What We Treat

We work with clients dealing with all forms of anxiety, including:

Generalized anxiety -- the persistent background worry that follows you through the day regardless of what is actually happening around you. The thoughts that will not stop even when everything is technically fine.

Social anxiety -- fear of judgment, embarrassment, or getting it wrong in social situations, at work, in relationships, or in any setting where you feel watched or evaluated.

Panic attacks -- sudden, intense episodes of fear with physical symptoms like a racing heart, shortness of breath, chest tightness, or dizziness. They can feel terrifying and come out of nowhere. They are also very treatable.

Health anxiety -- repeated worry about illness that does not ease up even when tests come back normal and doctors reassure you. The relief never quite lands.

High-functioning anxiety -- looking fine on the outside, keeping up with everything, and carrying a constant internal load that no one else can see. Many of our clients have never been diagnosed with anything but have been white-knuckling it for years.

HSP anxiety -- highly sensitive people process everything more deeply, which means the nervous system can tip into overdrive quickly. Sounds, emotions, conflict, transitions, and overstimulation all land harder. We understand this and know how to work with it rather than against it. Learn more about how we work with HSPs.

Teen and young adult anxiety -- perfectionism, school pressure, fear of failure, social comparison, and avoidance patterns that can compound fast without the right support. Our teen therapists and young adult specialists understand this age group and work with them in a way that actually feels relevant.

Reach out for support

How We Work

There is no single approach that works for every anxious person. We match you with a therapist whose training fits what you are actually dealing with.

Cognitive Behavioral Therapy (CBT) identifies and shifts the thought patterns that fuel anxious responses. It is one of the most well-researched approaches for anxiety and gives clients practical tools they can use between sessions.

Acceptance and Commitment Therapy (ACT) changes your relationship with anxious thoughts. Instead of fighting them, you learn to let them pass without them dictating your behavior.

Somatic and body-based approaches work with the nervous system directly. Anxiety lives in the body as much as the mind, and some clients make more progress when the work includes the physical experience of anxiety, not just the thoughts.

Brainspotting is a body-based approach that can move things talk therapy alone does not reach. It is particularly effective for anxiety that is rooted in past experiences or trauma. Learn more about brainspotting at Thrive.

If your anxiety overlaps with trauma, childhood emotional neglect, perfectionism, or people-pleasing, we have specific approaches for those too. Many of our clients find that anxiety is connected to something deeper, and that understanding that connection is what finally creates lasting change. Take a look at our trauma therapy, CEN therapy, and people-pleasing and perfectionism pages if any of those resonate.

Anxiety Therapy in Sacramento, In Person and Online

We see clients in person at our Midtown Sacramento office at 2131 Capitol Ave, Sacramento, CA 95816. We work with clients from across the city, including Midtown, East Sacramento, Land Park, Natomas, and surrounding neighborhoods.

We also offer online therapy for anxiety to anyone located in California, including West Sacramento, Elk Grove, Davis, Roseville, and beyond. Research consistently shows that online therapy is as effective as in-person for anxiety treatment, and many of our clients find that the flexibility makes it easier to actually show up consistently.

What to Expect

Getting started is simple. You reach out, we schedule a free 15-minute consultation, and we match you with a therapist who fits your situation and your personality. Sessions are 50 minutes and typically held weekly, either in person or online.

The first few sessions are about understanding what is driving your anxiety, not just handing you a list of coping strategies. We work to understand the patterns, the history, and what your nervous system has learned over time. From there, we build toward something that actually changes things.

Check our FAQs and fees page for information on session costs, sliding scale availability, and insurance. Megan Bell is in-network with Aetna. See our insurance page for full details.

Schedule a free consultation or call us at (916) 800-4348.

Frequently Asked Questions

How long does anxiety therapy take? It depends on the person and the type of anxiety. Many clients notice meaningful improvement within 8 to 12 sessions. More complex or long-standing anxiety may take longer. We talk about realistic expectations in your first session.

Do you work with teens for anxiety? Yes. Our therapists work with teens dealing with anxiety, school stress, perfectionism, social anxiety, and more. See our teen therapy page for more.

Is anxiety therapy different for highly sensitive people? It should be. HSPs experience anxiety differently, and a therapist who understands sensitivity will not treat it as a problem to fix. Our team specializes in this. Learn more about therapy for HSPs.

Do you offer online anxiety therapy? Yes. We offer online therapy for anxiety to anyone located in California. See our online therapy page.

Getting help with daily anxiety, panic attacks, social anxiety, and more

At Thrive Therapy & Counseling, our team of anxiety specialists get it—because many of us have been there too. We know what it’s like to struggle with overwhelming anxiety, and we know that you don’t have to keep living like that.

We create a compassionate, judgment-free space where you can:

Understand what’s driving your anxiety
Learn tools to calm your nervous system
Set healthy boundaries
Reconnect with your values and purpose
Build a life that feels good on the inside

We offer therapy in Sacramento and online throughout California. Whether you’re dealing with daily anxiety, panic attacks, or social overwhelm, help is within reach.

Let’s start where you are.