Anxiety Archives | Dimitrios Pexaras Therapy

Treatment for stress and burnout: Anxiety Anxiety: What really helps

Let’s be honest, stress and burnout are more common than ever. Whether you’re feeling chronically overwhelmed, emotionally exhausted or constantly on edge, you’re not alone. Many of the clients I work with come in and say things like: “I can’t close my mind” or “I feel like I’m running on fumes.” Therapy for anxiety and burnout can really help.

If this sounds like you, the good news is that help is available. And more importantly, there are real ways to feel better without just pushing or pretending that everything is fine.

In this post, I want to explain what stress and burnout actually are, how they are connected, and what therapeutic approaches I use that really make a difference. These are what I’ve seen work over and over again in real sessions with clients like you.

What Is Anxiety?

Anxiety isn’t just “worrying too much.” It’s a full-body experience. It can show up as:

Racing thoughts
Muscle tension or restlessness
Difficulty sleeping
Constant overthinking
A sense of dread or fear—even when things seem okay

Anxiety is your nervous system on high alert. And while it serves a purpose (keeping you safe), it becomes a problem when it doesn’t turn off even when there’s no real threat.

What Is Burnout?

Burnout happens when your mental, emotional, and physical energy has been drained over time. You’ve likely been operating under stress for so long that your system just can’t keep up anymore.

Signs of burnout include:

Emotional exhaustion
Loss of motivation
Cynicism or detachment
Brain fog
Feeling numb or disconnected

Burnout isn’t just a work issue it can come from caregiving, emotional labor, or constantly being in survival mode.

How Anxiety and Burnout Are Connected

Anxiety keeps your nervous system in “go” mode. Burnout is what happens when the system finally crashes.

I often work with clients who are stuck in this loop:

You feel anxious, so you push harder.
You ignore your needs, stay productive, stay “on.”
Eventually, you hit a wall. You can’t focus. You feel empty.
Then you feel anxious about being burned out and the cycle starts again.

Therapy helps you break this loop.

What Actually Helps in Therapy

✅ 1. Learning How to Regulate Your Nervous System

Anxiety and burnout aren’t just in your mind they live in your body. That’s why learning how to regulate your nervous system is key.

In therapy, I teach clients grounding techniques, breathing strategies, and somatic tools that help bring your body out of “fight-or-flight” and into a more calm, balanced state.

✅ 2. Identifying Thought Patterns That Feed Anxiety

Using Cognitive Behavioral Therapy (CBT), we work together to recognize and shift the negative thought loops that keep you stuck like catastrophizing, perfectionism, or self-doubt.

Once you learn to catch these patterns, you can start responding instead of reacting.

✅ 3. Getting to the Root with EMDR Therapy

Often, anxiety and burnout are symptoms of unprocessed past experiences like childhood pressure, emotional neglect, or constant criticism. EMDR (Eye Movement Desensitization and Reprocessing) helps process these emotional blocks so they no longer run your system behind the scenes.

Clients are often amazed at how much lighter they feel after working through a memory or belief that’s been stuck for years.

✅ 4. Reconnecting with Yourself

Burnout disconnects you from your body, your needs, and your joy. In therapy, we explore what you’ve been ignoring or avoiding often out of survival and begin rebuilding that connection.

This isn’t about adding more to your to-do list. It’s about coming back to yourself.

✅ 5. Making Realistic Changes

Sometimes, anxiety and burnout stick around because your lifestyle, boundaries, or relationships aren’t aligned with what you truly need.

Therapy helps you take a step back and make intentional, practical shifts without guilt. That might look like saying no more often, taking actual rest, or redefining success in your life.

Why Online Therapy Works So Well

Many of my clients prefer doing therapy online especially when they’re anxious or burned out. You don’t have to commute, get dressed up, or leave your home. You can show up exactly as you are, which often helps the process feel safer and more comfortable.

And yes EMDR works beautifully online, too.

What I Want You to Know

You don’t have to “hit bottom” to get support. You don’t need to justify why you’re feeling the way you’re feeling. And you’re not weak for needing help you’re human.

Therapy is a space to stop performing, stop pushing, and finally start listening to what your mind and body have been trying to say.

silhouette of person jumping during dawn

Ready to Begin?

I offer a free consultation to help you figure out if therapy is right for you and how I can support your unique needs. Whether you’re dealing with anxiety, burnout, or both, you deserve to feel grounded, clear, and connected again.

You don’t have to stay stuck in the loop. There’s a way out and therapy can help you find it.

How Therapy Helps When You feel stuck

Sometimes people come to me and say, “I don’t even know what’s wrong—I just feel stuck.” And let me tell you something: that’s more common than you think. Therapy when you feel stuck, might be the one thing that can boost you to find yourself.

You don’t need a crisis or a diagnosis to go to therapy. You don’t need to have it all figured out. Sometimes all you know is that you’re overwhelmed, unmotivated, emotionally flat, or constantly on edge and nothing really explains it. That’s where therapy can begin.

In this post, I’ll walk you through what it means to feel emotionally stuck, why that feeling matters, and how therapy especially when personalized can help you move through the fog.

What Does “Feeling Stuck” Actually Mean?

Feeling stuck can look like:

Losing interest in things you used to enjoy
Constantly feeling tired or burnt out
Being “fine” on the outside but emotionally numb inside
Overthinking everything, yet unable to take action
A vague sense that something’s wrong, but no clear idea what

It’s not always depression or anxiety in the clinical sense. It’s more like a disconnect..between who you are and how you’re living.

When you’re stuck, you might find yourself asking questions like:

Why am I so overwhelmed by the smallest things?
Why do I feel like I’m just going through the motions?
Why can’t I figure out what I need?

These questions matter. They’re your nervous system’s way of saying: Hey, something’s not right. Pay attention.

What Causes This Stuckness?

There are many possible roots, and they’re often layered:

1. Unprocessed Stress or Trauma

Even if you can’t pinpoint one “big” traumatic event, your body may be carrying years of emotional weight-criticism, abandonment, shame, pressure to perform, emotional neglect. These are often overlooked, but they shape how we show up in the world.

