ANXIETY THERAPY IN DC

Anxiety Therapy in Washington DC

When worry runs your days and keeps you up at night, therapy can help you find steady ground.

40M American adults live with an anxiety disorder — you are not alone in this
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Anxiety doesn’t always look like panic attacks and racing thoughts. Sometimes it looks like overworking, over-preparing, and never feeling like you’ve done enough. It looks like scanning every room for what could go wrong, replaying conversations for hours, or lying awake running through tomorrow’s problems before tonight’s are finished.

If constant worry has become your default setting — the background noise you can’t turn off — you’re not dealing with a personality flaw. You’re dealing with anxiety. And anxiety responds well to treatment.

At Therapy Group of DC, our therapists specialize in anxiety therapy for adults living and working in Washington DC. Whether you’re experiencing generalized anxiety disorder, social anxiety, panic disorder, or a persistent sense of dread that doesn’t fit a neat label, we help you understand what’s driving your anxiety — not just manage the symptoms on the surface.

Our practice is rooted in psychodynamic therapy — an approach that goes beyond coping strategies to explore the patterns, relationships, and experiences that keep anxiety in place. We also draw on cognitive behavioral therapy (CBT), mindfulness practices, somatic techniques, and relational approaches, matching the right combination to your experience.

From Our Practice

The people who walk through our door aren’t looking for a diagnosis — they’re looking for relief. They want to stop dreading Sunday nights, stop spiraling before every meeting, stop lying awake replaying conversations. That’s where we start. Not with labels, but with what’s actually making your life harder than it needs to be.

What Is Anxiety Therapy?

Anxiety therapy isn’t about learning to “calm down” or think positively. It’s a structured process of understanding what your anxiety is protecting you from — and building a different relationship with worry so it stops running your decisions.

Effective anxiety treatment typically works on several levels at once:

  • Understanding your patterns. Identifying the triggers, thought loops, and avoidance behaviors that keep anxiety in place — and where they came from.
  • Regulating your nervous system. Learning to work with your body’s stress response rather than being hijacked by it. This includes somatic awareness, breathing techniques, and mindfulness practices.
  • Challenging anxious thinking. Examining the cognitive distortions — catastrophizing, mind-reading, worst-case spiraling — and developing more flexible ways of responding to uncertainty.
  • Addressing what’s underneath. For many people, anxiety is connected to deeper relational patterns, early experiences, or unprocessed emotions. Lasting change often requires working at this level, not just managing surface symptoms.

The goal isn’t to eliminate anxiety entirely — some anxiety is adaptive and useful. The goal is to stop it from making your decisions, disrupting your sleep, and eroding the quality of your life.


Our Anxiety Therapists
Specialists in anxiety, stress, and panic — not generalists who see everything.
Tyler Miles Tyler
Dana Treistman Dana
Xihlovo Mabunda Xihlovo
Jessica Hilbert Jessica
Kevin Isserman Kevin
Dominique Harrington Dominique


Ready to stop managing anxiety alone?
Our therapists help you understand what's driving the worry — and build a different relationship with it.


Anxiety Disorders and Concerns We Treat

Anxiety disorders tend to show up differently depending on where your mind gets stuck. Some people live in a loop of “what if.” Others avoid situations entirely. Some experience intense physical symptoms — chest tightness, rapid heartbeat, nausea — without understanding why. We treat anxiety across its full range.


You're Here — That's the Hardest Part

Our anxiety therapists can help you figure out what comes next.



How We Treat Anxiety

There’s no single “best therapy for anxiety.” The most effective anxiety treatment depends on what you’re experiencing, how long it’s been going on, and what’s underneath it. Our therapists are trained in multiple evidence-based approaches and match the method to you — not a protocol.

Psychodynamic Therapy

Psychodynamic therapy explores the underlying patterns, relationships, and experiences that keep anxiety in place. Rather than focusing only on symptoms, this approach helps you understand why you respond the way you do — the unconscious conflicts, early relational patterns, and unprocessed experiences that fuel persistent worry. Research shows psychodynamic therapy produces lasting change that continues to improve even after treatment ends.

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Cognitive Behavioral Therapy (CBT)

CBT helps you identify the thought patterns and behaviors that keep anxiety in control. By examining cognitive distortions — the catastrophizing, the worst-case spiraling — and testing them against reality, you learn to respond to anxious thoughts differently. CBT is well-researched for generalized anxiety disorder, social anxiety disorder, and panic disorder and works well alongside deeper exploratory work.

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Integrative & Somatic Approaches

Many of our therapists draw on mindfulness practices, relaxation techniques, somatic therapy, and relational methods to address anxiety at multiple levels. This is especially helpful when anxiety shows up as physical symptoms — muscle tension, chest tightness, difficulty breathing — or when you need approaches that work with both body and mind.

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Is Anxiety Therapy Right for You?

You might benefit from anxiety therapy if you:

Feel a persistent sense of worry or dread that’s hard to control
Lie awake at night running through scenarios that haven’t happened
Avoid situations — social events, phone calls, decisions — because of how they make you feel
Experience physical symptoms like rapid heartbeat, muscle tension, nausea, or difficulty breathing
Over-prepare, overwork, or over-research as a way of managing uncertainty
Notice that anxious thoughts interfere with your ability to concentrate or be present
Use alcohol, exercise, or busyness to manage the feeling without addressing it
Feel exhausted from a nervous system that never seems to switch off
Know logically that your worry is disproportionate but can’t stop it
Have been told you seem fine — but internally, you’re running on adrenaline


What to Expect in Anxiety Therapy

1

Getting Oriented

Your therapist will work to understand how anxiety shows up in your life — not just your symptoms, but the patterns behind them. What triggers it. How you’ve been managing it. What it’s cost you. This isn’t a checklist or a medical evaluation. It’s a conversation designed to build a clear picture of your experience and begin a relationship where real work can happen.

