therapy for relationship anxiety in new york

for the person who wants closeness and keeps getting in their own way.

you're here because

You know what you want.

 You want connection, intimacy, a relationship that feels safe and real. You might already have it or something close to it. And yet something keeps happening. You pull back when things get too close. You spiral after a text goes unanswered. You find evidence of threat in neutral situations. You give until you’re empty or you hold back until people stop reaching.

You’re not doing it on purpose. You know that. But knowing doesn’t seem to stop it. That gap between what you want in relationships and how you actually show up in them is exactly what this work is for.

THE CHALLENGE

what relationship anxiety in nyc actually is

Relationship anxiety isn’t about being too sensitive or too needy or too much. It’s about a nervous system that learned, usually long before you had any say in the matter, that closeness was complicated. That love came with conditions. That being fully yourself in a relationship was risky in ways that were hard to name but impossible to forget.

In New York, this gets layered with everything else the city adds. The pace of dating here. The optionality. The culture that makes vulnerability feel like a liability and emotional unavailability feel like sophistication. There’s a particular version of relationship anxiety that thrives in New York especially one that looks like independence and reads as confidence and is actually a very well-developed system for keeping people at exactly the right distance.

Most people who come to me for relationship anxiety work aren’t falling apart in their relationships. They’re functioning, often quite well on the surface. What brings them in is usually one of these:

  • They keep ending up in the same dynamic just with different people. The anxiously attached person who finds the avoidant. The person who gives everything until they’re resentful and then leaves. The person who is deeply present in the early stages and slowly disappears as things get real.
  • Or they’re in a relationship that is, by every measure, good, and they can’t stop waiting for it to fall apart. The hypervigilance. The scanning for signs. The way a normal disagreement can feel like evidence that the whole thing is about to collapse.
  • Or they’re single in New York and something about the dating landscape feels not just hard but actively dysregulating like they can’t find their footing, can’t tell what’s real, can’t stop either over-investing or disappearing.
  • Or they know that something about how they were raised shaped how they love and they want to understand it well enough to actually change it, not just manage it.

meet your nyc therapist

I'm Kristie

a licensed therapist, supervisor, and consultant based in New York.

I work with relationship anxiety from an intersectional, attachment-based lens which means I take seriously the cultural and family systems that shaped how you learned to love, not just the patterns themselves. For first-generation, Asian American, and LGBTQ+ clients especially, relationship anxiety is rarely just personal. It developed in a context. Understanding that context is what makes it possible to actually change.

private practice consultant smiling on a couch

WHO I WORK WITH

New Yorkers navigating love in a city that makes it complicated

New York doesn't make relationships easier. The density, the pace, the culture of keeping options open, the social permission to prioritize work over intimacy creates a particular environment for relationship anxiety to flourish and hide. For transplants especially, there's an added layer: you came here as one person and you've been becoming someone else, and the relationships you brought with you or the way you learned to be in relationships, haven't necessarily kept up with who you're becoming. That gap is real and it shows up. This work is for people who are tired of the pattern and ready to understand where it actually came from.

first-generation Americans & immigrants

For first-generation and immigrant clients, attachment patterns are often shaped by the particular complexity of family systems under pressure such as immigration stress, cultural expectations around emotional expression, the way love and sacrifice got tangled together in ways that are still playing out in adult relationships. The model of relationships you inherited may not be the one you want to replicate. Understanding where it came from is the first step to building something different.

Asian Americans & people of color

In many Asian American family systems, emotional expression was not modeled or encouraged. In fact, love was shown through provision, sacrifice, and expectation rather than words or physical affection. That shapes how you give and receive love as an adult. It can make intimacy feel unfamiliar, even threatening, even when you want it deeply.

queer & LGBTQ+ adults

For queer clients, relationship anxiety often carries an extra layer because of their experience of having to hide, of love that was treated as shameful or wrong, of learning that closeness was dangerous before you had the language to understand why. That history lives in the body and shows up in relationships long after the context that created it has changed.

