ANXIETY-FOCUSED CARE

Online Therapy for Anxiety

Anxiety is one of the most common reasons people seek therapy. Your mind may race, your body may stay tense, and your rest may stop feeling restful. For many people, those feelings never fully switch off. Anxiety is especially common in the LGBTQ+ community. Navigating discrimination, rejection, and a world that isn't always built for you can keep your mind and body in a constant state of alert. That's why Allswell offers virtual, LGBTQ+ affirming, trauma-informed therapy for anxiety across Maryland, Virginia, and Washington, DC.

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CONTEXT

What Is Anxiety?

Anxiety is your body's natural response to stress or perceived danger. It's the sense of worry or unease that helps you stay alert. Some anxiety is natural, normal, and protective.

However, anxiety may become something worth addressing with a therapist when it sticks around longer than it needs to. If it shows up when there's no clear threat or starts to get in the way of your daily life, that's when online therapy for anxiety can help.

Working with a trauma-informed, affirming therapist means you won't have to spend sessions explaining why family dinners take days of recovery or why you still scan every room for whether it's safe to be yourself. Our therapists already understand these things, so you can spend your sessions on what's actually weighing on you, not on catching a therapist up first.

Signs You Might Be Dealing With Anxiety

Anxiety looks different for everyone, but you might notice some of these symptoms affecting your life and peace of mind:

Your mind races with worries that are hard to switch off, even when you want to relax.
You feel restless, on edge, or keyed up much of the time.
Physical symptoms show up, like a racing heart, tight chest, shortness of breath, or an upset stomach.
You avoid certain situations, places, or people because the thought of them feels overwhelming.
Sleep is hard, whether that's quieting your mind at night or waking up already anxious.
It's difficult to concentrate because worry keeps pulling your attention away.
Small decisions or everyday tasks feel bigger and more draining than they used to.

If some of this feels familiar, it doesn't necessarily mean you have an anxiety disorder, but it can be worth talking through with a therapist.

How Anxiety Can Show Up in the LGBTQ+ Community

According to the Kaiser Family Foundation, LGBTQ+ adults are about 2.5 times more likely than the general population to experience conditions like depression, anxiety, and substance use disorders.

A lot of that traces back to minority stress, or the ongoing strain of navigating a world that isn't always built for you. It's the second-guessing before you correct someone on your pronouns, or the quick scan of a new room to figure out if it's safe or not. It's the calculation of how much to say about your relationships at a work lunch, and the family holidays that you brace for. None of those moments is a crisis on its own. But living with that kind of vigilance day after day can keep your nervous system on alert in ways that feed anxiety.

Affirming care makes a real difference in treating anxiety, especially for LGBTQ+ people. When your therapist already understands minority stress, all of your energy can go straight into untangling the anxiety itself.

TREATMENT

How Allswell's Online Therapy Can Help Treat Anxiety

Allswell offers two ways to work on anxiety: individual online therapy and affirming support groups.

In individual therapy, you meet privately with a licensed therapist over secure video. Support groups run in 6-week cycles with the same small group each time, building practical skills together, which can also take the edge off the isolation anxiety tends to create.

Our therapists draw on evidence-based approaches matched to what you're working through. For anxiety, that often includes:

CBT

Cognitive Behavioral Therapy

CBT helps you see how your thoughts, feelings, and actions feed each other, and gives you practical tools to interrupt anxious spirals before they take over.

ACT

Acceptance and Commitment Therapy

ACT helps you make room for hard feelings without letting them run the show. The goal is for you to be able to act on what matters to you most, even when anxiety is in the picture.

MFN

Mindfulness-based approaches

These help you stay grounded in the present instead of caught up in worrying about what might happen next.

IFS

Internal family systems

Allswell therapists weave in IFS-informed techniques, like getting to know the anxious "parts" of you and meeting them with more compassion than frustration, alongside your core treatment.

Your therapist tailors the approach to you and keeps it affirming throughout, so the work fits your life and your goals.

OUR APPROACH

Allswell's Clinical Model for Anxiety

Affirming care is where Allswell starts, but it's the structure underneath it that does the work of easing anxiety. Here's how we approach it with evidence-based methods shaped around your actual life:

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Affirming care is a clinical standard, not a bonus

The American Psychological Association and WPATH set affirming care as the professional standard, and Allswell holds every therapist to it. That means that a good part of what usually makes anxiety worse in a therapy room, like feeling watched or judged, is off the table from the start.

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We treat minority stress as a driver of anxiety, not background noise

A lot of LGBTQ+ anxiety is fed by the ongoing work of vigilance and bracing, and your therapist digs into how much of yours is coming from the world around you versus what's turned inward, then treats it accordingly.

Icon showing a split image of a heart and a brain joined together, symbolizing the balance between emotional support and clinical expertise.

Your CBT gets adapted so real fears aren't dismissed as "overthinking."