2. Burnout and Overload

Living in survival mode or pushing through stress, being constantly “on,” and ignoring your own needs—can flatten your emotional landscape over time.

3. Disconnection From Self

You might be so focused on managing life, work, or others’ needs that you’ve lost touch with your own. Therapy helps rebuild that connection.

4. Old Beliefs Running the Show

Sometimes it’s the invisible scripts: “I’m not enough,” “I have to be perfect,” “I can’t need anyone”—that keep us stuck in loops we don’t even realize we’re in.

Why Therapy Works..Even If You Don’t Know Where to Start

You don’t need to show up to therapy with answers. You just need to show up honestly.

Therapy gives you the space to:

Slow down and actually listen to yourself
Explore what your mind and body are trying to tell you
Untangle emotions that have been buried or avoided
Name the patterns and beliefs that are shaping your experience

When we can finally see what’s going on underneath the stuckness, we can start to move through it.

My Approach: Personalized, Integrative, and Rooted in Safety

In my work with clients, I never use a one-size-fits-all approach. Everyone’s nervous system, history, and emotional wiring is different.

That’s why I integrate tools like:

Cognitive Behavioral Therapy (CBT): to help you identify and challenge unhelpful thought patterns.
EMDR Therapy: to access and reprocess the deeper emotional blocks or past experiences your mind hasn’t fully resolved.
Sensory Motor Psychotherapy (SMP): to help your body process stored tension and trauma in a gentle, grounded way.

These methods work together to help you feel safe, seen, and supported so we can work through what’s underneath, at your pace.

Online Therapy: Accessible and Effective

If you’re wondering whether therapy works online..the answer is yes. I’ve worked with clients from all over the world who’ve experienced profound breakthroughs from the comfort of their homes.

Sometimes being in your own space actually helps your nervous system relax, making therapy more effective.

Whether you’re dealing with emotional burnout, unprocessed trauma, or just that nagging feeling that something’s off, online therapy makes healing more accessible than ever. Online therapy when you feel stuck can be very helpful to help “bring” back that spark.

You Don’t Need to Have It All Figured Out

One of the biggest lies we’re told is that we need to wait until we’re in crisis to get help. But often, the best time to start therapy is when you’re feeling unsure, flat, or disconnected.

Because that stuckness? It’s not failure. It’s a signal.

A signal that your mind and body are craving something more..more alignment, more peace, more connection.

Ready to Take the First Step?

I offer a free consultation to help you figure out if therapy is right for you and if my approach feels like a good fit. You don’t need to explain everything perfectly or know exactly what’s wrong. You just need to be open to starting.

If you’re tired of feeling stuck, overwhelmed, or emotionally disconnected, know this: therapy can help.

Not with quick fixes or empty advice but with real tools, deep understanding, and the kind of support that meets you right where you are. Therapy when you feel stuck is key.

You deserve to feel like yourself again. Let’s begin from wherever you are.

EMDR Therapy: Myths vs. Facts

If you’ve heard about EMDR therapy, chances are you’ve come across some confusing or conflicting information. As a therapist who works with EMDR therapy every week, I’ve had a front-row seat to how life-changing it can be—but also how misunderstood it often is.

Let’s clear things up. In this post, I want to break down some of the most common myths I hear about EMDR and lay out the actual facts from a grounded, clinical perspective without the fluff.

Myth #1: EMDR is only for PTSD

Fact: While EMDR therapy is incredibly effective for PTSD, it’s also used to treat anxiety, depression, grief, phobias, panic attacks, low self-worth, relationship trauma, and even perfectionism.

The core of EMDR is about helping your brain reprocess unhelpful or painful experiences—many of which are stored in ways that keep you stuck emotionally. That goes far beyond just one kind of trauma.

Myth #2: You have to relive everything in detail

Fact: EMDR isn’t about telling your story over and over. You don’t need to relive or describe every painful detail for EMDR therapy to work. In fact, many clients experience powerful shifts by focusing on a feeling, image, or sensation without ever going into full narrative mode.

You stay in control the entire time. And if anything feels too intense, we slow it down.

Myth #3: EMDR is hypnosis or woo-woo therapy

Fact: EMDR therapy is a highly structured, evidence-based therapy that’s been extensively researched. It’s endorsed by the World Health Organization, the American Psychological Association, and the Department of Veterans Affairs.

There’s nothing mystical about it—it’s based on how your brain stores and processes memory. Bilateral stimulation (eye movements, tapping, or sound) helps your brain access and reprocess “stuck” experiences so they lose their emotional charge.

person in white shoes standing on gray concrete road

Myth #4: EMDR works instantly

Fact: EMDR can create faster results than traditional talk therapy—but it’s not magic. Some people feel relief in just a few sessions, while others take more time, especially if we’re working with complex trauma or long-standing emotional patterns.

The key is that EMDR therapy helps your brain move through what’s been frozen in place. That takes time, but it’s deeply worth it.

Myth #5: EMDR doesn’t work online

Fact: EMDR therapy absolutely works online. I’ve been doing online EMDR for years and have seen incredible results. With the right tools—like visual tappers, audio tones, or even simple eye movement guidance—online EMDR is just as effective, and sometimes even more comfortable for clients.

Many clients feel safer and more regulated doing the work from home, which can make the processing smoother.

Myth #6: It only works for people who remember the trauma

Fact: EMDR therapy can still work even if you don’t have a clear memory. The brain and body hold onto emotion, belief, and sensation—even without a full story attached.

Some of the most powerful sessions I’ve had have started with a vague feeling of “stuckness” or anxiety. From there, we uncover and reprocess what the body already remembers.

Myth #7: It’s only for people with “big trauma”

Fact: EMDR is just as effective for what we call “small-t trauma”—the repeated, subtle experiences that shape our beliefs and nervous system over time. Think emotional neglect, criticism, rejection, or feeling unseen as a child.

Those experiences may not seem dramatic, but they leave a deep mark. EMDR therapy helps gently untangle those roots.

Final Thoughts

EMDR isn’t a trend. It’s not a shortcut. And it’s definitely not only for a certain “type” of person.