WHAT WE WORK ON

the patterns that live underneath relationship anxiety in new york city

Relationship anxiety rarely exists in isolation. It tends to be connected to a web of other patterns. Each one making sense in the context it developed in, each one causing problems in the present.

For many people, relationship anxiety is inseparable from people-pleasing and over-functioning. The person who gives everything, who anticipates needs, manages moods, makes themselves indispensable, is often doing so from a place of profound anxiety about what happens when they stop. We work with what’s underneath the giving as much as the giving itself.

Relationship anxiety also tends to surface identity questions specifically, the question of who you are in a relationship versus who you are alone. For people who learned early that being fully themselves was risky, intimacy can feel like a threat to self rather than an extension of it. We work with that directly.

For many clients, the patterns in current relationships trace directly back to family estrangement and not always in the dramatic sense, but in the quieter sense of family relationships that were complicated, conditional, or unpredictable. The way you learned to love in your family of origin is usually the template you bring to every subsequent relationship, until you look at it directly.

Perfectionism and self-worth shows up in relationship anxiety too and often as the belief that you have to be a certain way to be worth staying for. The hypervigilance, the people-pleasing, the shape-shifting are often perfectionism applied to the relational context. If I’m good enough, careful enough, attuned enough, maybe they won’t leave.

And underneath the anxiety in relationships, for many people, is a deeper existential question about connection itself. The question of whether real intimacy is possible for someone like them, whether the longing for closeness will ever actually be met, whether the risk of being fully known is one they’re willing to take.

HOW I WORK

the therapeutic approaches I draw from

My foundational lens is intersectional and identity-affirming therapy which means I look at the full cultural and relational context of how you learned to love. Attachment patterns don’t develop in a vacuum. They develop in families, in cultures, in systems and understanding that context is essential to changing the pattern.

  • Attachment-based therapy is the core framework for relationship anxiety work. We examine how your earliest experiences of connection, safety, and loss shaped the way you now approach intimacy. We also get clear on how those early templates play out in your current relationships. This is usually where the most important information lives.
  • Relational therapy uses our therapeutic relationship itself as a place to practice. How you show up with me, whether you over-share or under-share, whether you’re attuned to my reactions, whether you manage distance or closeness in our sessions, reflects how you show up in relationships outside. That’s not a problem. It’s data, and we use it.

  • Cognitive behavioral therapy helps identify and work with the specific thoughts and beliefs that drive anxious responses in relationships — the interpretations you make about neutral events, the predictions you run, the rules you’ve developed about how relationships work and what they mean about you.

  • Dialectical behavior therapy provides concrete skills for managing the emotional intensity that relationship anxiety brings. This can look like the spike of panic when a text goes unanswered, the flooding that happens in conflict, the way dysregulation can make it impossible to think clearly in the moments that matter most.

  • Mindfulness-based therapy builds the capacity to notice what’s happening in your nervous system in relational moments without immediately acting on it. It does this by creating space between the trigger and the response so you can choose how to show up rather than just react.

WHAT SESSIONS LOOK LIKE

what working together looks like

The first session is mostly orientation. I want to understand what’s bringing you in, whether it’s the specific pattern, the specific relationship or relationships, and what you’ve already tried. I also want to understand where it started. Relationship anxiety almost always has a history, and understanding that history is usually the fastest path through.

I’ve also done this work personally as a queer, first-generation person in NYC who navigated her own complicated attachment history. I’m not a blank screen and I’m not going to pretend the work is only intellectual. It’s relational. That means sometimes what happens between us is as important as anything you bring in to talk about.

WHAT CHANGES

what's different after this work

The shifts that happen in relationship anxiety work tend to feel like gaining access to yourself in moments where you previously disappeared or flooded.

You start to be able to stay with yourself in conflict rather than immediately trying to resolve or escape it. The dysregulation that used to hijack conversations becomes something you can notice and work with rather than something that runs you.

The patterns become visible in real time rather than only in hindsight. You catch yourself starting the familiar move whether it’s the withdrawal, the over-accommodation, the hypervigilance, and you have more choice about whether to complete it.

