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How I can help you!
Whatever brought you here, things can be different. Whether you're dealing with anxiety, grief, substance use, disordered eating or all of the above, 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

  • Your relationship with food has shifted, using restriction, bingeing, or overeating to cope with anxiety, and it's starting to feel like it's running the show

  • 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, disordered eating, 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

I want you to walk away from each session with something concrete you can use. My style is relaxed and straightforward. No therapy-speak, no judgement. 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.

Annelise Miller, LMFT, therapist in Lafayette CA

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

Telehealth available for all of

California and Oregon

Book a consultation call or initial appointment directly on my calendar

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