2

Building Understanding

You’ll begin exploring both the symptoms and what’s underneath them. For many people, anxiety is connected to deeper patterns — early life experiences, relational dynamics, unconscious beliefs about safety and control. Your therapist may also introduce specific tools — cognitive restructuring, mindfulness, exposure techniques, or somatic work — as complements to this deeper exploration.

3

Active Change

Therapy shifts from understanding anxiety to changing your relationship with it. You’ll start noticing moments where old patterns would have taken over — and responding differently. Clients often describe this as the point where they stop white-knuckling through anxious moments and start recognizing what their anxiety is trying to tell them.

4

Integration & Maintenance

The final phase focuses on consolidating gains and building resilience for the long term. You’ll develop strategies for recognizing early warning signs, navigating setbacks without spiraling, and maintaining the changes you’ve made. Some clients transition to less frequent sessions during this phase — checking in monthly rather than weekly as they build confidence in their own capacity to manage what comes up.



Why Washington DC Chooses Therapy Group of DC

The unique pressures of DC anxiety

The anxiety that walks into our Dupont Circle office isn’t generic. It’s the Hill staffer who can’t stop refreshing the news. The attorney who over-prepares every brief because “good enough” feels like failure. The nonprofit director carrying an entire mission on their shoulders while their own mental health erodes. Washington DC’s professional culture rewards overwork and punishes vulnerability. Political volatility creates chronic uncertainty. The city’s transient population means many of our clients are managing severe anxiety without a local support network. We get that context — and we treat anxiety with it in mind, not in spite of it.

Anxiety specialists — not generalists

Our practice includes doctoral-level psychologists and experienced licensed therapists who focus on anxiety disorders and related mental health conditions. We match you with a therapist whose training and approach fit your specific experience — not whoever has an opening.

What real progress looks like

We’re a psychodynamically oriented practice. That means we don’t just hand you coping strategies and send you on your way. We help you understand the patterns that keep anxiety running your life — and we do it with warmth, directness, and clinical expertise. Real progress means you stop needing to manage anxiety constantly because you’ve changed your relationship with it at a deeper level.



Individual Session Rate
$230–$300
Many clients receive partial reimbursement through out-of-network insurance benefits.
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Frequently Asked Questions About Anxiety Therapy

What is the best therapy for anxiety?
The most effective anxiety treatment depends on the person. At Therapy Group of DC, we lead with psychodynamic therapy — an approach that goes beyond symptom management to explore the patterns and experiences keeping anxiety in place. Cognitive behavioral therapy (CBT) is also well-researched for generalized anxiety disorder, social anxiety disorder, and panic disorder. Many of our therapists integrate both, using CBT tools alongside deeper exploratory work for lasting change.
What does generalized anxiety disorder feel like?
Generalized anxiety disorder (GAD) feels like a constant hum of worry that you can’t turn off. You may feel on edge most of the day, have difficulty concentrating, experience muscle tension or restlessness, and lie awake at night cycling through concerns. The worry often feels disproportionate to the actual situation — and knowing that doesn’t make it stop. GAD is one of the most common anxiety disorders and responds well to talk therapy.
How long does anxiety therapy take?
Many clients begin to notice shifts within 8–12 sessions, and significant improvement typically occurs within 12–20 sessions of consistent anxiety treatment. Some people benefit from shorter-term work focused on specific anxiety symptoms and coping strategies. Others find that deeper psychodynamic work — understanding the roots of their anxiety — leads to more lasting change. Your therapist will check in regularly to make sure treatment is moving in the right direction.
Can anxiety go away on its own?
Anxiety disorders rarely resolve without some form of treatment. While mild anxiety may fluctuate with life circumstances, clinical anxiety — including generalized anxiety disorder, panic disorder, and social anxiety disorder — typically persists or worsens without intervention. The good news: anxiety is one of the most treatable mental health conditions. Evidence-based treatments like psychodynamic therapy and CBT have strong track records of helping people reduce anxiety and reclaim their everyday life.
What's the difference between normal worry and an anxiety disorder?
Everyone worries. The difference is degree and duration. Normal worry is proportionate and passes. An anxiety disorder involves persistent worry that interferes with your daily functioning — your work, relationships, sleep, or personal life. Physical symptoms like rapid heartbeat, chest pain, difficulty breathing, and muscle tension are also common. You don’t need a formal diagnosis to benefit from anxiety therapy — if worry is running your life, treatment can help.
Do you accept insurance for anxiety therapy?
We are an out-of-network practice. Individual anxiety therapy sessions are $230–$300. Many clients receive partial reimbursement through their out-of-network benefits, and we provide the documentation you need to submit claims. Visit our payment page for full details on rates and reimbursement.
What is the 3-3-3 rule for anxiety?
The 3-3-3 rule is a grounding technique: name 3 things you see, 3 sounds you hear, and move 3 parts of your body. It can help interrupt an anxiety spiral in the moment by pulling your attention into the present. It’s a useful tool — but it’s a coping strategy, not a treatment. If you’re relying on grounding techniques regularly, anxiety therapy can help you address what’s driving the anxiety rather than just managing it when it peaks.