Anxiety Therapy
Compassionate, evidence-based therapy for anxiety that meets you where you are.
What High-Functioning Anxiety Can Look Like
High-functioning anxiety isn't an official diagnosis, yet many people use the term to describe feeling like they're holding it together on the outside while struggling on the inside.
You show up to work, meet deadlines and take care of other people. You’re getting stuff done. From the outside, you seem capable, dependable, and organized.
Inside, though, your mind rarely slows down. You replay conversations, overthink decisions, second-guess yourself, and worry about letting people down. Rest can feel uncomfortable, and relaxing isn't as simple as deciding to "just stop worrying."
Even when life is going well, your body may still feel tense or on edge, as though it's waiting for something to go wrong.
Over time, carrying that level of mental and physical vigilance can leave you feeling exhausted, disconnected from yourself, and unsure why everything feels so hard when, by all appearances, you're doing just fine.
If any of this feels familiar, you're not alone. Anxiety doesn't always look obvious. Sometimes it looks like being the person everyone else relies on while carrying far more than anyone realizes.
Common Signs of Anxiety That Often Go Unnoticed
Overthinking, replaying conversations, and wondering if you said the wrong thing.
Holding yourself to impossibly high standards, yet still feeling like you're falling short.
Finally having time to rest, but finding your mind won't slow down.
Feeling emotionally exhausted while continuing to show up as though everything is fine.
Hiding parts of yourself because you're worried people won't accept the real you.
Being the person everyone counts on, while wishing someone would check in on you.
Apologizing for things that don't require an apology or second-guessing your decisions long after you've made them.
Feeling like you always have to stay one step ahead, preparing for what could go wrong next.
Meet Your Anxiety Therapist
Courtney Vogt, MSW, LCSW
If you're reading this and recognizing yourself in these patterns, you don't have to keep carrying them alone.
Therapy with me is a collaborative process. Together, we'll slow down, make sense of what's been happening beneath the surface, and begin understanding the thoughts, behaviors, emotions, and relationship patterns that have been keeping you stuck. Many of these patterns developed for good reasons, even if they're no longer serving you today.
My approach is relational, trauma-informed, and grounded in attachment theory. Depending on your needs, I integrate evidence-based approaches including psychodynamic therapy, AEDP, Acceptance and Commitment Therapy (ACT), Dialectical Behavioral Therapy (DBT), Cognitive Behavioral Therapy (CBT), somatic therapy, and parts work to help you better understand yourself, regulate your nervous system, and build a more compassionate relationship with yourself.
Whether you're struggling with anxiety, perfectionism, people-pleasing, relationship difficulties, or the lasting effects of childhood trauma, we'll work together at a pace that feels supportive and sustainable. My goal isn't to "fix" you. It's to help you feel more connected to yourself, more secure in your relationships, and less like you're carrying the weight of everything on your own.
Therapy with me can be a space where you don't have to perform, hold it all together, or worry about being too much or not enough.
Through anxiety therapy, it is possible to:
Feel less overwhelmed by anxiety and more connected to your own needs.
Spend less time overthinking, worrying, and replaying conversations.
Set healthy boundaries without feeling guilty.
Learn practical tools to manage anxiety and calm your nervous system.
Understand the underlying patterns contributing to chronic anxiety, perfectionism, and people-pleasing.
Build greater self-confidence and trust your own decisions.
Improve your relationships by communicating more authentically.
Feel more present instead of constantly anticipating what could go wrong.
Reduce physical symptoms of anxiety, such as muscle tension, restlessness, and feeling on edge.
Experience more calm, confidence, and connection in your everyday life.
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Anxiety therapy is collaborative, supportive, and tailored to you. Some sessions may focus on what's happening in your life right now, while others help us uncover the deeper patterns that have been contributing to your anxiety over time.
You don't need to come in knowing exactly what to say or where to start. Many people simply know they're exhausted, overwhelmed, or stuck. Part of my job is helping us make sense of what's beneath the surface. Together, we'll better understand your anxiety, learn practical tools to regulate your nervous system, and work toward lasting change rather than simply managing symptoms.
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Yes. From a relational and psychodynamic perspective, anxiety often develops in the context of early relationships and experiences. The ways you learned to protect yourself, seek connection, or cope with emotional pain can continue to shape how you relate to yourself and others long into adulthood.
Rather than asking, "How do we get rid of the anxiety?" we'll also ask, "What is the anxiety trying to tell us?" Understanding the roots of these patterns can create meaningful, lasting change.
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I tailor therapy to each person rather than using a one-size-fits-all approach. Depending on your needs and goals, I may incorporate psychodynamic therapy, attachment-based therapy, AEDP, Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), somatic therapy, mindfulness, and parts work. Together, we'll find the approach that best fits your needs and goals.
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Is anxiety getting in the way of the life you want to live?
Maybe you're constantly overthinking, feel responsible for everyone else's happiness, can't seem to relax, or spend more time worrying than enjoying your life. Maybe you've gotten so used to living with anxiety that it just feels like your personality.
You don't have to wait until you're in crisis to benefit from anxiety therapy. If anxiety is shaping your relationships, work, school, decisions, or sense of self, therapy can help you understand why, and create new ways of responding.
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Most of the people I work with already know they're anxious. They've read the books, tried the coping strategies, and understand their anxiety logically. However, insight alone doesn't always create change.
Rather than focusing only on managing symptoms, we'll explore what's driving your anxiety in the first place. Together, we'll identify the patterns, relationships, and experiences that taught your nervous system to stay on high alert.
The goal isn't just to cope with anxiety. It's to help you feel safer, more grounded, and less controlled by it.
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Yes. Social anxiety doesn't always look like avoiding people or feeling shy. Sometimes it looks like rehearsing what you're going to say, replaying conversations, overexplaining so you won't be misunderstood, or feeling emotionally drained after spending time with other people.
In social anxiety therapy, we go beyond understanding the story. Together, we'll notice what happens in real time when you fear being judged, rejected, or getting something "wrong." Through new emotional experiences, a deeper understanding of your patterns, and a therapeutic relationship built on safety, those old expectations can begin to soften.
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Generalized anxiety is a pattern of persistent worry that can feel difficult to turn off. You might find yourself constantly thinking ahead, preparing for worst-case scenarios, or feeling like you always need to stay one step ahead of something bad happening. Even when life is going well, your mind and body may struggle to relax.
For many people, generalized anxiety isn't tied to one specific event. It's a way of moving through the world that often developed for a reason.
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Anxiety and depression often overlap. Many people come to therapy saying, "I'm not even sure what I'm feeling. I'm overwhelmed, exhausted, numb, anxious...maybe all of it." That's more common than you might think.
Rather than focusing on finding the perfect label, we'll work to understand what you're experiencing, how it developed, and what's keeping you stuck.
Anxiety Therapy FAQ
Start Anxiety Therapy Today
Anxiety doesn't have to keep running the show.
Feel free to reach out to book a complimentary 15-minute phone consultation.