
anxiety counseling
Photo Credits: Siora Photography; Unsplash
“is this it?”
“why am i so lonely?”
“do other people think like this? like All. The. time.?”
You’re here because…
…you’ve caught yourself wondering one too many times, “Is this really all there is?”
On paper, you have the ideal life: a challenging and rewarding career, a beautiful family, a solid group of friends, intelligence, creativity, and ambition. You have perfected the art of having your shit together.
But… that’s not the full story.
What no one else sees is how inexplicably lonely you feel. Even when you’re in a room full of people you care about, and who care about you, you feel invisible.
It’s easy to blame yourself for it: “Why can’t I feel close to people who care about me? What’s wrong with me?”
You can’t even properly enjoy your work success and accomplishments.
This disconnect between your external success and your internal feelings shows up throughout your day…
You found yourself crying in your car after receiving a promotion – not from joy or pride, but from a bone-deep exhaustion you couldn't explain. Instead of feeling excited, you felt empty.
Overthinking has become a constant hum in the background of your mind. You overthink a lot of things – conversations with your boss, work mistakes, and tomorrow’s client presentation that has kept you up until 1 a.m.
When you came to the office 15 minutes early to train the new hire, you had an unsettling thought: “I hope she doesn't end up feeling how I feel.”
And your anxiety and overthinking doesn’t just show up at work – it’s center-stage in your relationships, too.
Your child’s birthday party is a project to manage, rather than a happy memory to create.
You manage the family calendar, remember birthdays, plan vacations, and keep the household running. While your partner appreciates this, they've said things like, "You don't have to do everything yourself" or "I can handle this." But you worry important things will fall through the cracks if you delegate – being thorough and prepared has always been your strength.
At brunch, your girl friends see the coordinated outfit, hear about your work successes, and make comments about how you “have it all together.” None of them know about the anxiety attack you had in the car right before meeting them.
And then there are the physical symptoms...
You wake with jaw pain from grinding your teeth at night
Your shoulders have taken up residency near your ears
The tension headaches come so regularly that you keep pain relievers in your desk, car, and nightstand
Your doctor said your sleep and digestive issues are "stress-related," so you diligently made time for the recommended stress-reduction techniques – the meditation app, the weekly yoga class, and the screen-free bedtime routine.
You've even picked up a book or two about coping with anxiety, work-life balance, and mindfulness. You implemented their strategies – deep breathing exercises, time-blocking, bullet journaling. You've mastered self-improvement.
But despite doing everything "right," the anxiety persists…
You've gotten so good at wearing the “I've got this” mask that colleagues and loved ones don’t question you – instead, they consistently turn to you as the capable problem-solver.
You've positioned yourself as the helpful friend in social situations – remembering everyone's preferences, organizing gatherings, offering to help.
You filter and polish what you say, carefully weighing each word – "I have some concerns about the timeline" instead of the more authentic, “I'm overwhelmed and don't know how we'll meet this deadline.”
I’m here to tell you that these well-practiced strategies are actually making you feel worse: more alone, more invisible, and more disconnected from the acceptance you really want.
So, I could give you a list of all the anxiety management techniques we'll practice together – and we both know you'd excel at them, just like pretty much everything else you do.
But here's what I know: you’re already exceptional at researching solutions, following through on practices, and managing symptoms.
You've read the Brené Brown books. You've done the meditation apps. You've tried the breathing techniques.
What you DON’T need is another systemized to-do list for your anxiety.
The real work we'll do together is transforming your relationship with yourself.
And this is where shit gets real.
Because this work isn't about adding more to your to-do list. It’s not about getting “better” at something or “optimizing” a process.
It's about developing a new perspective of yourself and learning to value yourself beyond what you accomplish, earn, or do.
And this is very different from other self-improvement projects.
Unlike the hamster wheel of achievement you've been running on – where each accomplishment only leads to the next goal (and the next…) without lasting happiness or fulfillment – this work actually leads to long-term change.
