Racing thoughts. Tight chest. Lying awake at 3am rehearsing tomorrow. If anxiety is running your life, our licensed therapists in Carrollton, TX use proven approaches like CBT, ACT, and EMDR to help you take it back.
Real Tools. Real Relief.
Anxiety is the most common mental health concern in the U.S. — about 31% of adults will experience an anxiety disorder at some point. That doesn’t make it any easier to live with, but it does mean two things: you’re not broken, and there’s a deep, well-tested toolkit of treatments that work.
At Let’sTalk! Counseling in Carrollton, our anxiety therapists are trained in the approaches with the strongest research base — Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), exposure therapy, and EMDR for anxiety driven by past trauma. We don’t just teach coping skills and send you home; we help you understand why your nervous system is in overdrive and give you specific tools to work with it.
We work with adults, young adults, and adolescents struggling with generalized anxiety, panic attacks, social anxiety, health anxiety, perfectionism, OCD, anxiety with depression, and anxiety tied to trauma. Sessions are 50 minutes, weekly to start, in our Carrollton office or via secure telehealth anywhere in Texas.
Page reviewed September 2026 by the Let’sTalk! Counseling clinical team. Licensed Professional Counselors, 4125 Fairway Dr Suite 130, Carrollton, TX 75010.
You don’t need to be having panic attacks for anxiety to be costing you. If a few of these feel familiar, therapy can help.
There isn’t one “anxiety therapy” — different methods work for different presentations. Your therapist picks the right tool, and combines them when it makes sense.
The most-researched anxiety treatment in existence. CBT helps you identify the thought patterns and behaviors that keep anxiety alive, then systematically change them. It’s structured, skill-based, and most clients see real shifts within 12-16 sessions.
For people whose anxiety has roots in trying to control or avoid uncomfortable feelings. ACT helps you stop fighting the anxiety itself and start living the life you actually want, even with anxiety in the room. Uses mindfulness, values work, and committed action.
When anxiety is tied to past trauma — even “small-t” trauma you might not call trauma — talking alone often isn’t enough. EMDR helps your brain reprocess the original experiences so they stop driving anxiety in the present.
Six of our licensed therapists and supervised associates work with adult anxiety. Here is who does what, so you can ask for the right fit on the first call.
Adults 21+. Anxiety, depression, trauma and PTSD. EMDR Level 2 and Gottman Level 2 trained, SMU-trained counselor.
Adults and couples. Anxiety, life transitions, family-of-origin patterns. EMDR and mindfulness-based work.
Teens 13+ and adults. Anxiety, depression, trauma, ADHD. Skills-based CBT and DBT.
Adults, fully online across Texas. Anxiety, stress, focus and self-esteem. Practical CBT tools.
Adolescents and adults. Anxiety, ADHD, life transitions. CBT, Reality Therapy and expressive arts. Supervised by Carlotta Moore, LPC-S.
Young adults, adults and LGBTQIA+ clients. Anxiety, depression, life transitions. CBT and TF-CBT. Supervised by Amy English, LPC-S.
Anxious child or teen? Amy English, LPC-S (children and adolescents, play therapy, CBT, DBT), Sam Walker (children, teens and parents) and Kelly Matlock, LPC, RPT (child-centered play therapy) specialize in younger clients. See children’s therapy and teen therapy.
Most people come in expecting therapy to be vague and slow. CBT-style anxiety work is the opposite — structured, skill-based, and designed to give you wins early.
A short call to understand what’s going on, answer questions, and match you with a therapist whose approach fits your specific anxiety pattern.
The first sessions are about mapping your anxiety — when it shows up, what triggers it, how it shows up in body and mind, and what’s been keeping it alive. We rule out other contributors and confirm the right approach.
Early sessions usually cover the basics: how anxiety actually works in the brain, why your usual coping strategies might be feeding it, and concrete tools you can use this week. Most clients feel some relief by session 4-6.
