Annelise Miller, MS, LMFT
Calmly Direct Therapy
for Men, Grief and Anxiety
SF Bay Area and Online in CA
​therapywithannelise@proton.me
(925) 255-5350

Anxiety therapy for social anxiety, intrusive thoughts & worry
available online across California
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.
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Finding the right therapist for anxiety matters more than finding one nearby. I offer online anxiety therapy across California because if my approach resonates with you, I don't want geography to get in the way.
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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Anxiety in young women: intrusive thoughts, perfectionism & body image
For many young women, anxiety shows up in specific ways. Intrusive thoughts that feel scary or shameful, relentless perfectionism, and a complicated relationship with food and body image. These patterns make sense, even when they're causing real harm.
This might look like:
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Intrusive thoughts that feel disturbing or out of character
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Relentless self-criticism and fear of failure
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Social media comparison and feeling perpetually behind
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Using food or restriction to manage overwhelming emotions
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Withdrawing from people when anxiety peaks
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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 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
If you want to understand more about what that process actually looks like, this post walks through what changes in therapy for anxiety and why.
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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 work with an online anxiety therapist in California?
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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