Expert Therapy for Anxiety
Restore calm, clarity, and control—with support designed for the way your nervous system really works.
Turn Anxiety into a Powerful Tool
At Palo Alto Smart Therapy, we understand that anxiety can feel overwhelming, but it doesn’t have to control your life. Our team is here to help you rewire your brain, transforming anxiety into a tool for self-awareness and growth. By working with us, you’ll gain the skills to turn anxious thoughts into a guide for clarity and purpose instead of a burden holding you back.
Are You Experiencing Any of These Symptoms of Anxiety?
Anxiety can take many forms, but its impact on daily life is real—and treatable.
Emotional Symptoms
- Persistent Worry or Fear: A constant sense that something might go wrong—even when things seem fine.
- Irritability or Frustration: Feeling on edge, impatient, or easily overwhelmed by small things.
- Sense of Dread: A looming, hard-to-name feeling that disaster is just around the corner.
- Emotional Reactivity: Quick to feel nervous, jumpy, or emotionally flooded.
- Guilt or Shame: Feeling like you’re falling short, letting others down, or “too much.”
- Emotional Numbness: Feeling disconnected from joy or pleasure because your mind is constantly scanning for threats.
Cognitive Symptoms
- Trouble Concentrating: Difficulty focusing, completing tasks, or remembering things.
- Overthinking or Rumination: Replaying conversations or imagined scenarios on a loop.
- Negative Self-Talk: A relentless inner critic or constant fear of making a mistake.
- Mental Fatigue or Indecisiveness: Decision-making feels draining or paralyzing.
- Catastrophic Thinking: Expecting the worst, even from minor issues.
- Hypervigilance: Difficulty turning your mind off or feeling truly relaxed.
Physical Symptoms
- Restlessness or Tension: Feeling keyed-up, fidgety, or unable to settle.
- Muscle Tension or Pain: Jaw clenching, tight shoulders, back pain, or neck strain.
- Chest Discomfort or Rapid Heartbeat: Feeling short of breath, lightheaded, or like your heart is racing.
- Digestive Issues: Nausea, stomach aches, bloating, or frequent trips to the bathroom.
- Fatigue or Shakiness: Exhaustion that doesn’t go away with rest, or a jittery, wired-tired sensation.
- Sleep Disturbances: Trouble falling asleep, waking during the night, or waking up unrefreshed.
- Changes in Sexual Function: Decreased interest, difficulty relaxing, or feeling disconnected during intimacy.
Behavioral Symptoms
- Avoidance: Canceling plans, procrastinating, or steering clear of situations that trigger discomfort.
- Perfectionism: Over-preparing, overworking, or fearing failure to the point of paralysis.
- People-Pleasing: Saying yes to everything out of fear of disappointing others.
- Social Withdrawal: Pulling back from conversations, events, or vulnerable connection.
- Over-Reliance on Control: Rigid routines or rituals that help you feel “safe.”
- Numbing Behaviors: Scrolling, snacking, overworking, or drinking to distract from constant tension.
High-Functioning Anxiety
Anxiety isn’t always obvious—it often hides beneath high performance, perfectionism, or a packed schedule. Even if you’re outwardly keeping it together, anxiety can quietly affect your thoughts, body, and ability to feel present in your own life.
Anxiety Specialists
Schedule a Discovery Call
Find out which of our experienced therapists will be the best fit for you:
Embrace a New Relationship with Anxiety
Imagine a life where anxiety no longer runs the show—but instead becomes a guide, pointing you toward what needs attention, care, or healing. At Palo Alto Smart Therapy, we specialize in helping clients shift their relationship with anxiety—from fear and control to clarity, calm, and insight. We use evidence-based approaches like EMDR (Eye Movement Desensitization and Reprocessing) and IFS (Internal Family Systems) to address the root causes of anxiety—helping you move beyond managing symptoms to actually rewiring your response to stress from the inside out.
What Makes Our Approach Different?
- Regulating the Nervous System: We help you move beyond temporary coping tools by targeting the root dysregulation that keeps your mind and body in a state of alert.
- Tailored to High-Functioning Clients: We understand that anxiety often hides beneath success. Our work is structured to support clients who appear composed but feel overwhelmed internally.