Once you have tools, we go after what’s underneath — the avoidance patterns, the perfectionism, the old experiences that taught your nervous system the world isn’t safe. This is where lasting change happens.
As the work takes hold, we space out sessions and build a relapse-prevention plan so you know what to do when life gets hard again. Door’s open if you need a tune-up later.
We’re in-network with Aetna, Blue Cross Blue Shield, Cigna, United Healthcare, Optum, TRICARE, Magellan Health, Beacon Health, and Humana. Anxiety disorders are typically covered as standard mental health benefits — meaning a copay for most clients. See our rates and insurance details, or contact us and we’ll verify your benefits before your first appointment.
Prefer not to use insurance? Self-pay sessions are available. Call (972) 885-1222 for current rates, or read our rates and insurance guide. We verify benefits before you book.
The questions clients ask most. If yours isn’t here, give us a call.
For most anxiety disorders, the gold-standard treatment is Cognitive Behavioral Therapy (CBT), sometimes combined with exposure-based work. The American Psychological Association lists it as a first-line treatment for generalized anxiety, panic disorder, social anxiety, and OCD. ACT has equivalent outcomes for many clients, especially those who don’t connect with CBT’s more directive style. For anxiety driven by past trauma, EMDR can be more effective than talk therapy alone. Your therapist will match the approach to your situation.
Most clients notice some shift within 4-6 sessions — better sleep, fewer panic episodes, more ability to challenge anxious thoughts. Full treatment for moderate anxiety is usually 12-20 weekly sessions, or about 3-5 months. Severe anxiety, OCD, or trauma-driven anxiety typically takes longer. CBT and ACT are designed to be relatively brief; we want you to graduate, not become a permanent client.
Many people manage anxiety successfully with therapy alone — research shows CBT can be as effective as medication for many anxiety disorders, with longer-lasting benefits. That said, medication can be the right call for severe anxiety, panic that’s keeping you from functioning, or anxiety with depression. We’re licensed therapists (not prescribers), so if medication seems like a useful option we’ll refer you to a trusted psychiatrist or your primary care provider and work alongside them.
Anxiety is the chronic background — the worry, tension, racing thoughts, and what-ifs. A panic attack is an acute episode: sudden, intense fear, often with physical symptoms like racing heart, chest tightness, dizziness, or feeling like you’re dying or losing control. Panic attacks usually peak within 10 minutes and pass within 30. They’re terrifying but not dangerous. Both respond well to therapy — typically with overlapping but slightly different techniques.
Yes. We have therapists who specialize in teen therapy and children’s therapy. Anxiety presentation in younger clients often looks different — irritability, school refusal, somatic complaints, perfectionism — and the work is adapted accordingly. We often involve parents in the early sessions to align on goals.
Yes. We offer secure telehealth anxiety therapy to anyone in Texas. Telehealth is well-suited to anxiety work — research shows online CBT for anxiety is essentially as effective as in-person, and for clients with social anxiety, agoraphobia, or panic, the comfort of home can actually help engagement. You can also mix in-person and telehealth based on what works that week.
Easy answer: when it’s costing you. If anxiety is affecting your sleep, your work, your relationships, or how you show up in your own life — that’s enough. You don’t need to be in crisis to qualify for help. In fact, the earlier you reach out, the shorter and more effective the work usually is.
They overlap, and a lot of burnout starts as high-functioning anxiety. Anxiety is the worry engine: what-ifs, racing thoughts, a body that will not settle. Burnout is the empty tank: exhaustion, cynicism about work or caregiving, and feeling less effective than you used to. We treat both, often with the same therapist. If the second description fits better, start with our stress and burnout therapy page.
In-person at our Carrollton office, telehealth anywhere in Texas.
Virtual anxiety therapy sessions available to anyone in the state of Texas.
Most clients tell us they wish they’d reached out sooner. Same-week openings, most insurance accepted, no pressure on the first call.
