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Hi there, I'm Erica.
Licensed to practice in California and New York.
As a recovering perfectionist and high-achieving professional, I understand how independence and self-reliance can fuel success while also making it difficult to ask for support. Elevé was created to offer more than generic stress management. It was built to provide specialized therapy that understands the psychology of performance and pressure.
FOUNDER OF ELEVé THERAPY & CO, LMFT
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Maybe you’re searching for an anxiety therapist in Brooklyn after another night spent replaying a conversation, thinking about tomorrow’s workload, or wondering why you can’t seem to relax when, objectively, things are going pretty well. From the outside, your life may look successful. You’re responsible. People depend on you. You hold yourself to high standards and probably have plenty of evidence that you’re capable. Internally, though, it can feel exhausting to keep it all up.
At Elevé Therapy & Co, we specialize in therapy for anxiety and related concerns like perfectionism, burnout, and achievement pressure. We work especially well with ambitious adults who don’t necessarily want to become less driven—they want a healthier and more sustainable relationship with their ambition.
Quick Answer: When looking for an anxiety therapist in Brooklyn, consider more than location and credentials. Look for a therapist who understands how anxiety shows up specifically in your life, uses evidence-informed approaches such as CBT or ACT when appropriate, and can help you change the patterns maintaining anxiety—not simply give you more ways to manage it. If you’re a high achiever, it can also help to find someone who understands the relationship between anxiety, perfectionism, achievement, and self-worth.
Anxiety doesn’t always look like panic, visible nervousness, or being unable to function. In fact, some of the people we see in therapy are functioning exceptionally well. You may be meeting deadlines, progressing in your career, maintaining relationships, working out, answering everyone’s texts, remembering birthdays, planning ahead, and handling whatever needs to be handled. You may not even describe yourself as anxious.
Instead, anxiety can sound like:
The distinction isn’t that any of these behaviors are inherently unhealthy. Context and function matter. The more useful question is often: What happens if you don’t do them? If resting, making an ordinary mistake, disappointing someone, sending the email without checking it again, or doing something imperfectly creates an outsized sense of threat, there may be more happening beneath the surface.
Key Takeaway: High-functioning anxiety can hide behind behaviors that are socially rewarded. Being productive, prepared, dependable, and ambitious doesn’t automatically mean you’re anxious—but fear may be playing a larger role when those behaviors start to feel compulsory rather than chosen.
One concept we often help clients understand is the safety behavior. A safety behavior is something you do to prevent, minimize, or protect yourself from a feared outcome. In anxiety, these behaviors can provide short-term relief while preventing opportunities to learn that you can tolerate uncertainty, mistakes, discomfort, or outcomes you can’t completely control.
The American Psychological Association describes safety behaviors as actions intended to minimize or prevent a feared outcome and notes that they can maintain anxiety when we attribute our safety or success to the behavior itself. For high-achieving adults, safety behaviors can be particularly difficult to recognize because many of them look productive.
You spend hours preparing for a presentation that reasonably required a fraction of that time. When the presentation goes well, you don’t necessarily learn, I’m capable of handling this. Instead, you may learn, Good thing I prepared that much.
You reread an email again and again before hitting send. The checking temporarily reduces uncertainty, but you never get to discover what happens when you trust yourself after one or two reviews.
You struggle to delegate because someone else may not do the task exactly as you would. Doing everything yourself reduces uncertainty—but may also leave you exhausted and reinforce the belief that letting go isn’t safe.
Your calendar stays full. Sometimes being busy is simply part of having a full life. Other times, constant activity leaves very little space for uncomfortable thoughts or feelings to surface.
You repeatedly ask colleagues, friends, mentors, or partners whether something was okay. The reassurance feels good temporarily. Then another uncertainty appears.
Perfectionism doesn’t always create overworking. Sometimes it creates avoidance. When doing something imperfectly feels threatening, not starting can become a way to temporarily avoid the possibility of failing.
