top of page
pexels-liza-summer-6382648.jpg

Online Anxiety Therapy From Your Own Home

Find Relief from Overwhelming Worry

Living with anxiety can feel like carrying an invisible weight that never quite lifts. If you're a high-achieving adult who appears successful on the outside but struggles with persistent worry, racing thoughts, or physical tension on the inside, I understand the exhaustion that comes with maintaining that facade. Through my online anxiety therapy sessions, I help clients across Arizona, Connecticut, New Jersey, Rhode Island, Maryland, Washington DC, Virginia, Colorado, Florida and Illinois discover lasting relief by addressing both the symptoms and underlying patterns that keep anxiety cycling through their lives.

pexels-vasiliy-skuratov-9515931-7500369.jpg

Understanding Your Anxiety Through a Personalized Lens

Anxiety manifests differently for everyone, and I believe effective treatment starts with truly understanding your unique experience. Some clients describe their anxiety as a constant background hum of worry, while others experience intense waves of panic that seem to come from nowhere. You might notice your anxiety showing up as perfectionism, difficulty making decisions, or an inability to quiet your mind at night. Physical symptoms like tension headaches, digestive issues, or chronic fatigue often accompany the mental and emotional aspects of anxiety.


I approach anxiety therapy through both a trauma-informed and neurodivergent lens, recognizing that your brain and nervous system have developed specific patterns for very good reasons. Whether you're neurotypical or neurodivergent, whether your anxiety stems from past experiences or seems to have always been part of your wiring, I tailor my approach to work with your unique nervous system rather than against it.

My Integrated Approach to Online Anxiety Treatment

As a PSYPACT-credentialed therapist, I bring the same level of personalized care to every online session, regardless of whether you're connecting from Phoenix, Hartford, Newark, Providence, Baltimore, Washington DC, Richmond, Denver, or Chicago. Drawing from extensive training in multiple evidence-based modalities, I create a customized treatment plan that addresses your specific anxiety patterns and goals. Rather than applying a rigid protocol, I blend techniques from various approaches to match what resonates with you and what your nervous system can absorb at any given moment.


Through Cognitive Behavioral Therapy (CBT) and Mindfulness Based Cognitive Therapy (MBCT), we can identify and reshape the thought patterns that fuel your anxiety. I help you understand the connection between your thoughts, emotions, and behaviors in a way that makes sense for your brain, presenting research-based concepts in accessible, practical terms.


For clients who benefit from body-based approaches, I incorporate Somatic Therapy and Polyvagal Theory to help you recognize and regulate your nervous system's responses. Anxiety often lives in the body as much as the mind, and learning to work with your physiological responses can provide profound relief—something we can absolutely achieve through thoughtfully structured online sessions.


Acceptance and Commitment Therapy (ACT) and Dialectical Behavior Therapy (DBT) skills help you develop a different relationship with anxiety, learning to make space for difficult emotions while still moving toward what matters most to you. These approaches are particularly helpful when anxiety has become so overwhelming that fighting against it only seems to make it stronger.


Internal Family Systems (IFS) offers a compassionate framework for understanding the different parts of yourself, including the anxious parts that may be trying to protect you in outdated ways. Through Mindful Self-Compassion (MSC) practices, we cultivate a kinder internal dialogue that can significantly reduce anxiety's grip on your daily life.

How CBT Addresses Anxiety, Depression, and Burnout in Online Therapy

Many of my clients are successful professionals across diverse metropolitan areas—from the tech corridors of Northern Virginia and Colorado to the financial centers of Connecticut and New Jersey. You might be excelling in your career, maintaining relationships, and meeting your responsibilities, yet feeling increasingly disconnected from yourself and others. This disconnect often intensifies anxiety, creating a cycle where you push harder to maintain your external success while your internal resources become more depleted.


I specialize in helping high-functioning adults who experience this particular form of burnout-adjacent anxiety. Together, we explore how your anxiety might be connected to patterns of overwork, people-pleasing, or difficulty setting boundaries. We examine how perfectionism and high achievement might have served as coping mechanisms that are no longer sustainable.

pexels-n-voitkevich-6837625.jpg
pexels-teona-swift-6912825.jpg

The Advantages of Online Anxiety Therapy

My practice is exclusively online, which offers unique benefits for anxiety treatment. Many clients find that working from their own space reduces the additional stress of commuting to appointments and allows them to practice new skills in their actual environment. Whether you're joining from your home office in Arizona, your apartment in Washington DC, or anywhere else across my licensed states, you can access consistent, high-quality care without disrupting your schedule.

​

Online therapy allows us to work together while you’re in a space that feels safe and comfortable, often your own home. From that grounded place, we can focus on building skills and strategies you can carry into real-life situations, whether that’s navigating work stress, social settings, or other environments that tend to trigger anxiety. This approach helps you integrate progress into your daily life in a practical, sustainable way.

pexels-leeloothefirst-8210488.jpg

Trauma-Informed Anxiety Treatment

Many people don't realize that their anxiety may be rooted in past experiences, even if those experiences don't fit traditional definitions of trauma. Through Cognitive Processing Therapy (CPT) and other trauma-informed approaches, I help clients understand how their nervous systems may have adapted to earlier challenges in ways that now manifest as anxiety.


