Anxiety Therapy

Online Anxiety Treatment in The San Francisco Bay Area and across California and Illinois

Therapy for Anxiety

Online Anxiety Therapy in San Francisco and across California and Illinois

Slow Down

Make time to pause and reflect.

Cultivate Peace

Stay calm, even in the storm.

Quite Your Mind

Let go of worry and over thinking.

Signs anxiety is impacting your life:​

Signs anxiety is impacting your life:

You deserve anxiety therapy that works.

How does anxiety impact you?

Anxiety doesn’t always look like sitting around worrying.

Sometimes it can be an upset stomach after a stressful day, dread of attending a party, fear of answering a phone call, avoiding difficult conversations, or putting off things you need and want to do. 

You may find yourself irritable with your loved ones, and then later feel guilty and confused as to why you struggle to stay calm when things aren’t going smoothly.

You might be up at 2am replaying a conversation in you head over…and over…and over. 

These are just some of the little way anxiety can rob you of peace and joy.

Ways you might be making anxiety worse...

Constantly striving for perfection can provide temporary relief for anxious people seeking external validation. However, anxiety tends to resurface and attach itself to new tasks, creating a cycle of burnout and resentment.

Suppressing anxiety can lead to irritability and withdrawal. This often reinforces the idea that we need to keep things in and minimize our experiences, making anxiety try even harder to get our attention.

Anxiety often keeps us trapped in a cycle of avoiding risks and staying “safe,” disconnecting us from our potential for joy, success, and fulfillment.


Miriam Geiger's Media Features including USA Today, Up Journey, The Addicted Mind Podcast, and Choosing Therapy.


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What's it like to work with an anxiety therapist?

Effective anxiety treatment goes beyond surface-level solutions and dives into the deeper aspects of your mind, body, and emotions.

Think of anxiety as more than just a feeling. It’s like a signpost pointing to something deeper within you that needs attention. 

The way I work, helps you untangle the complex thoughts and emotions tied to anxiety rather than telling you to just  “think positively,”  “calm down,” or “take deep breaths.”

In therapy, our goal is not just to manage anxiety, but to help you navigate the thoughts and feelings that anxiety attempts to control. 

By unraveling the tangled web of thoughts and emotions that anxiety keeps stuck, therapy offers you the chance to grow and discover yourself on a deeper level. 

Within this transformative process, you have the power to embrace challenges, and use anxiety as a catalyst for change and finding calm admits the ups and downs of life.

Therapist Miriam Geiger smiling while sitting in a office.

Hello, I'm Miriam

I’m Miriam (she/her), an online anxiety therapist practicing in California and Illinois.

Since 2013 I’ve been helping people overcome their challenges and lead fulfilling lives.

Therapy is a collaborative effort, and I firmly believe in its effectiveness when you actively engage in the process. I will be there to guide and support you every step of the way.

If you’re ready to dig in and get to know every part of yourself, I hope you don’t wait to get the support you deserve.

Therapist Miriam Geiger smiling while sitting in a office.

How can therapy help with anxiety?

Therapy is a space for you to witness before reacting and take a conscious, compassionate look at what’s going on within.

We’ll get you insight into the deep feelings and motivations your anxiety has, and use that insight to help you loosen the ways anxiety keeps you locked in its grip.

Together we can work to shift how you respond to stressful events, hard conversations, and your always full to-do list.

All you need is a desire to slow down a willingness try new ways of thinking and feeling about yourself and others.

If you’re ready, you can have a life where you sleep well, worry less, navigate through challenges, and prioritize what truly matters.

Male hands resting calmly on a heart

Ready to get started?

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1. Schedule a free consultation

When you’re ready to get started,  schedule a free consultation. We’ll have an initial conversation to discuss your goals and challenges, and determine if we’re the right fit. This step is crucial in building a strong foundation for our work together. 

2. Assessment and treatment

We’ll start with a comprehensive assessment to gain a deeper understanding of your unique needs and circumstances. Then, we’ll create a plan to navigate the terrain of your emotions, thoughts, and experiences, laying the groundwork for transformative healing.

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3. Embrace a Life of Fulfillment

Our work together will empower you to cultivate calm, let go of anxiety, and foster trust in yourself to handle life’s challenges. As you integrate these learnings into your daily life, you’ll experience profound personal growth, unlocking your potential to live a vibrant and fulfilling life.

Maybe you're interested in anxiety therapy but have some concerns...

