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Therapists answer…

How do you work with clients with anxiety?

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Esther Lapite-Garrett

Licensed Psychologist
Online TherapyAccepting New Clients
Dr. Esther Lapite-Garrett is a licensed psychologist and the founder of Alafiora, a premium private practice offering depth-oriented, attachment-centered care for individuals navigating complex sexual trauma and the relational patterns that form in its aftermath. The clients Dr. Lapite-Garrett works with include survivors of rape, incest, sex trafficking, intimate partner sexual violence, and childhood sexual abuse. What followed that history is the center of her clinical practice: the love obsession, limerence, compulsive sexual behavior, hypersexuality, and emotional dysregulation that form in the aftermath of sexual harm, and that most generalist approaches were never quite equipped to treat. Alafiora is one of a small number of practices equipped to work with the full spectrum of how these patterns express themselves in contemporary life, including the migration of erotic and romantic attachment into AI companionship, parasocial bonds, fantasy-based intimacy systems, and the accelerating escalation that occurs when real-world connection no longer feels safe, satisfying, or possible. The clients who carry these presentations arrive having spent considerable financial, emotional, and psychological resources on experiences that brought temporary relief and deepening shame in equal measure. The clients Dr. Lapite-Garrett works with are not struggling with a lack of insight. They have read the books, tried the prior therapy, and understand their patterns with a clarity that has not been enough to stop them. They wake at 3am with a body that will not settle. They reach for sex or connection not from desire but from the need to feel something, or to feel nothing at all. They love with an intensity that outlasts what the relationship warrants, cycling through obsessive thought long after every rational part of them knows the situation has ended. They make choices in moments of emotional flooding that they do not recognize as their own afterward. They experience behavior escalation, spending elevations, and deepening secrecy. Even still, they find that the pattern repeats, each time carrying a little more shame and a little more distance from the person they understood themselves to be. What years of prior effort could not move, the work at Alafiora finally does. What changes in our work is structural. The clients who engage fully describe experiencing more than symptom management but a fundamental shift in the organizing patterns that formed them, patterns that prior treatment approaches could not reach. Alafiora is a private-pay practice offering sessions virtually, in person, and on location across multiple states. The practice maintains a small, intentionally limited caseload to ensure each client receives the full depth of care their history requires. Visit https://www.alafiora.com to learn more or inquire confidentially.
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Lisa Chen

Individual and Couples Psychotherapist, LMFT
Online & In-PersonAccepting New Clients
No one knows how much you struggle inside. Despite appearing to lead a very successful life, you face a lot of stress, anxiety, and sadness that your friends, family and work colleagues would be surprised to learn. You sense that a painful experience from the past is impacting your present, but don't know how. Since you’re the type of person who can typically find yourself out of anything, it's surprising and frustrating that you haven't found a way out yet. If this sounds like you, you’ve come to the right psychotherapist. I work with high achievers who struggle with perfectionism, stress, anxiety and depression. I help my clients develop a healthy inner voice, learn their boundaries, and achieve a balance between helping others and themselves. I am extensively trained and have treated a myriad of clients who have faced stress, anxiety, treatment-resistant depression and trauma. As a former corporate marketing and business development executive, I understand both the internal and external pressures placed on you to succeed. Like you, I worked in demanding, high-performance environments across investment banking, digital marketing, and technology. I hold business degrees from the University of Pennsylvania Wharton School of Business and Harvard Business School. My empathic approach marries a traditional in-depth psychological approach with modern neuroscience and evidence-based research, including Eye Movement Desensitization and Reprocessing (EMDR), Dialectical Behavioral Therapy (DBT), Gottman Method Couples Therapy, Emotionally Focused Therapy (EFT) and Relational Life Therapy (RLT). I received my Master of Arts in Clinical Psychology from Antioch University and hold a Bachelor of Science in Economics from the University of Pennsylvania as well as an MBA from Harvard Business School.