You say yes even when you’re stretched thin because you want to remain the person others experience as reliable, helpful, easygoing, or dependable. The feared outcome isn’t necessarily the extra work itself. It may be what someone’s disappointment would mean about you. Avoidance and safety-seeking behaviors are well-established processes in anxiety. They can maintain fear partly because they limit opportunities for new learning about what happens when the protective behavior isn’t used.
Myth: If a coping strategy makes you feel less anxious, it must be helping.
Fact: Some behaviors reduce anxiety in the moment while reinforcing it over time. The important question isn’t only, “Does this make me feel better?” but also, “What is this teaching me about what I believe I can and cannot handle?”
Ambition itself isn’t something we are trying to eliminate in therapy. You can want the promotion. You can build the company. You can care deeply about your career, compete, train, create, achieve, and set difficult goals.
Healthy ambition allows room for your humanity.
You can challenge yourself and witness yourself succeed—or stumble. You can be disappointed when something doesn’t work out without concluding that the outcome changed your fundamental worth. Anxiety-driven achievement tends to be more rigid.
Listen for rules like:
When your self-worth becomes dependent on achievement, the emotional stakes of ordinary setbacks become much higher. Not getting the promotion isn’t simply disappointing. It can feel like evidence that you’re not impressive enough. Making a mistake can become evidence that you’re incompetent. Someone being disappointed in you can feel like evidence that you’re not dependable. At that point, constant striving can start functioning as a protective strategy: If I keep performing, achieving, improving, and managing people’s perceptions of me, perhaps I can keep feeling okay about myself.
Key Takeaway: One difference between healthy ambition and anxiety-driven achievement is what happens to your sense of self when you don’t succeed. Healthy ambition can tolerate disappointment. When achievement is carrying your self-worth, failure can feel like a verdict on who you are.
If you’ve searched “anxiety therapist Brooklyn,” you’ve probably discovered that you have plenty of choices. That can be reassuring—and completely overwhelming. Credentials matter. So do training and experience. But finding the right therapist usually requires looking beyond a directory checklist.
“Anxiety” is an enormous category. If you’re functioning well but constantly overthinking, performing, optimizing, people-pleasing, or fearing disappointment, consider whether the therapist talks specifically about these patterns. You want to feel that you’re reading their website and thinking, Yes. That’s what happens to me.
A consultation doesn’t need to become an interview with 20 questions. One useful question, however, is: “How do you typically work with someone experiencing the kind of anxiety I’m describing?” You’re listening for whether the therapist can make sense of your experience rather than simply listing techniques.
Coping skills can absolutely be useful. But if your anxiety is maintained by avoidance, perfectionism, reassurance seeking, rigid rules, or self-worth that’s heavily dependent on performance, you may need to work with those patterns—not just become better at calming yourself down after they’ve been activated.
Therapy requires enough safety to be honest and enough challenge to do something different. A therapist doesn’t need to be exactly like you or agree with you about everything. But you should feel that they’re genuinely listening, curious about your experience, and capable of helping you notice things you may not see on your own.
Telehealth has expanded the pool of therapists available to many clients. Instead of limiting your search to the therapist whose office happens to be closest to your Brooklyn neighborhood, you may be able to prioritize specialization, approach, personality, availability, and fit.
There isn’t one therapy approach that’s right for every person. Two approaches we frequently draw from at Elevé Therapy & Co are Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT).
CBT helps people examine relationships among thoughts, emotions, and behaviors and develop different ways of responding to anxiety. It is extensively studied and commonly used for anxiety disorders. For example, therapy may help you recognize catastrophic predictions, identify avoidance or safety behaviors, and gradually practice responding differently.
ACT asks a somewhat different question. Rather than making the elimination of uncomfortable thoughts and feelings the prerequisite for living your life, ACT emphasizes psychological flexibility: developing a different relationship with internal experiences while moving toward what matters to you. NIMH identifies ACT as another treatment option for generalized anxiety disorder and describes its use of strategies including mindfulness and engagement in meaningful activities.