We aren’t just “managing anxiety symptoms better;” we’re fundamentally changing the relationship with yourself that created the anxiety symptoms in the first place.
This isn’t a temporary solution or a quick-fix. It’s a foundational, root-level change that will become your new way of being.
Here’s what that looks like:
Saying “I’m actually really anxious about this” to your partner – and discovering that this vulnerability creates the deeper intimacy you’ve been missing, not the rejection you feared.
Answering “I don’t know” in meetings – and watching colleagues respect your honesty while you stop wasting hours researching topics you could have simply asked about.
Admitting you’re nervous about your kid’s school conference instead of steering the conversation onto everyone else’s problems – and leaving Sunday brunch feeling genuinely connected to your friends instead of emotionally drained from performing and pretending.
Apologizing to your child and letting them see you’re human – and raising a kid who feels safe making mistakes because they’ve learned that imperfection doesn’t equal inadequacy.
Making life choices based on what YOU want – and finally feeling excited about your decisions instead of constantly second-guessing whether you chose “correctly.”
Expressing real emotions in the moment – and experiencing the relief of being known, appreciated, and liked for who you are, not who you think you should be.
I know this might sound different from other therapy approaches you’ve researched or even tried. You probably have questions about how this actually works, what the process looks like, and whether this approach is right for you.
Below are the questions I hear most often…
our sessions will be
01
Collaborative: We will work together and not like those group projects where one person actually gets stuck with all of the work and everyone takes credit.
02
Encouraging: Even if you don’t always see it, you have strengths. If you need to, you can roll your eyes or make a face at me when I point them out.
03
Real: I will be real with you—I’ll tell you the truth and not just because I am a bad liar!
04
Fun: I can pretty much guarantee there will be some laughs. Money back guarantee (j/k—but you can demand more humor if needed).
i’m Emily.
Welcome!
As a therapist with a PhD in counseling from the University of North Carolina at Charlotte and experience in various counseling settings (from general mental health to play therapy to teaching), I bring both clinical expertise and teaching experience to online therapy, supervision, and consultation. My expertise includes supporting parents and caregivers, adult therapy, and teen therapy, with a focus on reducing anxiety and improving relationships. I am a Level II AEDP therapist and have training in interpersonal neurobiology, advanced training and certification in play therapy, and certification in providing services online.
If you’d like to learn more about me than can fit in a short blurb, please explore the link below.
how to get started in anxiety Therapy
Here you can find detailed instructions on how to get started working together, how we proceed, and what you can expect.
First, important things to note:
I only work exclusively online and no in-person appointments are available.
I am not in network with any insurance plans and do not provide documentation for out-of-network reimbursement. There are many reasons for this, and I am happy to answer any questions you may have.
I offer primarily 45-minute sessions at a rate of $225 per session. 60-minute sessions may be available at a rate of $300. These are subject to availability on a case-by-case basis.
-
For intake sessions, I am available Mondays-Thursdays from 10:00-5:00. I am available for ongoing sessions Tuesdays-Thursdays from 10:00-5:00. I do not have evening or weekend availability. With regard to ongoing session availability, I cannot guarantee the availability of specific times or days based on openings you may see in my online calendar; availability there does indicate recurring availability. One of my values is to have some schedule flexibility for current clients so that when they need to make schedule adjustments, I am more likely to be able to do so. As such, an available slot does not equal the ability to put a regularly occurring appointment in that slot. If you have specific schedule needs, please reach out to confirm that I’d be able to accommodate them prior to completing an initial session.
-
Once you have decided that you’d like to proceed with scheduling with me, you can mosey over and check out my lovely contact page. Here you can click the “Schedule your first session” button located at the center of the page. This will take you to my self-scheduling option. This allows you to look over my calendar and select a time that works for you. You can schedule up to 3 weeks in advance, as long as you are at least 3 days before the date you’d like to choose. It’s important to note that this first session will be a longer (90-minute) intake session. The cost is $275.