It’s a powerful, evidence-based method that helps your brain do what it was built to do: process, heal, and move forward.

If you’ve been on the fence or confused about what EMDR actually is, I hope this helped clear things up. And if you’re curious about whether it’s right for you—I offer a free consultation to talk it through.

You don’t have to stay stuck. And you don’t have to relive everything to move forward. EMDR can meet you exactly where you are—and help you get where you want to go.

Couples Therapy: When Is the Timing Right?

One of the most common questions I hear from couples is, “How do we know if it’s the right time for therapy?” My honest answer? If you’re asking that question, the time is probably now.

But timing does matter. Sometimes couples therapy is exactly what’s needed to rebuild connection and strengthen communication. Other times, one or both partners may need to do some individual work first, before the relationship can grow in a healthy direction. In this post, I’ll share my perspective—based on years of working with couples—on how to know when couples therapy is right, when individual therapy is more appropriate, and how to make the most of the process.

Why Timing Matters

Relationships go through seasons. There are times of closeness, joy, and flow—and times of stress, conflict, and emotional distance. Therapy can be incredibly powerful, but the readiness of both partners matters just as much as the process itself.

Coming into couples therapy at the right time can mean:

You’re both open to change.
You’re willing to look inward, not just blame your partner.
You’re ready to practice new tools and break old patterns.

But if one person is checked out, emotionally unavailable, or not willing to take responsibility, therapy can become frustrating—or feel like one person dragging the other.

turned off MacBook Pro beside white ceramic mug filled with coffee

When Couples Therapy Is a Great Fit

From my experience, couples therapy works best when:

✅ You’re struggling to communicate effectively.

You find yourselves in repeated arguments, misunderstandings, or emotional shutdowns. You want to talk—but it always ends badly. Therapy gives you the space to understand what’s really going on underneath the words.

✅ There’s been a breach of trust—but you both want to repair it.

Infidelity, secrecy, or emotional betrayal can shake the foundation of a relationship. If both people are willing to explore the pain, rebuild safety, and move forward, therapy can offer the tools to do that.

✅ You feel emotionally disconnected.

You love each other, but you feel like roommates. You miss the spark, the intimacy, the laughter. Therapy helps uncover what caused the distance—and how to rebuild emotional closeness.

✅ You’re in a major life transition.

Moving, becoming parents, long-distance, career changes—big shifts can stress even strong relationships. Therapy gives couples tools to navigate change together, not apart.

✅ You want to break unhealthy patterns.

If you notice the same issues repeating over and over—avoidance, criticism, resentment—it’s time to pause and reassess. Therapy creates space to examine and change those cycles.

✅ You want to grow closer.

Couples therapy isn’t just for when things are falling apart. Some of the most powerful sessions I’ve had were with couples who simply wanted to deepen their connection, understand each other better, and grow intentionally.

When Individual Therapy Might Come First

Sometimes, it’s not about the relationship—it’s about what each person brings into it.

Here are some signs that individual therapy may be a better starting point:

⚠️ One or both partners are dealing with unresolved trauma.

Unprocessed trauma can make it hard to feel safe in a relationship. It can trigger defensiveness, emotional withdrawal, or fear of vulnerability. In this case, individual therapy helps lay the groundwork for future relationship work.

⚠️ There’s emotional or physical abuse.

Couples therapy is not appropriate when there is abuse happening in the relationship. Safety must come first, and that means individual support to navigate what’s happening, not joint sessions.

⚠️ One person isn’t ready.

If one partner is unwilling to participate, take responsibility, or even show up with openness, couples therapy won’t work. Individual therapy might help that person explore their resistance and emotional blocks.

⚠️ You’ve lost your sense of self.

Sometimes, people become so enmeshed in a relationship that they don’t know who they are anymore. Individual therapy can help you reconnect with yourself—your needs, values, and boundaries—which makes you a stronger partner in the long run.

My Perspective as a Therapist

Every couple is different. I’ve worked with couples who started in individual therapy and came into joint sessions once they felt stronger in themselves. I’ve also worked with couples who were deeply struggling—but made incredible progress together because both people were committed to growth.

What matters most isn’t perfection—it’s willingness. Willingness to be honest. To sit in discomfort. To listen. To take accountability. And to stay curious, even when things feel heavy.

I tailor each therapy process based on what the couple needs. Sometimes we start together and realize individual work is needed. Sometimes one partner does a few solo sessions to get clarity before joining the other in couples work. It’s all flexible—and the goal is always healing and clarity.

What to Expect in Couples Therapy

If you’re thinking about starting therapy with your partner, here’s what it usually looks like:

We start with a consultation to talk through your goals, concerns, and what’s happening in the relationship.
Sessions are structured but open. We focus on communication, emotional safety, and understanding the patterns playing out between you.
There’s homework. You’ll get tools and exercises to practice between sessions. Real growth happens outside the therapy room.

So When Is the Timing Right ?

If your relationship matters to you, and you’re both willing to explore what’s not working and how to grow, then the timing is right. You don’t have to wait for a crisis. In fact, starting therapy before things get worse can save you from deeper hurt down the road.

And if the timing isn’t right for couples therapy? That’s okay too. Maybe individual therapy is the place to begin. The key is just to start somewhere.

If you’re unsure where to start, I offer a free consultation to help you figure it out. Whether we work together as a couple or individually, the goal is the same: healing, clarity, and connection.

You deserve relationships that feel safe, strong, and real. And sometimes, the first step is simply being willing to ask, “Is now the right time?”

EMDR Therapy for Anxiety and Depression: Does it work?

When most people hear about EMDR, they think of it as a treatment for trauma—and they’re not wrong. EMDR (Eye Movement Desensitization and Reprocessing) is a powerful trauma therapy. But what many don’t realize is that EMDR is also incredibly effective for anxiety and depression—especially when those symptoms are linked to past experiences, unprocessed stress, or ongoing emotional overwhelm.

As a therapist who has worked with EMDR for years, I’ve seen how transformational it can be—not just for clients with PTSD, but for people struggling with daily anxiety, panic attacks, low mood, and emotional shutdown. In this blog, I want to share with you exactly how EMDR helps with anxiety and depression, and why it might be the approach that changes everything. EMDR therapy for anxiety and depression could be the missing tool for healing.

