Anxiety treatment in MA, RI, and UT
You get everything done. You just can’t turn it off.
Anxiety in high achievers rarely looks like panic in a corner. It looks like answering emails at 11pm, rehearsing conversations in the shower, and feeling a jolt of dread when your phone buzzes. From the outside, you're doing well. From the inside, everything feels urgent, and resting feels like falling behind.
Signs this might be you
Your mind keeps running after the workday ends
You have a regular, standing 2am conference with your thoughts
You can't relax on vacation, or you get sick the moment you stop
Small mistakes feel like evidence of something bigger
You rely on a drink, a scroll, or overwork to take the edge off
You edit a Slack message for 40 minutes before sending it
You're successful and still waiting to feel like it's enough
Anxiety and burnout
Burnout and anxiety often feed each other.
We help you tell the difference between a demanding season and a nervous system that no longer knows how to come down, and build a pace you can sustain without losing your edge.
What anxiety treatment looks like here
We don't just hand you breathing exercises. We look at where the urgency comes from, what it has protected you from, and what it costs you now.
Treatment may draw on:
Cognitive behavioral therapy (CBT) and Acceptance and Commitment Therapy (ACT)
Psychodynamic therapy, to understand the patterns underneath
Narrative therapy to better understand the stories you hold
Mindfulness-based and body-based approaches, including trauma-sensitive yoga
Motivational interviewing, when alcohol or other substances are part of how you cope
Who you’ll work with
Julia Schechter, MSW, LICSW (she/her)
Owner, PsychotherapistJulia Schechter, MSW, LICSW, has more than 16 years of experience in trauma-informed mental health care. She trained at Cambridge Health Alliance, has worked previously at McLean Hospital and Brigham and Women's Hospital, and teaches Advanced Clinical Practice classes at the Simmons University School of Social Work and Substance Use and Cognitive Behavioral Therapy classes at the Boston College School of Social Work. Her practice focuses on high-achieving adults facing anxiety, burnout, and substance use. She offers telehealth sessions across Massachusetts, Rhode Island, and Utah.
Kacey Malz, MSW, LCSW (she/her)
Kacey Malz, LCSW, works with young adult women who have lived with anxiety for as long as they can remember: the overthinking, the people-pleasing, the sense that everyone else got a manual you didn't. Drawing on CBT, ACT, and Internal Family Systems, she helps clients understand where their anxiety comes from and build a different relationship with it, rather than just managing symptoms. She brings experience from Tufts Medical Center outpatient psychiatry and offers telehealth plus evening in-person sessions in Brookline, MA.
PsychotherapistFrequently Asked Questions
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Yes. Therapy alone is effective for many people. If medication might help, we can talk about a referral and coordinate care.
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Yes. Most of our clients are functioning well on paper. Therapy helps you stop paying such a high price to keep it that way.
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Yes. Work is often where anxiety shows up first, so it's a common focus.
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Book a free intro call to see whether we're a good fit.

