--- title: "Anxiety therapy for high-functioning adults · California telehealth" description: "Anxiety therapy across California via telehealth with Joshua Acosta-Duque, LCSW, for high-functioning adults who look fine and feel anything but. 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Joshua Acosta-Duque, LCSW. English & Español.", "url": "https://withlovewellnesstherapy.com/services/anxiety-therapy", "provider": { "@id": "https://withlovewellnesstherapy.com/#joshua" }, "areaServed": { "@type": "State", "name": "California" }, "serviceType": "Anxiety & chronic stress" }, { "@context": "https://schema.org", "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Is what I'm dealing with 'anxiety' or just my life?", "acceptedAnswer": { "@type": "Answer", "text": "Both, usually. The point of the work isn't to diagnose you — it's to understand what your nervous system has been carrying and whether it still has to." } }, { "@type": "Question", "name": "How long does anxiety work take?", "acceptedAnswer": { "@type": "Answer", "text": "The relief often comes sooner than people expect; the deeper rewiring takes longer. We'll talk about pacing in the first session." } }, { "@type": "Question", "name": "Do I need medication?", "acceptedAnswer": { "@type": "Answer", "text": "I don't prescribe. If medication is on the table, we can talk through what a good psychiatry referral looks like alongside our work." } } ] } ] --- [Skip to content](#main) [](/) [About](/about)[Approach](/approach) [Services](/services) [Who I work with](/who-i-work-with) [Insights](/insights)[Español](/es)[Contact](/contact) [Book a free call](/book) ![Still glassy water at the edge of a forest with the trees mirrored on the surface](/assets/nature-anxiety-CZOSOVnm.jpg) [All services](/services) 02 Primary focus # Anxiety & chronic stress The version of you that shows up for everyone else is exhausted. What this actually is ## The long version. High-functioning anxiety hides well. You hit the deadlines, you smile in the meeting, you answer the text — and underneath, your body has been braced for months. This work is about actually putting the brace down, not just learning to manage it better. Sound familiar? ## You might recognize — - Racing mind that won't turn off, especially at night - You feel behind even when you're ahead - Chest tightness, jaw clenching, shallow breath you only notice when it stops - Constant self-monitoring — how you sound, how you're being perceived - You've read the books, done the breathwork, and still feel this way How we work ## The work itself. We map the pattern beneath the symptom — where it started, what it's protecting, what it costs. Depending on what fits, that includes EMDR for the older material, CBT to interrupt the loop, DBT for the moments that feel unbearable, and slow, honest conversation for everything in between. [Book your free 15-min call](/contact) [See full approach ](/approach) FAQ ## Questions people actually ask. Is what I'm dealing with 'anxiety' or just my life? Both, usually. The point of the work isn't to diagnose you — it's to understand what your nervous system has been carrying and whether it still has to. How long does anxiety work take? The relief often comes sooner than people expect; the deeper rewiring takes longer. We'll talk about pacing in the first session. Do I need medication? I don't prescribe. If medication is on the table, we can talk through what a good psychiatry referral looks like alongside our work. Related services ## Where this work often overlaps . [ Specialization Burnout & high-achiever therapy For people who look fine on paper and are quietly running on empty. Read more ](/services/burnout-therapy)[ Depth work Depression For the flat, grey version of yourself that won't lift. Read more ](/services/depression-therapy)[ Specialization Trauma & PTSD EMDR-led reprocessing for what your body still remembers. Read more ](/services/trauma-ptsd-therapy) ## Ready to actually work on this? [Book your free 15-min call ](/contact) With Love Wellness Center Depth-oriented therapy across California. Sessions in English & Español. Telehealth-only practice. Begin [Book your free 15-min call](/contact) In a crisis or emergency, call or text [988](tel:988) or [911](tel:911). Services - [All services](/services) - [EMDR therapy](/services/emdr-therapy) - [Anxiety & chronic stress](/services/anxiety-therapy) - [Trauma & PTSD](/services/trauma-ptsd-therapy) - [Relationship & attachment patterns](/services/relationship-therapy) - [Depression](/services/depression-therapy) - [Substance use, recovery & codependency](/services/substance-use-therapy) - [Burnout & high-achiever therapy](/services/burnout-therapy) - [Life transitions](/services/life-transitions-therapy) - [Grief & loss](/services/grief-therapy) - [Men's issues](/services/mens-therapy) Who I work with - [Overview](/who-i-work-with) - [Latino/a/x adults](/who-i-work-with/latino-therapy) - [LGBTQ+ adults](/who-i-work-with/lgbtq-therapy) - [Veterans & first responders](/who-i-work-with/veterans-therapy) - [High achievers](/who-i-work-with/high-achievers) Serving California - [California online therapy](/california-online-therapy) - [Los Angeles](/california/los-angeles) - [Orange County](/california/orange-county) - [San Diego](/california/san-diego) - [San Francisco](/california/san-francisco) - [San Jose](/california/san-jose) - [Sacramento](/california/sacramento) Insights - [All insights](/insights) - [High-functioning anxiety](/insights/high-functioning-anxiety) - [When therapy didn't work](/insights/when-therapy-didnt-work) - [Are my problems bad enough?](/insights/are-my-problems-bad-enough) - [Perfectionism & anxiety](/insights/perfectionism-and-anxiety) - [Can't think your way out](/insights/why-you-cant-think-your-way-out) Practice - [About Joshua](/about) - [Approach](/approach) - [Rates & insurance](/rates) - [Reviews](/reviews) - [Contact](/contact) En Español - [Inicio](/es) - [Sobre mí](/es/sobre-mi) - [Terapia de ansiedad](/es/terapia-de-ansiedad) - [Terapia de trauma](/es/terapia-de-trauma) - [Contacto](/es/contacto) With Love Wellness Center · Telehealth across California · sessions in English & Español. Individual results vary; therapy outcomes are not guaranteed. This website is for informational purposes only and is not a substitute for clinical care. Website by [Automaus.ai](https://automaus.ai) © 2026 With Love Wellness Center · Joshua Acosta-Duque, LCSW · CA LCSW #121584