Anxiety therapy in NYC

We provide anxiety therapy in NYC and across New York for adults navigating high-responsibility work, life transitions, and persistent worry. If you’re looking for an experienced anxiety therapist in New York, you may be capable and high-functioning yet feel stuck in overthinking, pressure, and a nervous system that won’t downshift. Our approach to anxiety treatment goes beyond coping tips to address the underlying patterns driving stress and reactivity.

If you’re ready to feel less driven by anxiety and more steady in your decisions, you can request a consultation to get started.

Prefer virtual sessions? Learn more about online therapy in New York.

High-functioning, and still anxious

High-achieving people often look “fine” on the outside while running on chronic adrenaline underneath. You may be performing well at work and still feel keyed up, restless, irritable, or unable to shut your brain off at night. If you’re juggling a demanding schedule, our online sessions make it possible to get consistent support without adding another commute to your week.

Anxiety can show up as overpreparing, overchecking, people-pleasing, or feeling panicky in high-stakes moments like presentations or difficult conversations. It can also look like burnout: numbness, dread, and a sense that you’re always behind, no matter how much you do.

Therapy gives you a place to slow the cycle down, understand what’s driving it, and build steadier ways to cope—without losing the parts of you that are ambitious and capable.

Patterns we work with in anxiety therapy

  • Constant overthinking, second-guessing, or mental looping

  • Difficulty relaxing, sleeping, or turning your mind off after work

  • Panic symptoms or performance anxiety in high-stakes moments

  • Perfectionism, overpreparing, or feeling like you’re never done

  • People-pleasing, fear of disappointing others, or conflict avoidance

  • Burnout: dread, numbness, irritability, or a short fuse

If any of these patterns feel familiar, request a consultation to talk through what’s happening and decide on next steps.

20-minute phone consult. Choose a therapist — or we’ll match you by fit + schedule.

If anxiety shows up most in relationships — over-accommodating, reassurance-seeking, or shutting down — learn more about attachment therapy.

How therapy can help with anxiety

We’ll look at what your anxiety is doing for you — what it’s protecting you from, what it’s trying to prevent, and why it’s getting stuck on “high alert.” From there, we work on both:

  • Short-term tools to reduce spirals and manage symptoms (sleep, panic, overwhelm)

  • Long-term change by addressing the patterns underneath (perfectionism, self-criticism, relational stress, old expectations)

The goal isn’t to become a different person. It’s to feel more steady, more free, and less run by pressure.

When achievement stops feeling good

You can be doing everything “right” and still feel restless, empty, or oddly dissatisfied. Therapy helps you understand what your anxiety has been organizing — and what it’s been costing you — so achievement starts to feel more like something you can inhabit, not just chase.

High standards and relentless self-pressure

Anxiety often looks like perfectionism, over-preparing, and never feeling finished. We help you loosen the internal pressure, so you can set standards intentionally without living under constant self-criticism. For some people, anxiety is closely tied to imposter syndrome, the fear of being exposed despite evidence of competence.

Panic and physical symptoms

Anxiety often shows up physically — racing heart, tight chest, shallow breathing, nausea, or difficulty sleeping — even when you “know” you’re safe. For some people, it also looks like a mind that won’t turn off: constant scanning, rehearsing, and worst-case planning. Panic symptoms can feel scary and self-reinforcing, which can lead to avoidance and more vigilance. Therapy helps you understand what’s happening in your nervous system and reduce the cycle, not just manage it.

Overextension and burnout

Burnout isn’t just exhaustion; it can look like numbness, irritability, and a sense that even small tasks take too much. Therapy helps you identify what’s unsustainable in the way you’re living and working, and build boundaries that don’t collapse the moment someone asks for “one more thing.”

Anxiety therapy FAQ

Isn't my anxiety what's holding everything together?

You may have noticed a correlation between your anxiety and your ability to get things done. After all, ceaseless activity and stress tend to go hand in hand. You might fear that if you let go of some of your anxiety, you’ll be less successful. But, ambition isn’t diminished when anxiety starts to dissolve — it’s actually strengthened. It can be very difficult to mentally disentangle stress and ambition, but anxiety treatment can help you with that.

Stress is normal and I should be able to handle it…right?

For many high-functioning adults, anxiety isn’t rare — it’s normalized. It becomes the background noise of getting things done. Further, many people are able to “handle it” on their own. But, it’s also true that persistent anxiety can affect every area of your life. Therefore, reducing it can be life-changing. If stress is limiting your potential, anxiety treatment and stress management can get you back on track more quickly and with less discomfort than handling it on your own.

I’m so busy already…won't adding to my schedule make me more anxious?

Our therapists understand the New York City lifestyle. You’re moving a thousand miles a minute. When you finally sit down after a long day, the only thing on your mind is your to-do list for tomorrow. No wonder you’re feeling anxious! Our therapy practice in New York provides all services online. This means that you can meet with your anxiety therapist between board meetings or during your commute to the airport. Online sessions make therapy easier to start and easier to sustain, especially with a demanding schedule.

Ready to stop living on adrenaline?

You may feel like dealing with stress and anxiety are just a part of your life you have to come to terms with, even though it’s exhausting. You don’t have to live your life controlled by stress and anxiety anymore. At The Keely Group, we work with high-functioning adults who are carrying a lot — professionally, personally, or both — and want anxiety to stop running the background of their lives.

Additional information about our process and next steps is available in our FAQ and contact pages.