Online Anxiety Therapist for High-Functioning Adults
Your mind never clocks out.
Do you replay conversations hours after they end? Lie awake running through tomorrow's worst-case scenarios? Say yes when you mean no, hold yourself to standards you'd never impose on anyone else, and feel like rest is something you have to earn?
I'm Ruth Alcantara-Zboinski, LCSW-QS. I help high-functioning adults quiet the constant worry so they can think clearly, rest, and enjoy the life they've worked hard to build.
What High-Functioning Anxiety Looks Like
Anxiety doesn't always mean panic attacks (though it can). Just as often, it looks like:
Overthinking every decision, email, and interaction
Perfectionism and a harsh inner critic that's never satisfied
People-pleasing and difficulty saying no
Trouble relaxing, even during downtime you planned for
Physical tension, restlessness, or trouble sleeping
Irritability that surprises you, especially with the people closest to you
How I Treat Anxiety
Anxiety responds well to therapy, and it responds best when treatment matches its roots. Depending on what we find, our work may draw on:
Cognitive Behavioral Therapy (CBT) to catch and rewire the thought patterns that fuel worry, catastrophizing, and self-criticism
EMDR when anxiety traces back to specific experiences your nervous system never fully processed
Attachment-based work when the anxiety lives in relationships: fear of disappointing people, of conflict, of being too much or not enough
What to Expect When We Work Together
A free 15-minute consultation. We talk about what your anxiety looks like and what you've already tried.
Mapping your anxiety. Early sessions identify your specific patterns: the triggers, the thought loops, the physical signature, and crucially, the roots.
Active treatment. We work the plan: CBT tools you practice between sessions, EMDR for the experiences underneath, attachment work where the worry lives in your connections.
Progress you can measure. Better sleep. Decisions without the spiral. A no that doesn't require a three-day recovery.
Anxiety Therapy at a Glance
Therapist: Ruth Alcantara-Zboinski, LCSW-QS, more than 10 years of clinical experience
Approaches: cognitive behavioral therapy (CBT), EMDR, and attachment-based therapy
Who it helps: high-functioning adults dealing with chronic worry, overthinking, perfectionism, people-pleasing, or panic
Format: secure online sessions in New York, Connecticut, and Florida
Hours: 7am to 6pm Eastern, with early morning, lunchtime, and limited evening sessions
Fees: $205 per 50-minute session, with a free 15-minute consultation
Types of Anxiety I Treat
Generalized anxiety and chronic worry: a mind that jumps to the worst case and won't let it go.
Panic attacks: sudden waves of fear, a racing heart, or feeling like something is very wrong.
Social and performance anxiety: dreading meetings, presentations, or being judged.
Perfectionism and imposter feelings: never feeling good enough, no matter what you achieve.
Work stress and burnout: running on empty while still trying to perform at your best.
Relationship anxiety: fear of rejection, conflict, or letting people down.
Online Anxiety Therapy in New York, Connecticut & Florida
I provide anxiety therapy through secure telehealth to adults anywhere in New York, Connecticut, and Florida. Sessions are 50 minutes for $205, with a free 15-minute consultation. See my Fees page for insurance and payment details.
Anxiety Therapy FAQs
What is high-functioning anxiety?
It isn't a formal diagnosis. It describes people who look capable and successful on the outside while dealing with constant worry, overthinking, and pressure on the inside.
How long does anxiety therapy take?
Many clients notice changes within the first few months. Anxiety rooted in older experiences can take longer. We review progress together regularly so you always know where things stand.
Does online therapy work for anxiety?
Yes. Research shows telehealth is effective for anxiety, and it removes extra stress: no commute and no waiting room. You can meet from home, your office, or wherever you feel comfortable.
What is the difference between stress and anxiety?
Stress usually has a clear cause and eases once the situation passes. Anxiety tends to stick around even when things are fine, and it often shows up as worry about what might happen.
Anxiety often has roots in earlier experiences or in how we learned to connect with others. Learn more about trauma therapy and relationship and attachment therapy.
Have more questions? See my full FAQ page or learn more about my background.
Written by Ruth Alcantara-Zboinski, LCSW-QS. Last updated October 2026.
Ready to Quiet the Noise?
You don't have to live on high alert. Schedule a free 15-minute consultation to see if anxiety therapy is right for you.