Anxiety Therapy for High-Achieving Women

The short answer is yes, and I can speak to this beyond just research. I spent a decade doing in-person therapy before moving to a fully virtual practice in 2020. Honestly, I wasn’t sure what to expect. What I found was that, for many of the women I work with, online therapy removed barriers that had kept them from getting help in the first place: the commute, the scheduling, and the need to show up somewhere after an already exhausting day.

The research supports it too. Studies comparing CBT delivered by video to the same therapy in person have found similar improvement in anxiety symptoms [3]. Research reviews looking across many studies also find teletherapy outcomes are generally comparable to in-person therapy when the treatment approach is the same [4]. But more than the studies, I’ve watched it work.

If you’re a high achiever with a packed schedule, online therapy removes much of the friction that keeps you from showing up consistently. And consistency is one of the biggest factors in making progress.

Honestly? Because it fits their lives in ways traditional therapy often doesn't.

There's no commute, no rearranging your entire afternoon, and no sitting in a waiting room after a back-to-back meeting day. Sessions happen from wherever you are, your home office, your car between appointments, or a quiet room at work. Remote sessions can take place early in the morning, during lunch breaks, and in the evening.

For women juggling demanding careers, leadership roles, or businesses across multiple time zones, that kind of flexibility isn't a nice-to-have. It's what makes it possible to actually follow through.

I work with clients in Colorado, Massachusetts, New York, Vermont, and Florida, and wherever you are in those states, the support is the same.

A few things matter more than most people realize when they're choosing a therapist.

Credentials are a starting point. However, you also want to make sure the clinician is trained in evidence-based approaches like CBT, ACT, or IFS and specializes in anxiety. Beyond that, it matters whether the therapist understands your world. Working with a high-achieving woman who's burning out in a demanding career is different from general anxiety work, and your therapist should get that without you having to explain it from scratch.

It's important to find someone who offers a free consultation before you commit. That conversation will tell you a lot, not just about their approach, but about whether you feel comfortable being honest with them. The therapeutic relationship created is one of the strongest predictors of whether therapy actually works, so trust your gut on fit.

Yes, and it makes a lot of sense, especially for high-achieving women. Asking for help can feel unfamiliar when you're used to being the one who figures things out. You might worry about what to say, whether your problems are serious enough, or how you'll come across. All of that is normal.

It's also normal to feel uncertain about online therapy specifically, especially if you've never tried it before. A lot of people wonder whether it can feel personal enough or whether you can actually build a connection through a screen. In my experience,  both in person and virtually, the connection is real. It just looks a little different.

You don't need to have it all figured out before your first session. Most people don't. We'll start wherever you are.

It varies, but most clients start noticing something shift within the first few sessions, not a complete transformation, but a sense that things are starting to make more sense, or that they have a tool they didn't have before.

Meaningful, lasting change typically becomes more visible around 8 to 12 sessions, especially when you're coming weekly and practicing skills between appointments. The work doesn't only happen in session. What you do with it in your actual life is a big part of what moves things forward.

It depends on what you're working on and your goals. Some clients come in with a specific situation driving their anxiety, and are ready to wrap up within a few months. Others are dealing with longer-standing patterns, like perfectionism, chronic burnout, or years of high-functioning anxiety, and want more time to go deeper.

Treatment is always tailored to you. We'll talk about your goals early on and check in as we go so you're never in the dark about where things stand.

Most people come in focused on the mental side of anxiety, the overthinking, the worry, the spiraling thoughts. What catches them off guard is how much of the work ends up being about the body. The racing heart before a big meeting. The chest that never fully relaxes or the stomach that doesn’t quiet. The tension you've been carrying in your shoulders for so long, you stopped noticing it. The migraines that take over your day.

Anxiety doesn't just live in your head. Your nervous system is involved, and therapy addresses that too.

Part of the work we do together involves learning to recognize those physical signals earlier, before they spiral, and having concrete skills to calm your nervous system, not just your thoughts. Depending on what's helpful for you, that might include breathwork, grounding techniques, body scans, progressive muscle relaxation, mindfulness practices, or guided visualization.

The goal is that you leave sessions with things you can actually use in your daily life, not just insights that stay in the therapy room.