
In the bustling, high-pressure atmosphere of New York City, anxiety disorders have become some of the most common mental health issues affecting residents. Whether it’s the relentless demands of corporate life in Manhattan, the dynamic pace of Brooklyn, or the unique stresses of suburban living in Queens and Long Island, navigating daily pressures can be overwhelming. Many individuals struggle to carve out time in their busy schedules for traditional in-person therapy sessions.
This is where Psychology Connection steps in, offering teletherapy specifically for anxiety. By providing a platform for online therapy, they ensure that individuals can access compassionate, confidential, and effective mental health care from the comfort of their own homes, making it easier than ever to prioritize mental well-being in a fast-paced world.
Teletherapy, also referred to as online counseling or virtual therapy, enables individuals to connect with licensed therapists through secure video sessions from the comfort of their own homes. For residents of New York State, teletherapy offers the same quality of care and treatment you would receive during in-person sessions, eliminating the stress of commuting and scheduling conflicts. This approach makes mental health support more accessible and convenient for those seeking help.
At Psychology Connection, we use clinically proven approaches for anxiety treatment, including:

Anxiety is an inherent emotional and physiological reaction to stressors or perceived dangers that one encounters in daily life. This response activates the body’s “fight-or-flight” mechanism, a complex system designed to prepare individuals to confront or escape from threats. During this process, the body undergoes various changes: heart rate increases to pump more blood, breathing becomes more rapid to supply oxygen, and muscles tense up, all of which equip a person to respond swiftly to potential dangers.
While it is normal for anyone to feel anxious from time to time—perhaps before a big presentation or during a stressful life event—persistent or overwhelming anxiety can significantly disrupt everyday functioning. It may manifest as excessive worry, restlessness, or physical symptoms like trembling and sweating, ultimately affecting a person’s ability to focus, engage in relationships, or perform at work or school. Recognizing when anxiety transitions from a typical human experience to a debilitating condition is crucial for seeking appropriate strategies or assistance to manage it effectively.
Emotional Symptoms:
Physical Symptoms:
Behavioural Symptoms:
Anxiety disorders are among the most prevalent mental health issues, impacting millions globally. They cause intense fear, worry, or nervousness that disrupts everyday activities. Each type of anxiety disorder presents different symptoms and is triggered by various factors. Here, we describe several anxiety disorders, their symptoms, and their impact on quality of life.

People with anxiety may experience:
Generalized Anxiety Disorder (GAD) is a mental health condition marked by pervasive and disproportionate anxiety regarding a wide range of everyday issues, including but not limited to personal health, financial security, job performance, and interpersonal relationships. Individuals diagnosed with GAD frequently experience challenges in managing their anxious thoughts, which can dominate their minds for the majority of days over a span of at least six months.
The symptoms associated with GAD are varied and can manifest in several ways. These may include racing thoughts that jump from one worry to another without resolution, an overwhelming sense of dread or tension that seems unshakable, and persistent restlessness that can make it difficult to relax. Fatigue that lingers even after a full night’s sleep. Concentration often suffers, leading to irritability and short tempers, while muscle tension can result in headaches or other physical discomforts. Furthermore, sleep disturbances, such as insomnia or restless nights, can exacerbate the overall feeling of distress.
This disorder often interferes significantly with daily functioning, making routine tasks feel unbearable and diminishing one’s quality of life. The relentless cycle of worry can impact personal relationships and workplace productivity, leading to a profound sense of isolation.
Social Anxiety Disorder involves an intense fear of social situations where one may be judged negatively, worry about embarrassing oneself, intense fear of interacting with strangers, and avoidance of social situations. There are also physical symptoms like blushing, sweating, trembling, and difficulty speaking, among others. This fear leads to avoidance of social interactions, which may limit educational, occupational, and personal opportunities. People with social anxiety often have trouble finding and building relationships, as their fear can prevent them from interacting with others.
Panic Disorder is characterized by the occurrence of recurrent panic attacks, which are sudden episodes of overwhelming fear or discomfort that can escalate to their peak intensity within just a few minutes. During these intense episodes, individuals may experience a variety of distressing symptoms, such as sharp chest pain, rapid heart palpitations, difficulty breathing, dizziness or light-headedness, and an overwhelming sense of impending doom. Many individuals also grapple with an intense fear of losing control or an irrational fear of dying during these episodes.
These panic attacks can arise unexpectedly, typically without any clear trigger, leading to significant anxiety about when the next attack might occur. This persistent worry can result in behavioral changes, as individuals may begin to avoid situations or places where they fear an attack might happen, sometimes culminating in agoraphobia—an intense fear of being in situations where escape might be difficult or help unavailable.
OCD is characterized by the presence of obsessions (persistent, unwanted thoughts) and compulsions (repetitive behaviors or mental acts aimed at reducing anxiety). For example, someone with OCD might have an obsession with germs and feel compelled to wash their hands excessively. These behaviors are frequently time-consuming and cause significant distress. OCD can severely disrupt daily routines and relationships, as the compulsions often take precedence over other activities.
Panic attacks include sudden, intense physical symptoms like chest pain and palpitations, while anxiety attacks are less severe but more prolonged and triggered by excessive worry. Anxiety attacks build gradually, whereas panic attacks occur abruptly and often without a clear cause. Stress affects nearly every body system, influencing feelings and behavior. Symptoms may include palpitations, sweating, dry mouth, shortness of breath, fidgeting, rapid speech, increased negative emotions, and prolonged stress fatigue.