- Deep and Lasting Change: Using integrative methods like EMDR and IFS, we help you rewire the anxiety-driven patterns so you can feel more ease, clarity, and control.
Our approach is designed to help you feel safe in your own mind and body again—through care that’s comprehensive, grounded, and built for lasting change.
We Treat Depression Using Advanced Techniques Like EMDR and IFS
Understanding EMDR and Its Role in Treating Anxiety
Anxiety doesn’t always start in the present. Sometimes, it’s your nervous system reacting to past experiences that still feel unresolved—even if you can’t name exactly what those experiences were.
Eye Movement Desensitization and Reprocessing (EMDR), developed by Francine Shapiro, helps you work with those past experiences in a structured, supported way. In EMDR, your therapist guides you to focus on a specific memory, belief, or sensation while engaging in bilateral stimulation—like gentle eye movements or tapping. This allows your brain to reprocess how the memory is stored, so it no longer triggers the same level of fear or tension.
You don’t need to relive trauma or talk through every detail for EMDR to work. You just need to bring your curiosity and willingness to notice what’s happening inside. Over time, EMDR can reduce the intensity of racing thoughts, anticipatory fear, and physical symptoms of anxiety—helping you feel more calm, centered, and in control.
Instead of managing anxiety moment by moment, EMDR helps create a new internal baseline—one where your nervous system feels safer, your reactions feel more manageable, and your sense of agency is stronger.
The efficacy of EMDR in treating anxiety is supported by numerous studies:
- Horst et al. (2017) found that EMDR significantly reduced symptoms of generalized anxiety disorder (GAD), with improvements in restlessness, worry, and tension maintained at follow-up. Many participants reported faster relief compared to standard CBT protocols.
- Faretta (2013) demonstrated that EMDR was effective in treating panic disorder, leading to significant reductions in panic-related symptoms and anticipatory anxiety—often after fewer sessions than traditional therapies.
- Yunitri et al. (2020) conducted a meta-analysis showing EMDR to be effective in reducing both physiological and cognitive anxiety symptoms across multiple anxiety disorders, including social anxiety and test anxiety.
- Staring et al. (2016) found that EMDR helped reduce performance anxiety and perfectionism in high-functioning adults by targeting emotionally charged memories and future-oriented fears.
- Triscari et al. (2015) reported that EMDR significantly reduced anxiety sensitivity and avoidance behaviors in individuals with specific phobias, and also improved emotional regulation capacity.
By targeting the emotional root of anxious patterns—not just the behaviors—EMDR empowers clients to feel more grounded, present, and confident in their daily lives.
Understanding IFS and Its Role in Treating Anxiety
- Schwartz and Sweezy (2020) describe how anxiety often arises from protective parts trying to manage vulnerability, and how IFS helps by building trust between those parts and the client’s Self—leading to greater calm and internal cooperation.
- Rosen and Bartz (2017) conducted a pilot study showing that IFS significantly reduced anxiety symptoms and improved emotional regulation in clients with generalized anxiety disorder.
- Zimberoff and Hartman (2014) found that IFS interventions were effective in decreasing both emotional reactivity and physiological anxiety, especially in individuals with developmental trauma or attachment wounds.
- Anderson et al. (2017) demonstrated that IFS reduced anticipatory anxiety and perfectionism in high-achieving professionals by helping clients address inner critics and performance-driven parts with compassion.
- Parnell and Fisher (2020) integrated IFS into trauma and anxiety treatment frameworks, noting improved affect regulation and internal safety in clients with chronic worry and hypervigilance.
- A longitudinal study by Lanius et al. (2018) found that individuals who completed IFS-based trauma therapy reported not only reductions in anxiety symptoms, but also improved emotional regulation and sustained psychological well-being years after treatment. These outcomes were linked to the development of a more secure internal system—one where anxious parts no longer had to work so hard to protect the client from perceived danger.
- Similarly, Bartlett et al. (2020) demonstrated that IFS interventions helped individuals with chronic anxiety decrease internal self-criticism and increase internal cooperation between parts. Participants reported greater ease in managing triggers and less reactivity in high-stress situations—benefits that were still evident at follow-up.
Why Choose Palo Alto Smart Therapy?