Why EMDR Works for More Than Trauma

Let’s start with this: most anxiety and depression don’t just “show up.” They’re often responses to something deeper—early emotional wounds, stressful environments, or unresolved experiences your brain hasn’t fully processed.

When your nervous system holds on to those old emotional patterns, your mind keeps reacting as if the past is still happening. EMDR helps you reprocess those stored experiences so your brain can finally update the message: You’re safe now. You can let go.

That’s why EMDR is so effective for:

Social anxiety and rejection sensitivity
Panic attacks linked to past overwhelm
Perfectionism rooted in childhood pressure
Depressive symptoms connected to shame or failure
Anxiety that “comes out of nowhere” but is rooted in history

What EMDR Therapy Actually Looks Like

If you’re new to the idea of EMDR, here’s the gist: it helps your brain process painful or emotionally charged memories using bilateral stimulation or just memory taxation techniques (like guided eye movements, tapping, or sounds).

You remain in control. You’re grounded. And you’re supported every step of the way.

In my sessions, we also use a more modern version called EMDR 2.0, which often gets faster results. It’s been a game changer for many of my clients who were ready to break through their emotional blocks.

In my experience practicing EMDR with clients for the past years I have come to understand the importance of readiness and preparing clients for the trauma work. That’s why I integrate CBT (cognitive behavioral therapy) with EMDR to “prepare” clients for the trauma work while giving them some good coping tool to use through their first weeks of therapy. I have seen people really thrive using this integrated therapy plan. Of course there are some people who can dive straight into trauma work and that’s what we do. My free consultation is the guide for me to get to know each client and tailor the approach to them specifically.

How EMDR Helps with Anxiety

Anxiety often stems from past experiences that made you feel unsafe or out of control—even if you can’t consciously remember them. Maybe you were raised in a high-pressure household, or you were emotionally neglected, or constantly felt like you had to be perfect to be accepted.

Those old emotional memories get stored in your nervous system, and EMDR helps you access and reprocess them. Once the brain understands that those moments are no longer a threat, the anxiety begins to ease.

Here are a few real examples:

A client with social anxiety realized their fear of speaking up started in 2nd grade when they were publicly shamed. EMDR helped reprocess that memory, and today, they lead meetings at work with confidence.
Another client had constant health anxiety that traced back to a childhood accident. Through EMDR, we processed that moment, and their panic responses significantly reduced.

How EMDR Supports Depression Healing

Depression can be deeply connected to unresolved pain—especially when your mind has internalized beliefs like “I’m not good enough,” “Nothing ever works out,” or “I’m a burden.”

These beliefs usually don’t come out of nowhere—they come from accumulated experiences that made you feel unsafe, unseen, or not enough. EMDR helps trace those beliefs back to the original source and shift them at the root.

For example:

A client who grew up with emotionally distant parents carried a deep belief that they weren’t lovable. EMDR helped them reprocess those early memories, and as that shifted, their depressive symptoms lifted.
Another client dealing with intense guilt and hopelessness from a past breakup used EMDR to shift the stuck grief and shame, allowing joy and motivation to return.

My Approach: Integration and Personalization

What makes therapy most effective isn’t just the technique—it’s how it’s used. I don’t believe in cookie-cutter therapy. Every client brings a unique history, nervous system, and emotional landscape.

That’s why I use a blend of EMDR, Cognitive Behavioral Therapy (CBT), and Sensory Motor Psychotherapy (SMP). Here’s how that integration works:

EMDR helps process stuck emotional material.
CBT helps you notice and shift unhelpful thought patterns in daily life. When you live in trauma for years it shapes the way you think about yourself and the world. Let’s help unlearn those unhelpful defense mechanisms and replace/reframe them.
SMP works with the body to release stored tension and support nervous system regulation. Breathing exercises and movements help connection with your body to be restored which is crucial to healing the overloaded nervous system.

This holistic approach allows us to target both the root and the symptom, creating lasting, meaningful change.

Online EMDR Therapy: Yes, It Works

Many people ask, “Can EMDR actually work online?” The answer is a solid yes. I’ve been doing online therapy for years—initially out of necessity during the pandemic, but now by choice. In fact, the majority of my clients prefer it.

Online EMDR uses tools like visual cues, auditory tones, or even tapping—right from your own space. Many clients feel safer and more relaxed doing EMDR from home, which can actually make the process smoother and more effective.

Is EMDR Right for You?

If you’ve tried talk therapy and still feel stuck… if your anxiety seems irrational but won’t let go… if your depression keeps pulling you down despite your efforts… EMDR might be the missing piece.

You don’t have to relive everything and you don’t have to have a clear memory. You just need to be open to the process and willing to heal.

That’s why I offer a free consultation—so we can explore what you need, where you’re feeling stuck, and whether EMDR is the right next step. EMDR therapy for anxiety and depression is a game changer.

Final Thoughts: Healing Is Possible

You are not your anxiety. You are not your depression. These are signals—your nervous system asking for relief, for resolution, for peace.

EMDR is one of the most powerful tools I’ve ever used to help clients feel lighter, freer, and more grounded in their lives. If you’re ready to explore that possibility, I’d love to walk that path with you. EMDR therapy for anxiety and depression can work even if you don’t clearly remember specific memories. We will find them together as a team.

Reach out today and book your free consultation. Your healing starts now.

Relationship Therapy: How Trauma Affects Relationships

Trauma doesn’t just impact individuals—it deeply influences our relationships. Over the years as a therapist, I’ve seen firsthand how unprocessed trauma can quietly disrupt friendships, romantic relationships, and even family bonds, often without us realizing it. Understanding how trauma affects relationships is a critical first step toward healing and building healthier connections. Relationship therapy can help you re-connect with yourself and others.

What is Trauma?

Trauma isn’t just limited to severe events like accidents or violence. It also includes chronic emotional stress, neglect, and ongoing negative experiences from childhood or adulthood. These experiences shape our brains and bodies in profound ways, influencing how we interact with those around us.

