When anxiety begins to shape how you move through your days, life can start to feel narrower than it once did. You may find yourself lying awake at night, replaying conversations, questioning decisions, or feeling constantly on guard. From the outside you may appear capable and composed, yet internally something no longer feels steady.
Therapy offers a place to look more closely at what is happening beneath the surface. Often anxiety develops alongside ways of protecting yourself that once made sense but no longer fit who you are today. Sleep difficulties often accompany anxiety. When the mind cannot settle, nights become restless and mornings arrive before the body has truly rested.
As these patterns begin to loosen, the world can begin to feel less threatening. Situations that once triggered panic or defensiveness may become more manageable, and a greater sense of steadiness can return.
In our work together we explore not only the anxiety itself but the deeper emotional patterns that keep the nervous system on alert.

My approach to anxiety therapy is depth-oriented and exploratory rather than rushed. Instead of focusing only on symptoms, we seek to understand how certain emotional patterns developed and how they continue to shape your experience today. EMDR (Eye Movement Desensitization and Reprocessing) can be a valuable tool in this work, particularly when anxiety is connected to past experiences or stored stress that the nervous system hasn’t fully processed. Psychoanalytic therapy adds a layer of reflection — helping you understand not just what is happening, but why, and what your anxiety may be asking for.
Lie awake at night with racing thoughts or worry
Feel constantly on guard or braced for something to go wrong
Struggle with self-doubt, perfectionism, or emotional exhaustion
Experience panic, dread, or anxiety that feels disproportionate to the situation
Are a high-functioning adult carrying more internal pressure than others realize
Have tried coping strategies that help temporarily but haven’t shifted the deeper pattern
Many people seeking anxiety therapy are capable, intelligent adults who are used to managing a great deal on their own. From the outside their lives may appear stable or successful, yet internally they feel the strain of constant vigilance or emotional tension.
They are not looking for quick advice or surface-level coping strategies. They want a place where they can think deeply about their experiences and understand the patterns that keep repeating. My work is well suited to people who value reflection, insight, and the possibility of lasting psychological change.
Sessions are 50 minutes and available in-person in New York City or via secure telehealth for adults across New York State. Our work is conversational, reflective, and paced to feel safe rather than pressured.
Together we slow things down enough to notice the patterns operating beneath the surface — how anxiety developed, what it has been protecting you from, and what becomes possible when it no longer needs to run the show.
Over time, many people working through anxiety find that they feel less on guard, more able to rest, and more steady in their relationships and decisions. Anxiety doesn’t disappear overnight but it gradually loses its grip as the underlying patterns become clearer and more workable.
You can expect to feel calmer, develop more confidence in managing stress, sleep more deeply, and move through your days with a greater sense of ease and agency.
Add: become more aware of their strengths.
Dr. Patricia Hunter is a licensed psychologist and certified psychoanalyst practicing in New York City. She is trained in EMDR and depth-oriented psychotherapy and teaches Object Relations at the Manhattan Institute. Her work focuses on helping adults understand and shift long-standing emotional patterns so that anxiety, trauma, and sleep disturbances no longer shape daily life.
If you are ready to look more closely at the anxiety that has been shaping your life, reach out to schedule a consultation. You don’t have to keep managing this alone.
Yes. I provide secure telehealth sessions for adults throughout New York State. Online therapy offers the same depth of work as in-person sessions, with the flexibility of meeting from home.
I was trained in cognitive and behavioral approaches, and I draw from them when helpful. CBT often focuses on identifying and changing thought patterns in the present.
My work takes a broader view. We look at the emotional roots of anxiety and the ways it may have developed over time as a form of protection. When those patterns are understood, not just managed, many people experience a deeper and more lasting shift.
This varies by person. Some clients notice meaningful shifts within a few months; others benefit from longer-term work. We discuss your goals and pace together from the start.