I work carefully to ensure that addressing these connections happens at a pace your system can handle. Even through a screen, I'm constantly reading and responding to subtle changes in your emotional state and non-verbal cues during our online sessions, adjusting my approach moment by moment to keep you within your window of tolerance while still making meaningful progress.

Anxiety and Neurodivergence: A Specialized Understanding

For neurodivergent individuals, including those with ADHD or autism, anxiety often interweaves with sensory sensitivities, executive function challenges, and social navigation difficulties. I bring specialized knowledge in neurodivergence to our work, helping you distinguish between anxiety and other aspects of your neurodivergent experience while developing strategies that work with your brain's unique wiring.


If you suspect you might be neurodivergent but haven't been formally evaluated, I also offer ADHD testing and evaluations through my online practice. Understanding your neurotype can provide crucial context for your anxiety and inform more effective treatment strategies. These comprehensive evaluations are available to clients in all nine states where I'm licensed.

What to Expect in Our Online Work Together

Your journey begins with a free 15-minute online consultation where you can ask questions and share what brings you to therapy. I'll ask some initial questions to ensure I'm the right fit for your needs. This conversation helps us both determine whether my approach aligns with what you're looking for, saving you the time and energy of a full evaluation if we're not well-matched.


If we decide to move forward, our first online session is a 90-minute intake where we dive deeper into your history and current challenges. I charge my standard 50-minute session rate for this extended time, recognizing the investment you're making in your wellbeing. Before this session, you'll receive practice policies, forms, and screening measures through my secure client portal, allowing me to tailor our time together to your specific needs.


Following the intake, we have a feedback session where I share my initial understanding of your anxiety and we collaborate on a detailed treatment plan. You remain in the driver's seat throughout our work together—whether you're seeking brief, focused intervention or more in-depth, longer-term therapy, I adapt to meet your goals and preferences. My online practice portal includes a convenient scheduler, making it easy to book sessions that work with your schedule, whether you're in Eastern, Central, or Mountain time zones.

pexels-amar-10820109.jpg

Moving Forward at Your Pace

I believe deeply in the importance of meeting you exactly where you are. Some sessions might involve learning specific anxiety management techniques from DBT or developing thought-challenging skills from CBT. Other sessions might focus on processing deeper patterns through IFS or exploring how your body holds anxiety through somatic work. I continuously adjust our approach based on what your nervous system can absorb and integrate at any given time.


When it feels helpful, I offer exercises and practices to try between sessions—not as mandatory homework, but as opportunities to deepen your progress. I understand that life gets busy and overwhelming, especially when you're managing anxiety. My role is to support you wherever you are in your journey, gently reminding you of your goals while using all my therapeutic tools to help you move toward them.

Creating Lasting Change Through Online Therapy

Real anxiety relief comes not just from managing symptoms but from understanding and shifting the underlying patterns that perpetuate worry and fear. Through our online work together, you'll develop a deeper understanding of your anxiety's function, learn to recognize early warning signs, and build a personalized toolkit of strategies that actually work for your unique brain and nervous system.


Many clients find that as their anxiety decreases, they discover more authentic ways of being in the world. The energy previously consumed by worry becomes available for creativity, connection, and pursuing what truly matters to you. You might find yourself setting healthier boundaries, making decisions with greater confidence, or simply enjoying moments of genuine peace that once seemed impossible.

pexels-satoshi-7526801.jpg

Begin Your Journey to Online Anxiety Relief Today

If you're ready to move beyond simply managing anxiety to truly understanding and transforming your relationship with it, I invite you to reach out. Whether you're in the bustling cities of the Northeast corridor, the mountains of Colorado, or the desert Southwest, my online practice brings specialized anxiety therapy directly to you. As a PSYPACT-credentialed therapist serving Arizona, Connecticut, New Jersey, Rhode Island, Maryland, Washington DC, Virginia, Colorado, Florida and Illinois, I'm here to provide the compassionate, knowledgeable support you deserve—all from the comfort and privacy of your own space.


Contact me today to schedule your free 15-minute online consultation. Let's explore how personalized online anxiety therapy can help you move from surviving to thriving, creating the internal calm and connection you've been seeking.

phone: 203-212-8824

Dr. Katie Carhart is a licensed clinical psychologist providing online therapy for adults and couples under PSYPACT. She offers secure, HIPAA-compliant telehealth sessions for anxiety, depression, trauma, ADHD, neurodivergence, relationship stress, couple conflict, co-parenting, and burnout.

​

Through PSYPACT authorization, I am licensed to provide telehealth evaluations in multiple states. Some of the key areas I serve include:

  • Arizona (Tucson, Phoenix, Scottsdale)

  • Connecticut (Greenwich, Stamford, Hartford)

  • Washington, D.C.

  • Virginia (Arlington, Alexandria, Fairfax)

  • Maryland (Bethesda, Baltimore)

  • New Jersey (Princeton, Newark)

  • Rhode Island (Providence)

  • Colorado (Denver, Boulder)

  • Illinois (Chicago, Naperville)

  • Instagram
  • TikTok
  • Spotify
Notebook and tea for journaling session

 

© 2025 by Align and Empower Therapy, PLLC

 

 

Privacy Practices can be found here.

bottom of page