How Trauma Shapes Relationships

When trauma remains unresolved, it can show up in relationships through emotional triggers, reactions, and behaviors. You may not even recognize these responses as trauma-related, but they deeply affect your connections with others.

Here are common ways trauma can influence your relationships:

1. Trust Issues

Trauma often erodes our sense of safety and trust. If you’ve experienced betrayal or abandonment—especially repeatedly—it’s natural to become wary of getting close to people. For example, someone who grew up in a home with inconsistent parental care may struggle to trust friends or partners later in life, constantly fearing they’ll be hurt or left behind.

2. Emotional Dysregulation

Chronic trauma can lead to emotional dysregulation—intense emotional reactions that seem disproportionate to the situation. Small disagreements may escalate rapidly, or you might shut down completely during conflict. For instance, a person who endured constant criticism as a child may become highly defensive or withdrawn during everyday disagreements with a romantic partner, creating emotional distance.

3. Avoidance and Isolation

Trauma can also cause us to avoid intimacy or emotional closeness, even when we deeply crave it. For example, someone who experienced bullying or rejection in childhood may avoid forming close friendships in adulthood, fearing further rejection. This avoidance can lead to isolation and loneliness.

How Trauma Affects Friendships

Friendships require emotional openness and vulnerability. If trauma has taught you to fear vulnerability, you might struggle with creating meaningful friendships. For example, someone who was repeatedly let down by peers in childhood may find themselves regularly canceling plans or avoiding deeper conversations, unknowingly sabotaging potential connections out of self-protection.

Trauma’s Impact on Romantic Relationships

Romantic relationships can be particularly affected by trauma because intimacy requires deep trust and emotional safety. Trauma survivors may unconsciously choose emotionally unavailable partners, repeating familiar patterns from childhood. For example, someone raised by emotionally distant parents may consistently find themselves drawn to partners who cannot meet their emotional needs, perpetuating feelings of rejection or abandonment.

Another common issue in romantic relationships is hypersensitivity to perceived threats. Partners who have experienced trauma might constantly anticipate betrayal, leading to jealousy, suspicion, or frequent arguments, even when there’s no actual cause for concern.

Family Connections and Trauma

Family relationships are profoundly shaped by trauma, often carrying generational patterns of emotional pain. Chronic trauma within a family setting, such as parental addiction, mental health struggles, or emotional neglect, creates complex relational dynamics. Children in these environments might develop caretaker roles at an early age, impacting their ability to form healthy boundaries later in life.

For instance, someone who grew up in a home where emotional or physical needs were ignored might struggle to set boundaries with family members in adulthood, leading to strained relationships and resentment.

How Relationship Therapy Can Help

The good news is trauma doesn’t have to permanently disrupt your relationships. Therapy—especially relationship therapy—can significantly heal trauma’s relational effects. My approach combines EMDR (Eye Movement Desensitization and Reprocessing), Cognitive Behavioral Therapy (CBT), and Sensory Motor Psychotherapy (SMP), providing a tailored strategy that meets your specific relational needs.

Relationship therapy helps by:

Identifying Patterns: Recognizing how trauma-driven behaviors show up in your relationships.
Healing Trauma Responses: Using EMDR and SMP to process and release trauma stored in your body and mind.
Building Healthy Communication: CBT and relational exercises to enhance emotional regulation and communication skills.
Creating Safe Connections: Learning to trust again and fostering emotional intimacy safely.

four person hands wrap around shoulders while looking at sunset

The First Step: Free Consultation

Understanding your trauma and how it affects your relationships can feel overwhelming, but you don’t have to navigate this alone. I offer a free consultation to discuss your unique situation and determine the best therapeutic approach. Therapy is always personalized, safe, and supportive, ensuring you feel comfortable every step of the way.

If you’re ready to address the trauma that’s affecting your relationships, reach out today. Healing and healthier connections are within your reach.

Anxiety and Depression Therapy: The Best Approach for You?

When someone reaches out for help with anxiety or depression, one of the first questions they often ask is, “What’s the best therapy approach for me?” And my answer is always the same: it depends on you. There is no one-size-fits-all when it comes to therapy—because every person carries a unique story, a different nervous system, and their own way of processing the world around them.

As a therapist, I’ve spent years helping people work through anxiety and depression, and I’ve learned that the most effective approach is one that’s tailored to the individual. Whether you’re struggling with constant worry, low motivation, panic attacks, or a deep sense of hopelessness, there’s a path forward—and it starts with finding the approach that fits you. Anxiety and depression therapy doesn’t have to confuse you.

Why One Approach Doesn’t Fit All

Therapy isn’t just about applying techniques—it’s about creating a relationship and process that feels safe and effective for the person sitting across from me. Anxiety and depression don’t show up the same way for everyone. Some people feel it in their bodies—tightness in the chest, racing heart, constant fatigue. Others feel it in their thoughts—overanalyzing everything, spiraling into worst-case scenarios, or feeling numb and disconnected from life.

That’s why I draw from an integrated approach, combining methods like:

Cognitive Behavioral Therapy (CBT) – to identify and challenge negative thought patterns.
Eye Movement Desensitization and Reprocessing (EMDR) – to process trauma and stuck emotional responses.
Sensory Motor Psychotherapy (SMP) – to connect with the body and release trauma stored in the nervous system.

The goal isn’t to “treat a symptom.” The goal is to understand the root of your anxiety and depression, and help you heal from the inside out.

How My Early Work Shaped My Approach

Earlier in my career, I worked with war veterans who were struggling with intense anxiety, depression, and emotional shutdown. Many of them didn’t even identify their experiences as trauma—they just knew they didn’t feel safe, couldn’t sleep, and couldn’t connect with people anymore. It became clear to me that unprocessed trauma was living beneath the surface of their symptoms.

I also spent time working with adults on probation, and I noticed something similar. Many of the people I worked with had experienced neglect, abuse, or violence early in life. They were functioning adults, but underneath the surface were layers of unresolved trauma that showed up as depression, anxiety, anger, or self-sabotaging behaviors.

These experiences taught me something important: we can’t talk our way out of trauma.