For high achievers, we find this framework particularly useful when life has become organized around avoiding failure, uncertainty, disappointment, or inadequacy. Instead of asking: How do I make sure I never feel this way? We can begin asking: Can this feeling be here without letting it make every decision for me? And: What would I choose if I weren’t organizing my life entirely around avoiding this discomfort?
Myth: Successful anxiety therapy means you stop experiencing anxiety.
Fact: Anxiety is part of being human. Therapy can help you build a different relationship with anxiety so that discomfort doesn’t have to determine what you do next.
After a decade of practicing therapy, I’ve become particularly attentive to the ways high-achieving clients can turn therapy itself into another place to perform. It can be subtle. You want the homework. You want to know what you should be doing between sessions. You want the big takeaway. You want to know whether you’re progressing quickly enough. You may even leave a quieter session wondering whether you “got enough out of it.” That makes sense when efficiency and improvement have helped you navigate so many other parts of life. But therapy can offer an opportunity to practice something different.
Sometimes I intentionally don’t give a client another assignment. Sometimes we don’t manufacture a profound takeaway simply so the hour feels productive. Instead, we get curious about the part that urgently wants another task, solution, metric, or thing to fix.
Can you tolerate curiosity instead of performance? Can you experience discomfort without immediately converting it into another to-do list? Can you be present with what is happening today without needing to optimize it? For someone accustomed to succeeding through effort and control, that can be surprisingly difficult work.
Another pattern I frequently see involves managing other people’s perceptions. You want to be seen as competent. Dependable. Successful. Helpful. Impressive. There’s nothing wrong with valuing those qualities. The difficulty comes when “I value being dependable” turns into “I must always be dependable.” Now there is no room to be human. You may overextend yourself, answer when you don’t have capacity, take on another responsibility, or avoid setting a boundary because someone might be disappointed.
Therapy may involve practicing the opposite: allowing the possibility that someone could be disappointed. Then noticing what happens. Can another person be disappointed with you without you rushing to repair their perception? Can you be unavailable one day and still understand yourself as dependable? Can someone have a less-than-perfect experience of you without your entire self-concept becoming unstable? This isn’t about learning to care less about other people. It’s about developing enough internal stability that another person’s momentary perception of you doesn’t determine your worth.
Key Takeaway: For some high achievers, therapy isn’t about becoming better at self-improvement. It’s an opportunity to stop performing long enough to become curious about why performing has felt so necessary.
Not necessarily. If you’re interested in online therapy, a therapist does not have to maintain a physical office in Brooklyn to work with you. What matters from a licensing standpoint is whether the clinician is appropriately licensed to provide therapy where you are located at the time of the session. Elevé Therapy & Co provides online therapy in New York, including for clients located in Brooklyn. That can broaden your search considerably.
Rather than choosing solely according to neighborhood or commute, telehealth may allow you to look for a therapist whose specialization more closely matches what you’re experiencing. For example, if you’re a high-achieving professional struggling with anxiety and perfectionism, you may decide that finding a clinician who regularly works with those dynamics matters more to you than having a therapist physically down the street. Virtual psychotherapy is an established way of delivering mental health treatment, and NIMH notes that psychotherapy can be effective when provided either in person or through telehealth.
Note: This article is educational and isn’t intended to diagnose or replace individualized mental health care. If you are experiencing a mental health crisis or need immediate emotional support in the U.S., call or text 988 or use the 988 Lifeline chat.
You don’t need absolute certainty after one consultation. That would be a particularly unfair standard to give yourself if uncertainty is already something you struggle with.
Instead, consider a few questions after speaking with a potential therapist:
Finding a therapist is a meaningful decision. It doesn’t have to become another decision you must make perfectly.
If you’re a high achiever, one of your concerns about therapy may be surprisingly simple: What if becoming less anxious makes me less successful? If anxiety has pushed you to prepare, anticipate problems, work harder, stay organized, and exceed expectations for years, letting go of that pressure can feel risky.
You may wonder:
If I’m not hard on myself, who will keep me accountable?
If I accept myself, will I stop improving?
If I stop worrying, will I become complacent?
What if anxiety is the reason I’ve gotten this far?
