Annelise Miller, MS, LMFT
3468 Mt. Diablo Blvd.Suite B200,
Lafayette, CA 94549​

Managing Anxiety and Social Anxiety
Anxiety can feel overwhelming, showing up as racing thoughts, physical tension, avoidance of social situations, or that constant worry that something bad might happen. Whether you're dealing with general anxiety, social anxiety, panic attacks, or anxiety that's affecting your eating or sleep, there are effective ways to manage these symptoms and reclaim your daily life.
You Don't Have to Navigate This Alone
When Anxiety Takes Over
Anxiety affects everyone differently, but you might recognize some of these experiences:
Physical signs: Racing heart, sweating, muscle tension, trouble breathing, stomach issues
Emotional overwhelm: Constant worry, fear of judgment, feeling on edge, difficulty relaxing
Social struggles: Avoiding gatherings, fear of speaking up, worrying about what others think
Daily life impact: Trouble concentrating, procrastination, sleep problems, changes in appetite
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Teen Anxiety: A Unique Challenge
Anxiety in teens often looks different and can be particularly intense due to social pressures, academic stress, and developmental changes. Sometimes teen anxiety manifests as depression.
Teen anxiety might show up as:
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School avoidance or performance anxiety
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Social media stress and comparison
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Changes in eating or sleeping patterns
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Withdrawal from friends and activities
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Perfectionism and fear of failure
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The Connection Between Anxiety and Eating
Anxiety and eating concerns often go hand-in-hand. When emotions feel overwhelming, food can become a way to cope - whether through restriction, overeating, or obsessive thoughts about food and body image. These patterns make sense as survival strategies, even when they're no longer serving you.
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When Thoughts Won't Stop
Intrusive thoughts and obsessive worrying are common parts of anxiety. These unwanted thoughts can feel scary and out of control, leading to behaviors or mental rituals that provide temporary relief but keep the cycle going.
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My Approach: Moving Through, Not Around
The path to managing anxiety isn't about avoiding what scares you - it's about learning to move through those feelings with new tools and confidence.
Together, we'll work on:
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Understanding your anxiety patterns and what triggers them
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Developing practical coping strategies for when symptoms arise
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Gradually facing fears in a safe, supported way
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Learning to calm your nervous system through breathing and grounding techniques
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Challenging anxious thoughts that keep you stuck
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Building confidence in social situations and daily activities
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What This Looks Like in Practice
I help clients learn strategic steps to manage anxiety symptoms that get in the way of everyday life. This might mean learning how to speak up in meetings, going to social events without overwhelming dread, managing test anxiety, or breaking free from food and body image obsessions. I work at a pace that feels safe to you. At times, I will nudge, but in a gentle way that aligns with your stated goals.
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Ready to Start?
If anxiety or social anxiety is limiting your life, affecting your relationships, or keeping you from being the person you want to be, therapy can help. Whether you're a teen struggling with social pressures or an adult tired of letting anxiety make decisions for you, there are evidence-based approaches that work.
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You deserve to feel confident and at peace in your own life. Let's work together to get you there.
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