Therapy for Anxiety & Overthinking
Online therapy with Malka Pill, LCSW — available throughout New York State.
Anxiety rarely announces itself politely. It shows up as a tight chest before a phone call, a mind that starts rehearsing conversations at 2am, or a sense that something bad is about to happen even when nothing has changed.
Most people I meet have been managing it for a long time before they reach out. They've gotten good at pushing through — and exhausted by it.
You might recognize some of this
- Replaying conversations or decisions long after they're over
- Trouble falling asleep because your mind won't slow down
- Physical symptoms: tight chest, stomach trouble, jaw or shoulder tension
- Avoiding calls, appointments, or plans because they feel like too much
- Feeling on edge without being able to name why
How we'd work on it together
We start by mapping what actually sets your anxiety off, and what it asks you to do in response. Anxiety tends to make promises — that if you worry enough, you'll be prepared — and naming that pattern is the first step in loosening it.
From there we build skills you can use in the moment: ways to interrupt a spiral, question a catastrophic thought, and stay in a situation long enough for your body to learn it's safe. This is where CBT is genuinely useful, and I teach it in plain language, not worksheets you'll never look at again.
We go at your pace. Nothing gets pushed before you're ready for it.
Ready when you are
The first step is a free 15-minute call. No forms, no pressure — just a conversation.