alexis!
I'm a licensed therapist and Certified Clinical Trauma Professional with over a decade of experience helping women navigate anxiety, relationship patterns, self-doubt, people-pleasing, and the effects of emotionally difficult childhood experiences.

I don't believe anxiety means something is wrong with you. Often, anxiety developed for a reason. Maybe you learned to closely monitor other people's moods, anticipate problems, work hard to earn approval, or stay one step ahead of rejection. These patterns may have helped you feel safe or connected earlier in life, even if they're creating problems now.

My approach is attachment-based, somatic, parts work, and trauma-informed. Together, we'll look beneath the anxiety to understand what it's trying to protect, while helping you develop new ways of responding.

My goal is to help you feel grounded enough in yourself that you don't have to let anxiety make every decision for you.

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  • ★★★★★

    “Alexis is a compassionate and highly skilled therapist. She creates a safe space for clients working through trauma, anxiety, relationship insecurity, and self-worth challenges. Her attachment-focused approach fosters deep healing, resilience, and growth.”

    – AY 

  • ★★★★★

    “Alexis brings a calm, non-judgmental presence to trauma work, anxious attachment, and C-PTSD, helping clients rebuild self-esteem and manage anxiety with compassion, warmth, and genuine care. ”

    – LG 

Reach out to a San Francisco Anxiety Therapist Today!

You don't have to keep letting anxiety run the show. Therapy can help you understand the patterns underneath your anxiety, reconnect with yourself, and create more room for confidence, choice, and a life that feels like your own.

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FAQ’s

  • Anxiety therapy begins with understanding how anxiety shows up in your thoughts, behaviors, relationships, and body. We'll explore what may be underneath the anxiety and identify the patterns that keep it going. Depending on your needs, therapy may incorporate attachment work, somatic approaches, parts work, mindfulness, and trauma-informed techniques to help you develop greater regulation, self-trust, and choice.

  • Length of therapy depends on what you're experiencing and what your goals are. Some people benefit from shorter-term support around a specific period of anxiety, while others want to work more deeply with longstanding patterns related to attachment, trauma, self-worth, or people-pleasing.

    I work collaboratively, so we'll regularly check in about how you’re feeling and what you’re needing.

  • You don't have to be falling apart for anxiety to be affecting your life. High-functioning anxiety can look like perfectionism, overworking, overthinking, difficulty resting, people-pleasing, or constantly feeling like you need to do more.

    Therapy can help you understand what's underneath the drive to keep performing and develop a healthier sense of safety and self-worth that isn't dependent on how much you accomplish.

  • Anxiety and depression often overlap. You may feel constantly worried and mentally exhausted while also feeling unmotivated, disconnected, hopeless, or overwhelmed. Therapy can help address both while exploring the underlying patterns contributing to your symptoms.

  • I provide online therapy to clients throughout California who are looking for support with anxiety, relationship anxiety, anxious attachment, self-worth, people-pleasing, burnout, and related concerns.

  • I provide online therapy to clients throughout Virginia. Therapy may be especially helpful if anxiety is affecting your relationships, work, self-confidence, or ability to navigate major life changes.