Dr. Leah Farrell-Carnahan, PhD
Licensed clinical psychologist supporting brave adults facing anxiety, OCD and related disorders, insomnia, and or the many complications of…
BEING HUMAN.
WHAT IF?
WHAT IF?
in person in Richmond, Virginia and virtually in Virginia, Georgia, and 41+ other states
Anxiety doesn’t always fit neatly into a diagnostic box.
Sometimes there is a clear anxiety disorder. Sometimes OCD is driving the worry, doubt, checking, or need for certainty. ADHD may be part of the picture. Anxiety may emerge during a major life transition, alongside health problems or chronic pain, or during a period when life simply feels especially uncertain.
And sometimes, you just know that you are spending far too much of your life worrying, analyzing, anticipating, avoiding, or trying to make sure everything will be okay.
That’s where we can start.
You Don't Need to Know Exactly What's Wrong
People often come to therapy believing they should already understand what is causing their anxiety. You don't need to. Part of good therapy is figuring that out together.
Anxiety may be connected to:
Generalized anxiety and chronic worry
OCD and obsessive-compulsive symptoms
Health anxiety
Panic and fear of panic
Social anxiety
Specific fears and phobias
ADHD and the anxiety that can accompany it
Perfectionism and fear of making mistakes
Chronic illness, pain, injury, or changes in physical functioning
Work, relationships, parenting, caregiving, or other life transitions
Uncertainty about what comes next
Or your experience may not fit perfectly into any one category.
Therapy doesn't have to begin with a label. It can begin with what is happening in your life and what you want to be different.
Anxiety has a way of making life smaller.
You may find yourself avoiding things you care about, repeatedly seeking reassurance, over-preparing, researching, checking, replaying conversations, second-guessing decisions, or trying to anticipate every possible problem.
These strategies often make sense. They're attempts to feel safer or more certain.
The problem is that the search for certainty can eventually become its own trap.
Therapy can help you develop a different relationship with anxiety—one that allows you to make thoughtful choices without requiring anxiety or uncertainty to disappear first.
CBT + ACT
for Anxiety and OCD
My approach integrates Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT), along with Exposure and Response Prevention (ERP) when appropriate for OCD and anxiety.
These approaches are evidence-based, but therapy itself should still feel human, collaborative, and individualized.
We may work on changing patterns that are keeping anxiety going. We may practice approaching situations you've been avoiding. We may look closely at the ways you respond to intrusive thoughts, uncomfortable emotions, physical sensations, or uncertainty. We may explore different ways of thinking about situations.
Overall, we will pay close attention to something larger: What do you want your life to be about? The goal isn't perfect emotional control. It isn't to eliminate every anxious thought or guarantee that nothing bad will happen. It's to develop greater psychological flexibility—the ability to experience anxiety, uncertainty, and difficult thoughts while continuing to move toward the people, activities, responsibilities, and experiences that matter to you.
People With Anxiety Are Already Doing Hard Things
Living with anxiety takes effort.
You may look highly capable from the outside while privately spending enormous amounts of energy managing worry, uncertainty, intrusive thoughts, or self-doubt.
Therapy isn't about becoming fearless.
It's about recognizing that you can feel anxious and still do meaningful, brave things.
Over time, the goal is for anxiety to have less authority over the size and direction of your life.
Wondering Whether This Is the Right Fit?
If anxiety, worry, intrusive thoughts, avoidance, uncertainty, or overthinking are taking up more of your life than you want them to, we can start with a conversation about what's happening during intake.
First, please fill out this form to me a little about what you're experiencing and what you're hoping might change. We'll determine whether my approach is a good fit and talk about possible next steps. If due to your presenting concerns, and or scheduling needs, we think you’d be better served by a different psychologist at Atlanta CBT or elsewhere, we will tell you.