You learned early how to hold it together. Now you’re not sure how to put it down.
Therapy in NYC for high-functioning adults whose anxiety and vigilance developed in the context of early responsibility, spirituality, or chronic illness.
We help you understand and soften the patterns you developed to hold everything together — so you no longer have to live in constant pressure.
You might recognize yourself here.
You are capable and dependable — often the one others rely on.
You anticipate problems before they happen.
You feel responsible for how situations unfold, even when they aren’t yours to manage.
You monitor how you’re coming across in conversations.
Rest feels uneasy, even when you’re exhausted.
You minimize your needs to avoid being “too much.”
You track your body closely — questioning whether what you’re feeling is real, serious, or acceptable.
You’ve been described as strong, but rarely feel at ease.
INSIDE, you're running on empty
INSIDE, you're running on empty
You’ve been managing for a long time.
It may be time to understand what it’s been costing you.
What you call anxiety often began as adaptation.
Learning to regulate yourself so others didn’t have to.
Becoming responsible earlier than you should have been.
Staying alert to subtle shifts in mood, expectation, or health.
Over time, vigilance became automatic.
Self-containment became protective.
Self-criticism became preventative.
You function well.
You are trusted.
But your nervous system is rarely at ease.
Therapy isn’t about taking away your competence.
It’s about understanding the patterns that shaped it, and deciding when you no longer need to live in constant readiness.
More controlled. Less explanatory. Stronger cadence.
Where These Patterns Often Take Shape
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Early Responsibility
You learned to manage yourself so others didn’t have to. Capability became identity.
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Spiritual or Moral Pressure
Getting it right mattered — ethically, relationally, spiritually. Self-scrutiny became reflexive.
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Living With Chronic Illness
When your body requires monitoring, vigilance makes sense. Over time, that vigilance extends beyond symptoms — shaping how much you ask for, how much you rest, and how much space you take up.
How We Work
Therapy is a deliberate slowing down. Together, we examine the patterns that formed early and now operate automatically.
We pay attention to:
How responsibility shows up between us.
When you begin monitoring or containing yourself.
How vigilance lives in your body.
What your anxiety has been protecting.
At times we explore family dynamics, spiritual frameworks, or the experience of living in a body that requires constant management. Not to assign blame — but to understand how your nervous system learned what felt necessary.
The goal is not simply symptom relief.
It is a different relationship to your internal experience — one that allows for more flexibility, less self-silencing, and more choice.
Testimonials
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Zero pressure, zero prep. Let's use this free 15 minutes to chat and see if we're a good fit.
Specialized Anxiety Therapy Across New York
We are a small, clinically focused practice providing depth-oriented therapy for adults across New York.
Our work centers on high-functioning individuals whose anxiety is shaped by early responsibility, spiritual or moral pressure, or the experience of chronic illness. We do not approach anxiety as a flaw to eliminate, but as a pattern to understand.
Each therapist brings a thoughtful, relationally attuned style grounded in psychodynamic and parts-informed work.
Amanda Phillips, LCSW — Founder & Primary Therapist
Amanda works with capable, self-aware adults who have spent years managing internal pressure. Her approach is steady, precise, and developmentally informed.
IFS-trained and relational in orientation, she helps clients examine the vigilance, over-responsibility, and self-containment that once felt necessary — and determine how they want to live with more flexibility and self-trust.
She has particular depth working at the intersection of anxiety, spirituality, and chronic illness.
Elizabeth Weiburg, LMHC — Associate Therapist
Elizabeth works with adults navigating anxiety, relational strain, and life transitions. Her style is attuned and direct, helping clients identify patterns that keep them bracing or self-silencing.
Her work emphasizes emotional clarity, nervous system awareness, and building a steadier internal foundation.
When you’re ready to look beneath the vigilance, we can begin.
A consultation gives us space to understand what brings you here and whether this work feels aligned. Schedule a consultation.
Any Questions? We Got You! FAQS on Therapy for Anxiety
Find answers to common questions here.
Still need help? Feel free to reach out anytime!
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We start with a free 15-minute consultation to see if we’re a good fit. From there, sessions are typically 50 minutes, weekly or biweekly, depending on your needs.
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MYAP Therapy is an out-of-network provider. We can provide superbills for you to submit to your insurance for possible reimbursement.
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Therapy can help you regulate anxiety, improve relationships, and find calm in your daily life. Many clients describe feeling clearer, more confident, and more connected to themselves.
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Yes, after a clinical assessment determines eligibility, we can provide appropriate documentation for ESA needs.
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Schedule your free 15-minute consultation. We’ll talk about your goals and help match you with the right therapist.