That’s when I knew I needed deeper, more drastic tools—like EMDR—to help people not just cope, but truly heal.

The Role of EMDR in Healing Anxiety and Depression

EMDR (Eye Movement Desensitization and Reprocessing) is one of the most powerful tools I use with clients who are ready to process and release the emotional weight they’ve been carrying. What makes EMDR so effective is that it doesn’t rely on talking alone. It helps the brain reprocess memories that are stuck in the nervous system and allows the body to finally feel safe again.

Many clients come to me after trying traditional therapy and feeling like they’re just going in circles. They know what their issues are—they’ve talked about them—but they still feel stuck. EMDR often helps them break through those stuck points in ways they didn’t think were possible.

And yes—EMDR works beautifully online too, it keeps evolving how therapists practice it online and how we apply stimulation to the short-term memory that is key to healing.

Combining Tools for Lasting Change

Sometimes, clients need structure and practical strategies. That’s where CBT is helpful—we work on identifying distorted thinking, reframing unhelpful beliefs, and building better coping tools. Other times, anxiety and depression live in the body, and no amount of thinking changes that. That’s where SMP helps, by bringing attention to somatic cues, breath, posture, and tension that hold emotional pain.

In many cases, I use all three approaches—CBT, EMDR, and SMP—depending on where the client is in their healing journey. My role is to meet each person exactly where they are, without forcing a method or rushing the process.

How Do You Know What You Need?

That’s where our free consultation comes in. Before starting therapy, I offer a consultation to get to know you—what you’ve been going through, what you’ve tried before, and what feels most difficult right now. This conversation helps me understand the best way to approach your therapy.

Sometimes, we start slow and focus on stabilizing anxiety with body-based tools and CBT techniques. Other times, we move more directly into trauma processing with EMDR. The key is that we figure it out together, and you never have to do it alone.

What You Can Expect from Our Work Together

If you’re struggling with anxiety and depression, you might feel like it’s always going to be this way. But I want you to know: healing is absolutely possible. I’ve seen it happen over and over again—clients who once felt stuck, disconnected, or overwhelmed begin to experience relief, clarity, and connection again.

In our work together, you can expect:

A safe, non-judgmental space to explore what’s really going on.
A therapy plan tailored to your specific needs, not a generic protocol.
Tools and strategies to manage anxiety and low mood day-to-day.
Deeper healing work to resolve the root causes, not just surface symptoms.
Flexibility—sessions are done online for your convenience.

Ready to Take the First Step?

You don’t have to keep carrying this alone. Whether your anxiety feels like a constant hum in the background or your depression feels like it’s pulling you under, there is a way forward. Through a personalized, integrated therapy approach, we can work together to understand what’s going on and help you move toward healing. Anxiety and depression therapy is really effective.

If you’re curious about starting therapy, I invite you to book a free consultation. It’s a chance for us to talk, explore your needs, and see if my approach is the right fit for you.

Because the best therapy isn’t just about techniques—it’s about finding the right approach for you. 💙

Anxiety and Depression Therapy: Does Online Therapy Work?

Online therapy has completely changed the way people get help for anxiety and depression. Over the past six years of working with clients online, I’ve seen just how powerful virtual therapy can be. But if you’re wondering, does online therapy really work for anxiety and depression? The short answer is yes—and for many people, it’s actually more effective than in-person therapy. I was very sceptical about it at first but when Covid hit us we had to find a way to support people even from a distance. That was the time I remember I was seeing about 50 people weekly (most of them nurses, doctors and first responders) and I had to let them know how to use the online platform and at the same time I was being re-trained on the modalities I use (EMDR, CBT, SMP) to practice online. The thing that convinced me about the effectiveness of online therapy personally is that when we re-opened our offices and I let my clients know that they can come back in person if they wish, only 4 came back to the office. The others continued online which tells me a lot about how great online therapy is.

Let’s break it down: how online therapy works, why it’s effective, and when it might not be the best fit.

How Online Therapy Works for Anxiety and Depression

Online therapy follows the same principles as traditional therapy, but instead of sitting in an office, you meet with your therapist via video call, phone call, or even chat-based platforms. Sessions are structured just like in-person therapy, and you can access evidence-based treatments such as:

Cognitive Behavioral Therapy (CBT) – Identifying and challenging negative thought patterns.
Eye Movement Desensitization and Reprocessing (EMDR) – Processing trauma that contributes to anxiety and depression. (Check the article: Overcoming Driving Anxiety with EMDR Therapy)
Mindfulness-Based Therapy – Helping you stay present and reduce overwhelming thoughts.
Sensory Motor Psychotherapy (SMP) – Addressing how trauma and anxiety affect the body.

The best part? You can do all of this from the comfort of your own home. This makes therapy more accessible, flexible, and easier to fit into daily life.

Is Online Therapy Effective? What the Research Says

Yes! Studies show that online therapy is just as effective as in-person therapy for treating anxiety and depression. Research has found that:

CBT delivered online is equally effective in reducing symptoms of anxiety and depression compared to in-person CBT.
Online EMDR therapy helps people process trauma and decrease anxiety levels.
Therapy accessibility increases commitment—people are more likely to stick with sessions when they can do them online.

I’ve personally seen clients go from crippling anxiety to confidence, and from depressive episodes to feeling like themselves again—all through virtual therapy.

Why Online Therapy Works for Anxiety and Depression

1. Comfort & Convenience 🏡

For many, the biggest barrier to therapy is simply getting to the session. Online therapy removes this issue:

No commuting or waiting rooms.
Clients feel more relaxed in their own space, making it easier to open up.
Perfect for people with social anxiety or depression-related fatigue who struggle with leaving the house.

2. More Consistency = Better Results 📅

When therapy is convenient, people are less likely to miss sessions.
Regular attendance means faster progress and better mental health outcomes.
Flexibility in scheduling helps therapy fit into busy or unpredictable lifestyles.

3. Privacy & Anonymity 🤫

Some people avoid therapy due to stigma or fear of being seen in a waiting room. Online therapy offers:

100% privacy, as you can attend from anywhere.
Less anxiety about seeing someone you know.
Greater comfort discussing sensitive topics.

