Evidence-based therapy for anxiety that gives you real tools you use right away. Not just coping strategies for when things are already bad, but skills that change how anxiety shows up in your life.
Telehealth across Oregon • Insurance accepted • No waitlist
Recognizing your pattern is the first step toward changing it. Here are the most common presentations we work with.
A steady hum of worry about everything at once: work, health, relationships, money, the future. It hops from topic to topic and rarely takes a break. CBT and ACT are highly effective here, giving you tools to turn the volume down and make worry productive instead of paralyzing.
Replaying conversations for hours, avoiding events, overanalyzing how others see you, rehearsing what you will say before saying it. Social anxiety is one of the most treatable conditions in psychology. Therapy builds lasting confidence through gradual, structured exposure and cognitive restructuring.
When every physical sensation becomes a question mark and Google becomes a diagnostic tool. Therapy helps you build strategies to trust your body again, manage the uncertainty, and break the reassurance cycle that keeps health anxiety going.
Three hours on a ten-minute email. Redoing work that was already good enough. Setting standards so high that nothing ever feels finished. Perfectionism is anxiety wearing a productive disguise. Therapy helps you find a standard that works for your life without sacrificing quality.
Racing heart, shortness of breath, dizziness, a sudden wave of dread that seems to come from nowhere. Panic is alarming, but it responds remarkably well to treatment. We teach you exactly what is happening in your body and give you strategies that stop the cycle before it takes over.
When work takes up more mental space than it should. Sunday dread, constant email checking, difficulty disconnecting, fear of underperforming. Therapy helps you build a healthier relationship with your career so it supports your life instead of consuming it.
Every session has a clear purpose. You leave with strategies you put into practice before the next session, not just insights to think about.
The gold standard for anxiety treatment, backed by decades of research. We identify the specific thought patterns and behaviors keeping your anxiety going, then systematically change them. This is not generic "challenge your thoughts" advice. It is a structured, personalized approach that builds on itself session by session.
Anxiety wants you to fight it, avoid it, or obey it. ACT teaches you a fourth option: make room for it and move forward anyway. You build a different relationship with anxious thoughts so they lose their grip on your daily decisions and your quality of life.
The strategies we teach are not one-size-fits-all. They are designed around how your specific anxiety shows up: the triggers, the patterns, the situations where it hits hardest. You get tools that work for your real life, not a textbook exercise that sounds good in theory.
We track concrete changes in your anxiety symptoms, your avoidance behaviors, and your quality of life so you can see that therapy is actually working. If something is not moving, we know it quickly and adjust the approach.
Anxiety often overlaps with other conditions. Treating anxiety alone when something else is driving it leads to incomplete results.
These two overlap constantly. Anxiety can be a result of living with undiagnosed ADHD. Years of missed deadlines, forgotten details, and compensating creates a steady state of worry. If your anxiety treatment has not been fully effective, ADHD might be the missing piece. We can evaluate it in-house.
Anxiety and depression frequently travel together. Worrying about everything and feeling like you have no energy to deal with it is an exhausting combination. A psychologist who understands both treats the whole picture instead of half of it.
Major changes like career shifts, relationship changes, retirement, and parenthood can spike anxiety in ways that feel disproportionate to the situation. That does not mean the anxiety is irrational. It means there is more going on, and therapy for transitions addresses it directly.
A brief call to see if Breakwater is the right fit for your anxiety. We answer your questions and make sure the approach matches what you need. Easy and pressure-free.
We map out your anxiety pattern together: what triggers it, what keeps it going, and what you have already tried. You leave with a clear understanding of your specific pattern and an action plan for the week.
Measurable changes in your anxiety levels, your avoidance behaviors, your confidence, and your quality of life. We track it together so you can see the progress in real data, not just how you feel on a given day.
It does. That is not a platitude. It is what the research shows and what we see in practice. Book a free consultation and let us show you what is possible.
Book a Free ConsultationChoose your own adventure. Want to ask a question first? Send us a message. Ready to dive in? Book a time that works for you.