WHEN YOUR MIND DOESN’T STOP.
Anxiety Therapy in New York, NY
Virtually in New York City & Florida
Having anxiety feels like your mind is on overdrive. You're replaying conversations, bracing for things that haven't happened yet, second-guessing decisions you already made. You might feel it in your body too — the tension in your shoulders, stomach in knots, the nights your mind can't shut off.
You're getting through your days but it doesn't feel easy. On the outside you're holding it together. Inside, it's exhausting.
You don't have to keep pushing through it. That's what we work on together.
Does This Sound Like You?
✦ You can't stop replaying thoughts. You send an email and spend the rest of the day wondering if you said the wrong thing.
✦ You need certainty before you can move forward. You ask everyone you know, research every option, and still can't fully commit to a decision.
✦Your mind jumps straight to worst-case. A small mistake at work and suddenly you're convinced everything is about to fall apart.
✦Anxiety lives in your body even when your mind tries to move on. Tight chest, difficulty sleeping, a low-level tension that doesn't fully go away.
✦You get stuck in "what if" and "I should have." You lie awake imagining how things would have gone if you'd made a different choice.
✦Fear or worry causes you to avoid, and then feel frustrated with yourself for it. You don't have the conversation, don't speak up, don't go after it — and then wonder why you keep ending up in the same place.
Working with an anxiety therapist can help….
What If You Could Go From:
⟡ Replaying conversations for days → Letting things go without the spiral
⟡ Asking everyone before you can decide anything → Trusting your own judgment
⟡ Bracing for the worst even when things are fine → Feeling grounded in the present
⟡ Staying quiet to avoid conflict → Saying what you actually think
STEP 1:
AWARENESS
We start by noticing patterns — how anxiety shows up in your thoughts, your body, and your relationships.
STEP 2:
UNDERSTANDING
We figure out what's driving your anxiety— your triggers, where the patterns come from, and why they keep showing up.
STEP 3:
CHANGE
You’ll learn to calm your nervous system, catch rumination before it spirals, and externalize the anxiety. You'll also have tools to prepare for situations you know are going to be hard.
Anxiety can start to shape how you move through your life — what you say, what you avoid, and how much you trust yourself. Therapy isn’t about getting rid of anxiety completely. It’s about understanding it, so it stops directing your decisions.
When Overthinking Takes Over & You Can’t Stop Replaying It.
Rumination is what happens when your mind gets stuck on repeat — and the harder you try to think your way out, the more stuck you feel.
Think of it like a horse chewing hay — the same mouthful, over and over, without ever actually swallowing it. You replay the conversation, revisit the decision, run through every possible outcome — and instead of getting clarity, you just feel more stuck.
The problem isn't that you're thinking too much. It's that the thinking has stopped being useful.
In therapy, we figure out what the loop is actually about, learn to interrupt it before it takes over, and build your tolerance for the uncertainty that's fueling it.
YOU’LL LEARN TO:
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✦ Tell the difference between productive thinking and getting caught in a spiral
✦ Understand that trying to ignore or push the thought away only makes it louder
✦ Build tools to ground your body when you start ruminating
✦ Step away from “woulda, coulda, shoulda” and stop replaying decisions that can’t be changed
✦Let a thought pass without having to attend to it
ALISON MARKOWITZ, LCSW
MEET YOUR ANXIETY THERAPIST IN NYC
Hi. I’m Alison
I work with adults who look like they have it together — but privately, the anxiety is loud. The overthinking, the second-guessing, the loops that won't quit.
Anxiety is something I know deeply — both the research and the lived experience of what it actually takes to shift it. I use CBT, DBT, and real strategies that fit your life — not generic advice. After nearly 20 years of this work, I know how to help.
You don't have to have it all figured out before you reach out.
Working Virtually in New York & Florida
Frequently Asked Questions.
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If your thoughts feel constant, you're overthinking decisions, or anxiety is starting to affect your relationships, sleep, or daily life — that's enough of a reason to reach out. You don't need to be in crisis. If something feels harder than it should, therapy can help.
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We start by getting clear on how anxiety actually works for you — your triggers, your thought patterns, and how it shows up in your body. Then we dig into where it comes from and why it keeps returning. From there you'll build real tools to catch it, interrupt it, and respond differently — in your actual life, not just in the session.
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Having a judgment-free space to express yourself out loud is genuinely valuable. But therapy with me goes deeper than that. We'll get into the patterns driving your anxiety, understand where they come from, and develop the skills and tools to manage it on your own. You'll leave with a deeper understanding of yourself and real tools — so that when anxiety spikes, you'll know exactly how to handle it.
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Most people seek anxiety therapy because the overthinking, second-guessing, and constant worry have become too exhausting to ignore. Each person's timeline is different — it depends on how long these symptoms have been part of your life and how deeply you want to work. Some people make meaningful progress in a few months. Others stay longer for more sustained change. Either way, you'll feel the difference and have tools to manage anxiety on your own.
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Yes. I offer virtual sessions for clients throughout New York and Florida.
READY TO GET STARTED?
You Don’t Have to Have Everything Figured Out to Reach Out.
Most people I work with don’t come in with a clear plan — they just know something isn’t working. That’s enough.
We’ll figure out the rest together.