At Elevé Therapy & Co, our goal isn’t to take away your ambition. We help clients explore whether fear needs to remain the engine behind it. Letting go of harsh self-pressure doesn’t mean replacing ambition with laziness. The work can involve moving from fear-based motivation toward more sustainable, values-driven action. You can still want difficult things. You can still care. You can still challenge yourself. The difference is that a setback doesn’t have to determine your worth.
This is part of why our work often goes beyond simply learning anxiety-management techniques. Through approaches including ACT, CBT, mindfulness, and self-compassion, we help clients examine the rules, avoidance patterns, beliefs, and behaviors that may be keeping anxiety in charge.
If this sounds familiar, you may also find our guides to therapy for high achievers, therapy for burnout, and how to stop being a perfectionist helpful.
Finding an anxiety therapist in Brooklyn doesn’t have to mean finding the therapist closest to your apartment—or scrolling through hundreds of nearly identical profiles until you’re certain you’ve found the perfect one. Look for someone who understands how your anxiety functions, what keeps it going, and what you want your life to look like beyond simply feeling less anxious. If you’re successful on paper but exhausted internally, your ambition doesn’t necessarily need to disappear.
The strategies you’ve developed may have been remarkably effective at helping you navigate the world. Staying prepared, working hard, anticipating problems, being dependable, and striving to improve may have contributed to many of the things you’re proud of. And there may be another way forward. One where you can remain ambitious without needing fear, anxiety, or relentless self-pressure to be the engine that keeps you moving.
If you’re looking for an anxiety therapist in Brooklyn, Elevé Therapy & Co. provides online therapy for clients throughout New York. You can schedule a complimentary consultation to learn more about working together.
If you’re not ready to schedule, explore our resources for high-achieving adults to learn more about anxiety, perfectionism, burnout, and sustainable ambition.
Bottom line: The goal isn’t to become less ambitious. It’s to build a life in which you can pursue what matters to you without requiring achievement to continually prove that you’re enough.
Start by looking for a therapist who is licensed to work with clients in New York and has experience with the type of anxiety you’re experiencing. Consider specialization, therapeutic approach, availability, cost, and how you feel during an initial consultation—not simply physical proximity. You can learn more about our online therapy services in New York.
Yes, online therapy may be an option if your therapist is appropriately licensed to provide care where you are physically located during sessions. Elevé Therapy & Co provides virtual therapy for clients throughout New York, including Brooklyn. Learn more about online therapy in New York.
There isn’t one approach that’s best for every person. CBT is extensively researched and commonly used for anxiety disorders, while ACT is another evidence-based approach that focuses on psychological flexibility, acceptance, mindfulness, and meaningful action. The right approach depends on your symptoms, goals, preferences, and individual circumstances.
Yes. External success does not tell you how much anxiety someone experiences internally. Some people continue performing at a high level while struggling with chronic worry, overthinking, perfectionism, reassurance seeking, overpreparation, or difficulty resting. Read more about therapy for high achievers and how achievement can sometimes mask emotional distress.
Therapy doesn’t require giving up ambition. For many high-achieving clients, the work is about developing greater flexibility so that fear and harsh self-pressure aren’t the only sources of motivation. Our approach emphasizes pursuing what matters to you while building a more stable relationship with yourself—whether a particular effort ends in success, disappointment, or something in between.
Progress doesn’t always mean that anxiety disappears. You may notice that you’re more willing to tolerate uncertainty, recover from mistakes more easily, set boundaries, spend less time seeking reassurance, or make decisions based more on your values than on avoiding discomfort. For perfectionistic clients especially, it’s worth remembering that therapy itself doesn’t need to become another area in which you have to perform perfectly.
Elevé Therapy & Co provides thoughtful online therapy for ambitious adults navigating anxiety, perfectionism, burnout, and the pressure to always be doing more. We serve clients throughout New York, including Brooklyn.
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Based in San Diego, Erica Basso, LMFT leads a team with over a decade of clinical experience helping clients across California and New York navigate life's most difficult moments — and create meaningful change.
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