Standard anxiety treatment often assumes the worry is out of proportion. But when you've learned to read a room for safety, some of that alertness is accurate. Allswell therapists are trained to separate genuine caution from anxiety that's outrun the situation.

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We measure whether it's actually working

We check in on your progress every 60 days, and your therapist goes over it with you. If your numbers and your life aren't improving, that's a signal to change the plan, not to keep going as-is.

Icon of a mobile phone showing a person in a video call, representing accessible one-on-one telehealth services.

Care is paced so treatment doesn't overwhelm you

Anxiety work can stir things up before it settles them, so your therapist builds grounding and coping skills first and steps into the harder material once you've got footing under you.

Community is built into the treatment

Anxiety and isolation feed each other, so alongside individual therapy, Allswell runs small support groups where you practice managing anxiety with other people who get it.

Why Allswell Is Different

Vetting at Allswell goes deeper than checking that a therapist is friendly or open-minded. We look for genuine clinical experience with LGBTQ+ clients, and for training in evidence-based, trauma-informed methods. Every therapist we bring on has real, hands-on experience supporting LGBTQ+ people, transgender and non-binary clients included.

We also hold that healing isn't only a one-on-one thing. It happens in community, too, which is why we offer support groups. This gives you a way to connect with people who understand what you're facing and offer others support, which can often strengthen your own individual therapy.

Paying For Allswell's Anxiety Therapy

Allswell accepts both Medicaid and commercial insurance in Maryland, Virginia, and Washington, DC. Before your first session, our team will verify your benefits and give you a clear estimate of your cost per session.

MEDICAID

Sessions typically fully covered, with no out-of-pocket cost.

COMMERCIAL INSURANCE

$10–25

Most clients pay this per session, depending on their plan.

SELF-PAY

$125–175

$175 for your first session, $125 for ongoing sessions.

If Allswell is out-of-network with your plan, we can provide a superbill that you can submit for possible reimbursement. We accept Health Savings Account (HSA) and Flexible Spending Account (FSA) card payments as well.

Getting Started With Allswell

Book a free consult

Schedule a 15-to-20-minute call with one of our Care Coordinators to talk through what you're looking for and get matched with the right therapist.

Meet your therapist and build your care plan

Your first session is a 60-minute Welcome Session, where you and your therapist get to know each other and shape a plan that fits your goals.

Begin ongoing sessions

From there, you'll meet for 45-minute sessions, usually weekly, and can join a support group if that feels right for you.

Allswell's Reviews and Success Stories

Allswell is a refuge for queer minds, where being understood isn't a privilege but the start.

Since my transition, every talk with family was tense and stressful. At Allswell, I felt heard.

Allswell Client, 26

When I was considering opening a relationship, Allswell was where I felt safe to talk.

Allswell Client, 39

I lost my job and was at a low. Allswell found me a great therapist covered by Medicaid.

Allswell Client, 32

I loved my Allswell experience. I found the community grounding and encouraging.

Allswell Client, 22

I felt safe, connected, and understood. We were dealing with dark, difficult topics.

Allswell Client, 41

I loved having supportive people to talk to who resonated with my struggles.

Allswell Client, 35

Meet Your Therapists Who Specialize in Anxiety

When you start with Allswell, you'll be matched with a licensed therapist who has experience treating anxiety within an affirming framework. You can get to know a few of them below.

Jessye Heyrana

LGPC

•

she/her

•

Maryland, DC

♾️ Neurodiversity

💔 Trauma & PTSD

😰 Anxiety

🏠 Family Relationships

🏢 Career & Work Stress

📱 Dating

🌎 Life Transitions

👐🏾 Racial Identity

🫂 Relationships

Fisher Ilijasic

LGPC

•

He/ Him

•

😰 Anxiety

🏢 Career & Work Stress

📱 Dating

😔 Depression

🏠 Family Relationships

🌎 Life Transitions

🫂 Relationships

😌 Self-Esteem

🛏️ Sex & Intimacy

Linsey Megrue

LMSW

•

she/they

•

Maryland, Virginia, DC

♾️ Neurodiversity

⚧️ Gender Identity

😔 Depression

😰 Anxiety

🫂 Relationships

💔 Trauma & PTSD

🏳️‍⚧️ Transgender

😌 Self-Esteem

💜 Chronic Illness & Disability

✊ BIPOC

Joi Francis-Johnson

LCPC

•

She/Her

•

Maryland

😰 Anxiety

✊ BIPOC

💔 Trauma & PTSD

👐🏾 Racial Identity

🌎 Life Transitions

🌱 Grief

⚧️ Gender Identity

🏢 Career & Work Stress

😌 Self-Esteem

🏠 Family Relationships

Book a Free Consult

If you're located in Maryland, Virginia, or Washington, DC, you can get started with Allswell today. Book a free consultation with one of our Care Coordinators, and we'll help match you with a therapist who fits your needs, your preferences, and your schedule.

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