Relationships feel less like something you have to manage and more like something you can actually be in. The distance between what you feel and how you show up starts to close.

And the particular loneliness of being surrounded by people but not fully known by any of them — that starts to shift. Not because you become someone different, but because you stop working quite so hard to keep people from seeing who you already are.

fees

investment

Different challenges require different levels of support. Whether you’re exploring therapy for the first time, looking for ongoing support, or seeking focused guidance around a specific issue, there are multiple ways we can work together.

Therapy Session (45 Minutes): Ongoing therapy designed to help you navigate challenges, understand patterns, strengthen relationships, and create meaningful change over time.

Therapy Intensive (90 Minutes): An extended session that allows us to explore a specific issue in greater depth, helping you gain clarity and make progress without feeling rushed.

VIP Sprint (3 Hours): A highly focused, deep-dive experience designed for people facing a significant challenge, transition, or decision. Together, we’ll identify what’s keeping you stuck, uncover underlying patterns, and create a clear path forward.

Session

$375

45 minutes

Intensive

$750

90 minutes

vip sprint

$1500

180 minutes

New here or not sure what you need?
I offer a free 15 min chat to talk through what you’re looking for and figure out whether this is a good fit.

FAQs

No. Some of the most important relationship anxiety work happens outside of relationships like understanding the pattern before you bring it into the next one. Whether you’re single, dating, partnered, or somewhere more complicated, this work is relevant.
That’s one of the hardest questions in this work and it’s worth sitting with carefully. Sometimes anxiety is accurate and it’s picking up on something real. Sometimes it’s importing a template from the past onto a present situation that doesn’t actually warrant it. Usually it’s some of both. The work helps you tell the difference.

Yes to both. Anxious and avoidant attachment are two sides of the same original experience which is an early relationship with closeness that was complicated. Whether your response is to pursue or to withdraw, the underlying question is the same: is it safe to be fully here? That’s what we work on.

Usually yes and usually for the better, though it can surface things that need to be looked at. Sometimes people find that as they change, the relationship changes too. Sometimes they find that understanding their own pattern clarifies what they actually want from the relationship. I can’t predict the outcome but I can tell you that the work tends to bring more clarity, not less.

I am an out-of-network provider, which means I do not have a contract with insurance companies. If you have out-of-network benefits, you may be eligible for partial reimbursement for therapy sessions. Many PPO and POS plans offer out-of-network mental health benefits, though coverage varies by plan. As a courtesy, I am happy to conduct an initial benefits verification. However, because insurance information can change and coverage decisions are ultimately made by the insurance company, I strongly encourage clients to contact their insurance provider directly to confirm their out-of-network mental health benefits before beginning therapy.
After each session, I can provide a superbill that you may submit to your insurance company for reimbursement. Depending on your insurance plan, I may also be able to offer courtesy billing. Please note that reimbursement amounts, deductibles, claim approval, and eligibility are determined entirely by your insurance company.
I choose to remain out of network so that treatment decisions can be guided by your needs rather than insurance requirements. Insurance companies often require a mental health diagnosis, may request access to clinical information, and can place limitations on treatment based on their definition of medical necessity. Remaining out of network allows for greater privacy, flexibility, and autonomy in our work together.
do you offer a sliding scale? I don’t offer a sliding scale. If cost is a barrier, I’m happy to talk through options during our consultation including whether working with a supervised clinician at Uncover Mental Health Counseling might be a good fit.
All sessions are conducted virtually via a secure HIPAA-compliant telehealth platform. Virtual therapy allows you to access support from the comfort and privacy of your own space without the need to commute. As long as you are physically located in New York at the time of your session, we can meet wherever is most convenient for you.
Because appointment times are reserved specifically for you, I require at least 48 hours’ notice for cancellations or rescheduling requests. Appointments canceled with less than 48 hours’ notice, as well as missed appointments, will be charged the full session fee. This policy helps ensure that appointment times remain available for clients who need them and allows me to maintain a consistent and sustainable practice. If an unexpected situation arises, please reach out as soon as possible.