I've accepted that anxiety is apart of who I am, what's the point in trying to change?

Anxiety might be so familiar that you’ve started believing that anxiety is an inherent part of your identity. Anxiety often becomes so intertwined with our thoughts, emotions, and behaviors that it’s challenging to imagine life without its constant presence. 

Through therapy, you can gradually shift your focus from solely managing anxiety to exploring the possibilities of who you can become without its overwhelming influence.

It’s natural to feel a sense of attachment to our anxiety, sometimes perceiving it as necessary, helpful, special, or even admirable.

It’s important to remember that anxiety does not define your entire being. You are a complex individual with a multitude of qualities, aspirations, and potential that extend far beyond the grip of anxiety.

The prospect of letting go of anxiety can evoke feelings of uncertainty and vulnerability. It may feel like stepping into unfamiliar territory, as anxiety has become a familiar companion that provides a sense of security in a world that can feel out of control. 

By exploring alternative ways of understanding and caring for ourselves, we can create space for growth, healing, and the discovery of new dimensions within us.

Therapy can help you separate your true self from the anxiety that you experience.

By exploring your values, strengths, and aspirations, you can develop a stronger sense of identity that is not solely defined by anxiety. This allows you to cultivate a solid and resilient sense of self that doesn’t need to rely on anxiety to maintain a sense of stability and wholeness.

What is it like to envision a future where anxiety takes up less space, where you can fully explore and express your authentic self? 

Therapy can provide the support and guidance needed to navigate this process of self-discovery and transformation.

An anxiety therapist, I can help you uncover underlying causes, challenge negative thought patterns, process traumas, and develop a strong inner core who can let go of the need for control.

Change takes time, patience, and courage. It’s normal to feel apprehensive about the unknown.

But by embracing the journey of self-exploration and working towards reducing anxiety’s impact, you open yourself up to the possibility of discovering a version of yourself that is resilient, confident, and grounded.

Anxiety helps me be successful, prepared, and take care of my responsibilities. How do I know I'll still be able to get things done without anxiety?

Low levels of anxiety can be beneficial when we have the ability to adjust its intensity as needed. It allows us to tap into the inherent adaptive nature of anxiety and utilize it as a tool for motivation, focus, and heightened awareness. 

However, It’s important to remember that there are numerous ways to find motivation and maintain safety without relying solely on anxiety. Anxiety can rob you of motivations like passion, curiosity, compassion, and self-efficacy.

While high anxiety may provide a temporary illusion of motivation and control, it can also deceive us into thinking we are incapable of handling challenging situations without it. Therapy can help you explore alternative sources of motivation and establish healthier ways of achieving your goals and being responsible without the negative side effects of anxiety.

Therapy for anxiety can help you develop a more balanced perspective, allowing you to recognize your abilities and strengths, and understand that you are capable of making it thought difficult situations without the constant presence of anxiety.


Will therapy provide concrete skills and techniques to cope with anxiety effectively?

I want to be transparent with you: I don’t have a coping tool or straight forward strategy to eliminate anxiety. If I did, I would gladly share it with you right now.

While it’s true that there are potential techniques and practices that could assist you, I find that people often have knowledge of common anxiety management techniques like guided relaxation, mindfulness, breathing exercises, or even medication. However, they frequently encounter difficulties in consistently applying these techniques or find them ineffective.

Searching for the “right” external solutions can sometimes divert attention from addressing the underlying issues related to your anxiety. If techniques and tools truly solved the problem, you’d be using them with success already, you wouldn’t continue to search for solutions. 

While we can certainly explore and experiment with various techniques to see what works for you, it’s important to keep in mind that our focus may ultimately shift towards delving deeper into your inner world, rather than solely relying on external tips and tricks.

Therapy can delve into the root causes of anxiety, such as past traumas, distorted thought patterns, family-of-origin issues, or unresolved emotions in a way that trying alone can’t. 

By addressing these underlying issues, individuals can experience lasting relief from anxiety without relying solely on coping techniques or band-aid solutions.

Every person’s journey in therapy is unique, and the approach will be tailored to their specific needs. 

By working with a skilled anxiety therapist, you can gain insight into you emotional landscape, develop self-awareness, and learn different ways of relating to yourself and the world around you. 

The holistic approach I take to therapy can ultimately lead to the alleviation of anxiety in a more sustainable and long-lasting manner

Ready to get started?

Therapy can help you separate your true self from anxiety.