Anxiety & stress therapy

Anxiety therapy for people whose anxiety looks like being on top of everything.

High functioning anxiety doesn't look like panic. It looks like preparation, control, and a mind that never stops auditing. Direct, evidence based treatment for professionals who are tired of running on alert.

Licensed Clinical Psychologist (Psy.D.) 16+ years in practice Telehealth in 42 states
What high functioning anxiety actually looks like

It doesn't look like worry. It looks like diligence.

Anxiety this functional gets praised, promoted, and rewarded — which is exactly why it goes untreated. It's still treatable.

  • 01You re-read the email three times before sending it. And once more after.
  • 02You rehearse conversations in advance and replay them afterward, grading your own performance.
  • 03You wake at 3am with your mind already running tomorrow's meeting.
  • 04Decisions you're fully qualified to make circle for days, because being wrong feels unaffordable.
How anxiety treatment works

Lower the alarm. Keep the edge.

The most common fear I hear: "This vigilance is why I'm successful. If I relax, I'll slip." Here's the truth — the vigilance isn't your edge. It's a tax on it. Treatment removes the tax, not the talent.

01

Establish what's driving it

A whole person assessment of sleep, energy, workload, and the assumptions running underneath. Anxiety, stress, and burnout overlap; we determine precisely what we're treating before treating it.

02

Retrain the alarm

Evidence based tools for the rumination, overthinking, and 3am wake ups — concrete skills you practice between sessions, not generic advice to breathe deeply and take more baths.

03

Put judgment back in charge

High stakes decisions made on facts instead of fear. Presence at home instead of a mind still at the office. The capability was always yours — we take it back from the alarm system.

Concrete tools from the first session, applied to your actual week.

High functioning anxiety often travels with something else. If the worry is really depletion, see executive burnout. If it is anchored to a decision you cannot stop circling, see life transitions. If the anxiety is part of the wider weight of a senior role, see executive therapy.

Common questions

Asked by people who've already googled everything.

The name

Is "high functioning anxiety" a real diagnosis?

Not a formal one — but it describes a very real, very common pattern in high achievers. Part of the first session is a proper assessment by a doctoral level clinician, so you know exactly what you're dealing with.

The fear

Will anxiety treatment make me lose my edge?

No. Your edge is your intelligence, drive, and judgment. Anxiety just takes credit for them while charging interest. Clients consistently perform better once the alarm quiets, not worse.

Stress vs. anxiety

What if it’s just my job causing the stress?

Sometimes the load really is the problem, and we work on the load. Sometimes the alarm system stays stuck on after the pressure passes — that's anxiety. We treat what's actually there.

Time commitment

How long does anxiety treatment take?

This is not open ended therapy. We work in focused, practical blocks with skills you use immediately, and most clients feel measurable movement within the first several sessions.

Getting started

Start with a free consultation.

I offer a free 15-minute phone consultation to talk about what brings you here, answer your questions, and see whether we’re a good fit. We’ll also discuss whether we can find a time in the schedule that works for you.

To request a consultation, email or call me. Please include your name, phone number, the state where you’ll be located for sessions, and a few convenient times for a callback.

Email
jonathan@drjonathanrudiger.com
Phone
615-378-7129