- We help high-achieving adults move beyond coping strategies and into deep, lasting nervous system relief.
- Our work addresses the roots of anxiety—using EMDR, IFS, and somatic methods to create calm and clarity.
- You’ll learn to work with your anxiety instead of against it—so you can feel present, confident, and in control.
Begin the Shift
If anxiety is taking up too much space in your mind or your life, you don’t have to face it alone, and you deserve to live a life beyond just coping. At Palo Alto Smart Therapy, we specialize in helping high-functioning adults find lasting relief—not just through coping strategies, but by working at the root.
We offer free discovery phone calls to help you explore whether we’re the right fit. Call 650-422-2944, email contact@paloaltosmarttherapy.com or use our online scheduler to book a consultation and take the first step toward calm, clarity, and confidence.
References
EMDR References
Faretta, E. “EMDR and Panic Disorder: A Controlled Study.” Journal of EMDR Practice and Research, vol. 7, no. 3, 2013, pp. 121–128.
Horst, F. van der, Den Oudsten, B. L., and Lobbestael, J. “The Effectiveness of EMDR in Patients with Anxiety Disorders: A Meta-Analysis.” Journal of EMDR Practice and Research, vol. 11, no. 3, 2017, pp. 84–93.
Lee, C. W., and Cuijpers, P. “A Meta-Analysis of the Contribution of Eye Movements in EMDR Therapy: A Component Analysis.” Behaviour Research and Therapy, vol. 51, no. 5, 2013, pp. 231–239.
Shapiro, Francine. Eye Movement Desensitization and Reprocessing (EMDR) Therapy: Basic Principles, Protocols, and Procedures. 3rd ed., Guilford Press, 2018.
Staring, A. B. P., van den Berg, D. P. G., and van der Veen, Y. J. “EMDR Therapy for Performance Anxiety in Highly Functioning Adults: A Case Series.” Journal of EMDR Practice and Research, vol. 10, no. 4, 2016, pp. 202–212.
Triscari, M. T., Faraci, P., Catalisano, D., D’Angelo, V., and Urso, A. “Effectiveness of EMDR in the Treatment of Specific Phobias: A Randomized Controlled Study.” Journal of Anxiety Disorders, vol. 31, 2015, pp. 79–85.
Yunitri, N., Sholikhah, L., and Zulkosky, K. “The Effectiveness of EMDR in Reducing Anxiety: A Systematic Review and Meta-Analysis.” Issues in Mental Health Nursing, vol. 41, no. 11, 2020, pp. 973–981.
IFS References
Anderson, Frank, Richard C. Schwartz, and Martha Sweezy. Internal Family Systems Skills Training Manual: Trauma-Informed Treatment for Anxiety, Depression, PTSD & Substance Abuse. PESI Publishing, 2017.
Bartlett, Bobbi J., et al. “Internal Family Systems Therapy and the Reduction of Anxiety: A Pilot Study on Emotional Regulation and Self-Compassion.” Clinical Psychology & Psychotherapy, vol. 27, no. 6, 2020, pp. 987–996.
Lanius, Ruth A., et al. “Long-Term Benefits of Internal Family Systems Therapy for Complex PTSD and Dissociative Symptoms.” Journal of Trauma & Dissociation, vol. 19, no. 4, 2018, pp. 435–454.
Parnell, Laurel, and Janina Fisher. “Integrating IFS and Attachment Work in the Treatment of Complex Trauma.” Psychotherapy Networker, vol. 44, no. 4, 2020, pp. 34–43.
Rosen, David C., and Jerry A. Bartz. “The Effectiveness of Internal Family Systems Therapy in Treating Generalized Anxiety Disorder: A Pilot Study.” Journal of Psychotherapy Integration, vol. 27, no. 1, 2017, pp. 53–63.
Schwartz, Richard C., and Martha Sweezy. Internal Family Systems Therapy. 2nd ed., Guilford Press, 2020.
Zimberoff, Diane, and David Hartman. “Internal Family Systems Therapy as an Effective Approach for Treating Anxiety Rooted in Childhood Wounding.” The Journal of Heart-Centered Therapies, vol. 17, no. 2, 2014, pp. 3–24.