-
Scheduling in my online calendar will send a request for the specific appointment you’ve selected and reserve it for you. I typically confirm appointments within 24 hours, excluding weekends, holidays, and times I am out of the office on vacation. After I confirm your appointment, you will receive an email from Sessions Health.
-
After you receive the confirmation, keep an eye out for three more emails. (I know! I bet you already get plenty, but I promise we just have to do this stuff once!) You will get an email welcoming you to therapy and outlining what you can expect; this will come directly from me. In addition, you will get one from Sessions Health and Aligned Counseling and Supervision; this contains your invitation to the client portal; this is where you will complete all required paperwork, which I need back 24 hours prior to our scheduled time in order to keep your appointment and avoid automatic cancellation. Finally, you will get an appointment “reminder” that will contain your telehealth link.
-
Once you’ve set up portal access, you will have just three documents to review and sign. Please note that you can sign out and progress will be saved. You may want to set aside a little time to really read these over as they have a good bit of information relevant to our work together. Documents include: the informed consent, the HIPAA privacy practices, and information about my policies for electronic communication. Please let me know if you have any questions by emailing me. After signing those you will have some demographic questions and the opportunity to tell me just a bit about what brings you to therapy.
-
Once you have set up your portal and I have a phone number, keep an eye out for a text from IvyPay. This is where you will enter your credit card information for me to charge for your sessions. I use IvyPay so that I don't have to personally handle any of your credit card information. IvyPay is a third-party HIPAA-compliant payment processor that takes care of it for me.
-
Most clients are nervous the first time they attend counseling, even if it's just the first time with a new person. If you’ve never been before, you may not know what to expect and may have many TV or movie references for what it’s like. Trust me, they’re probably inaccurate. You may think you’re required to tell me ALL the things or that I will ask probing questions to get to the root of everything. That’s not what happens either. We will still be getting to know each other. In our first session, I will gather information about your concerns, the history, what you’d like to get out of counseling, and any other things you think are relevant. We will get a general idea of direction, but it will take us time to get to know each other. This one is a little different from the others, as a lot of our time will be spent getting me up to speed on your life and concerns. Things shift after that…stay tuned.
-
It’s important to know that the completion of this initial session is not a guarantee of working together. If it ends up not working, I will do my best to help you find another provider to meet your needs. A few things that might result in us not working together include, but are not limited to:
You decide that we are not a good fit.
I am not the most appropriate person to help you with your specific needs.
You need a specific time slot and it is not available. (Avoid this by checking with me ahead of time!)
-
Once you are ready to move forward, we will get your regular appointments set up. You will be scheduled for the same recurring time slot. These are either weekly or bi-weekly depending on your needs and availability. As we get to know each other during sessions, we will determine how we will know if things are getting better. I imagine that you have checked out who I am throughout my website, so you probably already know the following info. However, it’s probably worth saying again that I very much value talking explicitly with my clients about their experience of therapy with me, rather than assuming I know what they are feeling or experiencing, or what's best for them. This means I'll regularly ask you about what is going well in our therapy work together and if there's anything we should do differently. I am not a highly directive therapist, so our sessions will focus on what you need to get out of them each time. I provide some prompts about what we’ve been exploring or your general goals, but invite you to settle in and consider how we can take care of you in our session that day.
-
When we get to a point where you’re feeling confident in what you’ve learned and are practicing, we can discuss reducing frequency (if you started weekly) or wrapping up altogether. There may be the option to reduce from bi-weekly to monthly sessions, but these are available only on a case-by-case basis, scheduled week-of, and cannot be guaranteed.
-
Please feel free to email me! I usually respond within 24 hours Mondays-Fridays.
Book your session

because, at the end of the day:
you—with your zoomy brain, heavy heart, & tired soul—deserve peace.
Contact me
Let’s get started.
I’ll answer your questions and we can decide if I’m the right therapist for you.
Complete this form and I’ll be back in touch via email or text usually within 1 business day.
Call or Text
423.281.4089
emily@alignedcounseling.com
office mailing address
404 S Roan St., Johnson City, TN, 37604