Anxiety Therapy | Long Island & Virtual NYHigh-functioning anxiety is still anxiety.
It doesn't always look like a panic attack. Sometimes it looks like a perfect exterior, a brain that won't stop buffering, and a to-do list that follows you into your sleep. If you've been managing it for years and you're exhausted from the performance, you're in the right place.
The what-ifs stop here.
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The what-ifs stop here. •
The three patterns we see most.
What We'll Work On TogetherThe Comparison Trap
You're exhausted from chasing a version of success, the house, the career, the social life, that doesn't even feel like yours. We use CBT and ACT to untie your worth from your productivity and build a sense of self that doesn't depend on how much you checked off today.
Boundary Burnout
You've been the reliable one for so long that putting yourself first feels like letting the whole neighborhood down. We help you build "saying no" muscles in a safe environment until setting boundaries feels like relief instead of betrayal.
The Long Island Nervous System
Long Island's always-on culture has your nervous system stuck on high alert. We give you real tools to regulate the overwhelm so you can actually be present in your own life, not just managing it from one obligation to the next.
How We WorkWe don't do one-size-fits-all therapy. We specialize in unmasking the hidden stressors that standard talk therapy misses, addressing how your anxiety intersects with your history, your hormones, and the high-pressure New York lifestyle. That includes health anxiety, the kind that turns every symptom into a spiral and keeps your nervous system permanently on high alert. Using CBT, ACT, and DBT we help you dismantle the intrusive loops, silence the inner critic, and replace survival mode with something that actually feels sustainable. This is the one hour a week you will actually look forward to.
Past the surface. Into what's actually driving it.
Therapist with this speciality -
![Young woman with long brown hair sitting by a window, smiling, wearing a navy blue dress with white scalloped trim.]()
Alicia Italiano, LCSW
E. Setauket | Virtual NY
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![A woman with long brown hair sitting on a black couch near a window, smiling at the camera with a green leafy plant behind her.]()
Jamie Edwards, LCSW-R
E. Setauket | Virtual NY
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![A woman sitting on a wooden stool near a window with a brick wall in the background. She has long brown hair, glasses, and is smiling while wearing a dark teal top and black pants. There are green plants behind her.]()
Samantha Alotta, LMSW
E. Setauket | Virtual NY
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![A woman with long wavy brown hair, glasses, and tattoos on her arms, wearing a green tank top and blue jeans, sitting in a room with a plant in the background.]()
Johanna Schwartz, LCSW
Brooklyn | Virtual NY
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![A smiling man with glasses, a beard, and dark hair, wearing a black shirt, standing indoors near a window with plants in the background.]()
Rob Edwards, LMSW
E. Setauket | Virtual NY
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![A woman with long dark hair smiling and holding a blue striped mug, sitting indoors near a potted plant.]()
Maria Montelione, LCSW, PMH-C
E. Setauket | Virtual NY
The Work Pays OffImagine actually feeling present in your own life.
Because that version of you isn't gone. You’ve just been buried under everyone else's expectations.
Your brain finally quiets down.
Trading the constant loop of worry for the ability to be truly present in your own life. Not managing the noise, actually free of it.
You trust yourself again.
Moving past self-doubt and external validation, knowing your own values guide your decisions instead of everyone else's opinions.
You rest without guilt.
Reclaiming the energy you've been pouring into performing okay and using it for the things and people that actually matter to you.
However you show up, the work is the same.
IN-PERSON THERAPY
Hang at The Nest. Visit our East Setauket office, inside Revival Strength & Recovery Wellness Center or at our new Brooklyn office.
ONLINE THERAPY
The comfy pants option. Virtual sessions anywhere across New York State.
frequently asked questionsA few things people usually want to know.
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It's a completely valid fear and one we hear often. The short answer is that avoidance is actually what keeps anxiety running. Talking about it in a structured, supported environment with someone trained to guide the process is fundamentally different from ruminating alone at 2am. We move at your pace, always with purpose, and we'll never push you somewhere you're not ready to go.
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You've managed it, and that's real. But managing isn't the same as actually feeling okay. If you've spent years finding creative ways to cope and you're still exhausted, still performing, still red-lining underneath a put-together exterior, that's not a sign that you don't need support. That's a sign that what you've been doing has a ceiling, and you've hit it.
Still have questions? We have answers.
You've spent enough energy fighting your own thoughts.
One free vibe check call is all it takes to see if The Nest is the right fit. No commitment, no pressure, just a real conversation.