Anxiety & depression

High-functioning anxiety

By every visible measure you are doing well. The deadlines get met, the emails go out, and the whole arrangement runs on a low hum of dread you stopped mentioning years ago.

You might recognize

Some of this may sound familiar

  • Your calendar looks enviable and Sunday evening feels like a countdown.
  • You're early to everything, because being late would prove something.
  • The reward for finishing is the next thing, immediately.
  • You say you're fine, and you can't remember when that stopped being true.

In the work

What we actually do

What the drive costs

Anxiety that produces good results is the hardest kind to bring into a room, because it keeps getting rewarded. We look at what it actually runs on and what it quietly takes from everything else. None of this requires you to become less ambitious.

Underneath the performance

Experiential work aims at the hum itself rather than at your reasoning about the hum. You can probably already describe your anxiety in fine detail, and describing it has not helped much. This is the part of anxiety and depression work that happens below the thinking brain.

Something else to run on

If dread is what gets you moving, removing dread can feel like losing the ability to move at all. So we go carefully, and build the alternative before dismantling anything. Therapy outcomes are not guaranteed, and the pace is set with you rather than for you.

“I'm especially drawn to working with creatives, artists, entrepreneurs, queer folks, and people recovering from high-demand religions, because all of those things have been part of my personal experience.”
Melanie Van Orden, LCSW
Two open hands resting palm-up in soft daylight

FAQ

Questions people ask

Does this count if I'm still functioning?

Functioning is not the threshold. Plenty of people meet every obligation and feel terrible the entire time, and that is a reasonable thing to bring to therapy.

I've been in therapy before and plateaued.

That is a common place to start. Many people get somewhere real, come to understand their patterns, and then find the understanding stops translating into change. That gap is usually where somatic and experiential work has something to add.

Do you prescribe medication?

No. I'm a Licensed Clinical Social Worker, not a physician or a psychologist, and I don't prescribe, supply, or administer medication. I also don't treat psychosis, bipolar disorder, OCD, personality disorders, autism, severe ADHD, or moderate to severe eating disorders, and I'll tell you on the consultation if another clinician is the better fit.

How does telehealth work?

Weekly therapy takes place via telehealth. I am licensed in New York and can only offer psychotherapy services to people who reside in New York State. You also need to be physically located in New York at the time of each session. Sessions are 50 minutes, usually weekly, at $235, and canceling needs 24 hours' notice.

What if I'm in real trouble?

If you are in danger right now, call or text 988 or dial 911. This site isn't a crisis service and email is not monitored for emergencies.

Start with a free consultation

A short conversation to see whether we would be a good fit for working together. Weekly therapy takes place via telehealth. I am licensed in New York and can only offer psychotherapy services to people who reside in New York State.