4. Effective Therapeutic Techniques Still Work 💡

Many therapy techniques work just as well online, including:

CBT exercises (identifying & restructuring thoughts)
EMDR (bilateral stimulation can be done remotely)
Mindfulness & relaxation techniques
Somatic work for trauma-related anxiety

The key is having a skilled therapist who knows how to adapt these tools to an online setting.

When Online Therapy Might Not Be the Best Option

While online therapy is effective for most people, there are some situations where in-person therapy might be a better choice:

1. Severe Mental Health Crises 🚨

If someone is actively suicidal or in immediate danger, in-person support is better.
Online therapy doesn’t provide emergency intervention.
In these cases, crisis services or in-person psychiatric care may be necessary.

2. Limited Privacy at Home 🔇

If you live with others and can’t find a private space, it might be harder to open up.
Solutions: Use headphones, go to a quiet room, or even sit in your car for the session.

3. Difficulty Connecting Through a Screen 📱

Some people prefer face-to-face interactions and find it easier to build trust in person.
However, most clients adapt quickly and find virtual therapy just as engaging.

How to Make Online Therapy Work for You

If you’re considering online therapy, here’s how to get the most out of it:

1. Set Up a Private, Comfortable Space 🛋️

Find a quiet, distraction-free area for your sessions.
Use headphones for better focus and privacy.

2. Treat It Like an In-Person Session ⏳

Show up on time, free from distractions (no multitasking!).
Keep a journal for notes and insights between sessions.

3. Be Open & Committed 🧠

Therapy works when you engage—be honest and open with your therapist.
Practice the techniques and do the “homework” outside of sessions.

4. Choose the Right Therapist 👥

Find a therapist who specializes in anxiety and depression.
Look for experience in CBT, EMDR, or trauma therapy.
Read reviews or schedule a consultation to see if they’re the right fit.

Final Thoughts: Is Online Therapy Worth It?

Absolutely. Online therapy is an effective, accessible, and flexible option for treating anxiety and depression. It works because it removes common barriers, distance, scheduling issues while still delivering the same high-quality care as in-person therapy. I have seen it work so many times in my career so far that I’m convinced by now.

I’ve seen clients rebuild their confidence, work with to heal trauma, break free from anxious thoughts, and overcome depression, all through virtual therapy. If you’re struggling, know that help is available and it can work for you too.

Thinking about trying online therapy? Take the first step today, contact me here for a free consultation.

Managing Anxiety with Online Therapy: What to Expect

Over the past six years, I’ve guided many clients through online therapy, and I’ve seen firsthand how powerful and effective it can be in managing anxiety. When people first hear about online therapy, they often wonder: Does it really work? Can therapy over a screen be as impactful as in-person sessions? The answer is a resounding yes.

I want to walk you through what to expect in online therapy, how cognitive distortions and Cognitive Behavioral Therapy (CBT) play a role in anxiety, and how deeper trauma-based anxiety can be effectively treated through EMDR and SMP therapy—even in a virtual setting. Anxiety treatments are out there and sometimes people are confused with that to “go” for. I am trained in different modalities and I use them as weapons to fight anxiety uniquely in each client that comes my way. For me it’s important to get to know YOU in depth so I can modify the treatment plan on you and fight anxiety properly. Managing anxiety with online therapy can work wonders. Let’s dive in.

The Effectiveness of Online Therapy

There’s a common misconception that therapy needs to happen in person to be effective. But research consistently shows that online therapy is just as powerful as in-person sessions for treating anxiety and other mental health conditions.

In fact, many of my clients find online therapy even more convenient and comfortable. Being in your own space can make it easier to open up, and removing the hassle of commuting means people are more consistent with their sessions—which, in turn, leads to better results.

Over the years, I’ve seen clients go from being completely overwhelmed by their anxiety to regaining control and confidence—all through virtual therapy. It’s about using the right techniques and creating a space where healing can happen, regardless of physical location.

Cognitive Distortions & CBT: Reshaping Anxious Thoughts

Anxiety often thrives on cognitive distortions—irrational and exaggerated thought patterns that fuel worry and fear. These distortions can make small stressors feel like massive threats. Some common ones include:

Catastrophizing – Expecting the worst-case scenario in every situation.
Black-and-white thinking – Seeing things as either all good or all bad, with no in-between.
Mind reading – Assuming you know what others are thinking (usually assuming the worst!).
Overgeneralization – Believing that one negative event means everything will always go wrong.

This is where Cognitive Behavioral Therapy (CBT) comes in. CBT is all about identifying, challenging, and reframing these unhelpful thought patterns. In online sessions, I guide clients through exercises that help them recognize when anxiety is taking over and give them practical tools to shift their mindset.

For example, if a client struggles with catastrophizing, we work on evidence-based thinking—asking questions like: What’s the actual likelihood of this worst-case scenario happening? Has this happened before? What are the facts vs. my fears?

Through online therapy, we use interactive worksheets, guided journaling, and real-time exercises to help rewire anxious thought patterns. These strategies are just as effective virtually as they are in person—because real change happens in how we think, not where we are.

Anxiety from Trauma: How EMDR & SMP Therapy Help

For many people, anxiety isn’t just about stressful thoughts—it’s rooted in past trauma. This can be anything from childhood experiences to more recent events that left a deep imprint on the nervous system. Trauma-based anxiety isn’t just about worrying; it’s about the body feeling unsafe, even when there’s no immediate threat.

This is where Eye Movement Desensitization and Reprocessing (EMDR) and Sensory Motor Psychotherapy (SMP) become essential tools.

EMDR Therapy Online: Reprocessing Trauma from Anywhere

EMDR is a highly effective therapy for trauma and anxiety. It helps the brain reprocess distressing memories so they no longer feel like a constant threat. Many people are surprised to learn that EMDR works just as well online as it does in person.

In a virtual EMDR session, I guide clients through bilateral stimulation, using eye movements or tapping exercises to help the brain process stuck memories. There are excellent digital tools that allow for smooth and effective EMDR processing—all from the comfort of home.

