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How I can help you!
Whatever brought you here, things can be different. Let's find out how together whether you're dealing with anxiety, grief, substance use, or all three, this is a space where nothing is off limits.

Does any of this sound familiar?

  • You feel constantly on edge, second-guessing everything, or avoiding situations that used to feel manageable

  • You're walking on eggshells, shutting down during conflict, or struggling to connect even when you genuinely want to

  • You've been told you're "distant" but keeping things surface-level just feels safer

  • Anger is the only emotion that feels familiar, even when something else is underneath it

  • You've been relying on alcohol or other substances to take the edge off and you're starting to wonder if it's becoming a problem

  • You're dealing with the aftermath of choices you regret or battling thoughts that scare you

  • You're ready to stop feeling stuck and start feeling like yourself again

Anxiety & Connection

When disconnection becomes chronic, it can lead to serious consequences. Crossing lines in your relationship you never thought you would, or reaching a point where you're not sure you want to keep going.

If you're struggling with substance use, infidelity, or thoughts of suicide, these aren't signs that you're broken. They're signs that the pain has become unbearable and you've been coping the only ways that felt available.

Whether you shut down or blow up, you don't have to face this alone. Together, we'll work on showing up authentically. Recognizing the full range of what you're feeling and expressing it in ways that build connection rather than pushing people away.

Substance Use & Numbing Out

Sometimes the ways we cope made sense at the time. Drinking to take the edge off, using to get through the day, or finding anything that makes the noise a little quieter. It works until it doesn't.

You don't have to have lost everything to deserve support. You don't have to be certain you have a problem. If substances have become your main way of managing stress, emotions, or disconnection, that's enough of a reason to reach out. Therapy can help you understand what you're actually trying to numb and find ways to meet that need that don't cost you so much.

You're not broken. You've been doing the best you could with what you had and you deserve someone in your corner who believes that.

Grief Work

Grief doesn't always look the way people expect and I'm not here to tell you how yours should feel.

Whether you're grieving a relationship that ended badly, a loss involving addiction or suicide, or you're feeling relief, anger, or numbness when you "should" feel sad, your grief is valid exactly as it is. Healing happens when you can be honest about your reality without worrying about making others uncomfortable.

My Approach

No therapy-speak. No judgment. Just real, concrete work.

I blend Acceptance and Commitment Therapy (ACT), Strategic Therapy, and Humanistic methods to meet you exactly where you are. That means we're not just talking about your problems. We're actively working on them. You'll learn to stop fighting what you're feeling and start understanding what it's telling you, while building skills that actually hold up in daily life.

Clients have shared that they felt fully accepted without judgment and that I showed up as a true advocate for them. Not just a neutral observer, but someone genuinely invested in their growth.

Clients consistently describe me as thoughtful, present, and genuinely curious about their world. Many share that they felt fully accepted without judgment and that having a true advocate in their corner made all the difference.

Ready to take the first step?

I know that first email or phone call can feel like a lot. Whatever brought you here, I'm glad you're considering it. From the very first conversation, my goal is for you to feel accepted exactly as you are and to know you have someone firmly in your corner.

Let's start with a free 15-minute conversation. No pressure, just a chance to talk about what you're going through and see if we're a good fit.

Still weighing whether therapy is worth it? This post gives an honest answer.

Evidenced-Based Therapy that Creates Lasting Change

Annelise Miller, LMFT, therapist in Lafayette CA

3468 Mt. Diablo Blvd.Suite B200,
Lafayette, CA 94549

Telehealth available for all of California

Book a consultation call or initial appointment directly on my calendar

Serving Lafayette, Moraga, Orinda, Pleasant Hill, Walnut Creek, and online throughout California since 2018.

My background

I earned a Master's degree in Counseling, Marriage and Family Therapy from California State University, East Bay in 2018 and a Bachelor's degree in Communication Studies from Westmont College. I am a Licensed Marriage and Family Therapist #131881.

 

Prior to starting my practice at Bay Area Psychotherapy Institute in Lafayette, I worked at Crisis Support Services of Alameda County for three years. There, I counseled clients managing traumatic grief and loss, suicidal ideation, depression, and intrusive thoughts. I also helped clients develop boundaries, healthy social connections, and spirituality. I have worked with children and teens from elementary school to high school as well as adults in all stages of life. I also provided crisis counseling for the Alameda County Crisis Hotline and the National Suicide Prevention Lifeline. Since licensure in 2022, I have served BAPTI's board of directors. Outside the office, I'm a wife and mother of two, which gives me a front-row seat to the exact pressures most of my clients are navigating at home.

 

Bay Area Psychotherapy Institute BAPTI
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Online therapy — available anywhere in California

All sessions are available via telehealth for clients across California. From San Francisco to San Diego. No commute, no waiting room, same quality care. Many clients find online therapy just as effective (and a lot more convenient) than in-person sessions.

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