Learn more about the difference between Anxiety and Stress
Anxiety shows in various ways, including generalized anxiety disorder, social anxiety disorder, panic attacks, and specific phobias. Generalized anxiety is characterized by persistent and excessive worry about multiple aspects of life, while social anxiety involves an intense fear of social situations that may lead to embarrassment or judgment. Panic attacks are sudden episodes of overwhelming fear, accompanied by physical symptoms like heart palpitations and shortness of breath. Specific phobias, on the other hand, are intense fears triggered by particular objects or situations, such as heights, spiders, or flying.
Online therapy offers valuable tools to help individuals manage their anxiety. Through virtual counseling sessions, therapy can provide personalized strategies for coping, such as mindfulness techniques, cognitive-behavioral approaches, and exposure therapy. These resources are designed to empower individuals to understand their anxiety triggers, develop effective coping mechanisms, and gradually face their fears in a safe and supportive environment.
Anxiety often presents itself as a mere feeling of stress, but it is important to recognize that when left unaddressed, anxiety can escalate and negatively impact various facets of daily life. Untreated anxiety may infiltrate personal relationships, job performance, and overall enjoyment of life, leading to a range of emotional and physical challenges. Therefore, seeking treatment for anxiety is crucial not only for enhancing one’s mental health but also for promoting physical well-being. Effective management of anxiety can lead to improved clarity of thought, heightened resilience in facing life’s challenges, and a more fulfilling overall existence. Prioritizing the treatment of anxiety is key to reclaiming control and fostering a healthier, happier life.
It is a great option if you:
Dr. Erika Updegrove is a registered psychologist with years of experience working with clients throughout New York City. She is a licensed clinical psychologist who adheres to the highest professional standards established by organizations such as the American Psychological Association (APA).
Dr. Updegrove provides a caring, competent, and culturally sensitive approach to therapy. She blends her clinical expertise with kindness, creating a safe and welcoming environment for individuals to discuss their challenges and work through them. Her collaborative method focuses on helping you attain lasting emotional well-being.
Dr. Updegrove’s therapeutic methods are based on research that shows what works for you and your specific emotional needs and goals. She is your partner in the healing process, giving you the help and resources you need to go through tough times and learn new things.
Whether you’re dealing with work stress, life transitions, or emotional exhaustion, Dr. Updegrove provides the right tools and support to help you thrive.
Mental Health America (MHA) is another great resource for understanding how stress and mental health challenges affect individuals, particularly those living in high-pressure environments.
At Psychology Connection NYC, we’ve made it easier than ever for every individual living across New York City to access online therapy. No more rearranging your entire day or navigating crosstown traffic. Therapy is just a secure video link away.
We provide remote therapy for residents living in New York state, ensuring that you receive care that fits into your busy schedule and lifestyle.
Our teletherapy services ensure that therapy fits right into your busy schedule, offering you consistent and convenient care.
Yes. Research shows that teletherapy is just as effective as face-to-face therapy for most anxiety disorders, including generalized anxiety, social anxiety, and panic attacks.
No. At Psychology Connection, Dr. Updegrove provides care only to clients located in New York State.
We are a private pay practice, which allows us to offer personalized care without the constraints of insurance.
You can schedule your first teletherapy session by booking an appointment with Dr. Erika Updegrove.
Living in New York State brings a wealth of beauty, culture, and opportunity. However, prioritizing your mental health is essential. If you’re ready to focus on your emotional well-being, Dr. Erika Updegrove and Psychology Connection NYC are here to support you on that journey.
Dr. Erika works with individuals and couples experiencing a wide range of life’s difficulties. If you are facing any of the following, counseling may help.
Dr. Erika’s approach emphasizes compassionate, client-centered care in a safe, confidential environment, whether you are seeking trauma therapy, anxiety treatment, depression counseling, or relationship support in NYC. Her integrative methods combine clinical expertise with practical tools to support emotional growth, resilience, and overall mental wellness. Sessions are available virtually in NYC and designed to fit seamlessly into your life.
Identify and change unhelpful thoughts and behaviors to improve daily functioning and emotional well-being.
Learn mindfulness and value-driven strategies to live fully and reduce psychological distress.
Enhance cognitive skills and coping strategies for challenges from trauma or neurological conditions.
Strengthen communication, trust, and intimacy with a proven research-based approach for couples.
Through mental health counseling, many clients experience improved emotional regulation, stronger relationships, reduced symptoms of trauma/anxiety, and an overall sense of stability and well-being.
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Working with Dr. Erika has been life-changing. The anxiety therapy sessions helped me regain control and confidence in my daily life.
I was struggling with past trauma, and EMDR therapy provided a safe, structured way to heal. I feel lighter and more present every day.
The personalized sessions helped me navigate depression and life stressors. I felt heard, and supported throughout the process.
Personalized Attention: Work directly with a licensed psychologist, not an assistant or large team.
Evidence-Based Methods: CBT, EMDR, trauma-informed care, and more.
Convenient Teletherapy: Flexible scheduling across NYC and New York State
Safe & Confidential: Judgment-free, HIPAA-compliant environment.
Ready to experience the benefits of therapy? Schedule a session with us today and start your journey to a healthier, more balanced life.