For many clients, online EMDR has been a game-changer in breaking free from old fears and emotional triggers.

SMP Therapy: Healing Anxiety in the Body

Sensory Motor Psychotherapy (SMP) focuses on the body’s response to trauma and anxiety. Sometimes, anxious thoughts aren’t just in the mind—they manifest physically as tension, restlessness, stomach issues, or even panic attacks.

In online SMP sessions, I guide clients through mindful body awareness, movement techniques, and breathwork to help release stored tension and restore a sense of safety. This approach is especially helpful for those who feel “stuck” in their anxiety, no matter how much they try to think their way out of it.

What to Expect from Online Therapy

If you’re considering online therapy for anxiety, here’s what you can expect:

A structured but flexible approach – We tailor sessions to what works best for you, whether it’s CBT, EMDR, SMP, or a combination.
Interactive tools & exercises – We use digital worksheets, guided exercises, and journaling prompts to support your progress.
Privacy & convenience – No commuting, no waiting rooms—just a safe space where you can focus on healing.
Real, lasting change – Anxiety doesn’t go away overnight, but with consistent work, you’ll notice shifts in how you think, feel, and react.

Final Thoughts

Online therapy isn’t just a backup option—it’s a powerful, effective way to manage anxiety and heal from past trauma. Whether we’re tackling anxious thought patterns through CBT, reprocessing trauma with EMDR, or working through physical responses to anxiety with SMP, the results are real and life-changing.

After six years of working with clients virtually, I’ve seen countless people move from constant overwhelm to feeling in control of their lives again.

Anxiety doesn’t have to rule your life. If you’re ready to take the next step, online therapy might be exactly what you need.

Interested in learning more? Reach out through my website or schedule a free consultation to see how online therapy can work for you. Managing anxiety with online therapy might be what you need.

Why I Choose EMDR: A Therapist’s Perspective

As a therapist, I’ve had the privilege of working with a wide range of clients—adults on probation, war veterans, individuals carrying deep-seated childhood trauma. Through this work, I’ve seen firsthand what works and what doesn’t in trauma therapy.

I began my career with classic talk therapy techniques, using CBT (Cognitive Behavioral Therapy) and mindfulness-based approaches to help clients manage symptoms. These are valuable tools, but when it came to PTSD and deep trauma processing, I saw clear limitations.

The Limitations of Talk Therapy for PTSD

For individuals with PTSD, talking about trauma often isn’t enough. The mind and body store trauma in a way that talking doesn’t always reach. Many of my clients, particularly war veterans and those with complex trauma histories, would gain intellectual insight into their struggles but remain stuck in the same emotional and physiological responses.

They would say things like:

“I understand why I react this way, but I still can’t stop.”
“I know it’s irrational, but my body goes into panic mode.”
“I’ve talked about it for years, but the nightmares and flashbacks won’t go away.”

That’s when I realized that understanding trauma cognitively isn’t the same as processing it emotionally and somatically. This gap led me to Eye Movement Desensitization and Reprocessing (EMDR).

Why EMDR?

It is unlike anything else in trauma therapy. It targets the root of trauma—not just the conscious thoughts, but the deep, stored emotional and physiological reactions tied to distressing experiences. It desensitizes and reprocesses traumatic memories, so the brain no longer reacts as if the danger is happening in real time.

What makes EMDR powerful?

✅ Directly Processes Triggers – Unlike alk therapy, which often revolves around understanding triggers, EMDR neutralizes them by reprocessing the memory.

✅ Works Beyond Cognition – Trauma is stored in the nervous system, not just in thought patterns. EMDR works on this deeper level, helping clients experience relief beyond words.

✅ Rapid, Lasting Results – Many clients see a significant reduction in symptoms in fewer sessions than traditional therapy.

Integrating EMDR with Other Methods

I don’t just use EMDR in isolation. Over the years, I’ve developed a comprehensive approach, combining EMDR with:

1️⃣ CBT (Cognitive Behavioral Therapy) – Helps clients reframe negative thoughts after trauma processing. 2️⃣ SMP Therapy (Structural Memory Processing) – Supports deeper memory integration and stabilization. 3️⃣ Mindfulness & Somatic Work – Encourages body awareness, grounding techniques, and nervous system regulation.

Each of these approaches plays a role, but EMDR is often the missing link that allows clients to move from awareness to actual healing.

Working with Adults on Probation & War Veterans

Some of my most eye-opening experiences with EMDR have been with adults on probation and war veterans. These clients often come to therapy feeling trapped by their trauma responses—hypervigilance, panic attacks, dissociation, or intense anger.

Probation Clients: Many individuals I’ve worked with have experienced generational trauma, abuse, and systemic oppression. For them, EMDR provides a way to process past experiences without retraumatization, allowing them to build healthier responses rather than repeating past cycles.
War Veterans: The brain of a veteran with PTSD is wired for survival mode. With EMDR, we systematically reduce the emotional charge around combat memories, intrusive thoughts, and hyper-reactivity, allowing the nervous system to recalibrate.

Beyond Trauma: EMDR for Anxiety, Phobias & Self-Worth

While EMDR is best known for trauma, I also use it for anxiety disorders, phobias, and self-esteem work. Many of our patterns of fear, doubt, or avoidance stem from implicit memories. EMDR helps clients unhook from past conditioning and create new, healthier mental pathways.

woman in black jacket standing on green grass field during daytime

Final Thoughts: EMDR as a Game-Changer

As a therapist, I choose EMDR because I see it work. It transforms lives in a way that many traditional methods struggle to achieve alone. When combined with other therapeutic modalities, it provides a holistic, deep-reaching way to heal. In my experience being in the therapy room with hundreds of clients in my career I’ve come to realize that there is no one size-fits all approach. Everyone is in a different phase and “readiness” to process their trauma and that should always be respected and accounted for from any therapist. That being said, combining different modalities is what has enabled me to see the true potential of eye movement reprocessing.

If you’ve tried therapy before but still feel stuck, EMDR might be the missing piece. If you’re ready to explore this approach, visit www.Dimitriostherapy.com and book a consultation.

Healing is possible, and EMDR is a powerful path forward.