Anxiety Therapy
Anxiety Therapy in San Diego
Are financial, health, career, or relationship problems causing you profound anxiety? Do you suffer from anxiety and you don't know why? Or are you just afraid something bad is going to happen? Because we've experienced major difficulties in the past, we feel they could happen again any time soon. It's hard not to worry about problems you can't solve. I want to help you.
I provide anxiety therapy in San Diego for individuals dealing with generalized anxiety, panic attacks, social anxiety, phobias, and anxiety rooted in past trauma. I work in person in Carmel Valley and offer video and phone sessions for clients throughout California.
What Anxiety Looks Like
Common presentations include:
- Persistent worry that's difficult to switch off: about life, work, relationships, health, the future.
- Physical symptoms: tight chest, shallow breathing, muscle tension, headaches, digestive issues.
- Panic attacks: sudden, intense episodes of fear with physical symptoms that can feel like a medical emergency.
- Avoidance: steering clear of situations, people, or places because of the anxiety they trigger.
- Social anxiety: intense discomfort in social situations, fear of judgment, or difficulty being around people.
- Perfectionism and fear of failure: driven by underlying anxiety.
- Difficulty sleeping: mind racing at night, unable to switch off.
- Irritability or emotional reactivity: reactions that feel disproportionate to the situation.
What Types of Anxiety Do You Treat?
Generalized Anxiety Disorder (GAD)
GAD involves persistent, excessive worry about a wide range of everyday situations including work, family, health, finances, and the future. The worry is difficult to control, feels out of proportion to the actual situation, and is often accompanied by physical symptoms like fatigue, muscle tension, and difficulty concentrating.
Panic Attacks and Panic Disorder
Panic attacks are sudden surges of intense fear often with physical symptoms including racing heart, chest tightness, shortness of breath, dizziness, and a sense of impending danger. They can feel like a heart attack. Panic disorder involves recurrent panic attacks and a persistent fear of having more, which itself becomes its own source of anxiety.
I am located in the Del Mar and Carmel Valley area of San Diego, California. I work with clients to reduce the frequency of panic attacks and break the anticipatory anxiety cycle that often develops around them.
Social Anxiety
Social anxiety goes beyond shyness. It involves intense fear of social situations, meeting new people, speaking in groups, being observed, or simply being around others, driven by a fear of humiliation or negative judgment. It can significantly limit career, relationships, and quality of life.
Trauma-Related Anxiety
Anxiety is frequently rooted in past trauma, even when the connection isn't obvious. The hypervigilance, the startle responses, the sense of constant threat: these are often the nervous system's learned response to experiences that are long over. When anxiety has a traumatic root, treating the trauma directly (through EMDR and QPRX) is often more effective than treating the anxiety symptoms alone.
Phobias
Specific phobias including fear of flying, heights, medical procedures, certain animals, and social situations can significantly restrict daily life. I work with clients on phobias using approaches that address both the cognitive and physiological components of the fear response.
How Do You Treat Anxiety?
I tailor my approach to the individual and the type of anxiety, drawing on several complementary methods:
EMDR for Anxiety
EMDR is best known as a trauma treatment, but it is highly effective for anxiety, particularly anxiety that has roots in specific past experiences or that is driven by traumatic memories, even ones the client doesn't consciously identify as trauma.
EMDR helps the brain reprocess the memories and experiences that are feeding the anxiety, reducing their emotional charge. For many clients, this produces a more fundamental shift than cognitive approaches alone because it addresses why the anxiety developed, not just how to manage it in the moment.
QPRX™
I developed QPRX™ as a process for shifting negative belief patterns at their root. Anxiety almost always involves a set of underlying beliefs about one's ability to cope, about what other people think, and about the future, all of which maintain and deepen the anxiety over time.
QPRX™ targets these belief structures directly, creating rapid and lasting shifts in how a client perceives themselves and their situation. For clients whose anxiety is driven by deeply entrenched thought patterns including those who have tried cognitive approaches without lasting relief, QPRX™ frequently produces results that other methods have not.
Somatic Approaches
Anxiety lives in the body as much as the mind. The physical symptoms including tension, shallow breathing, a constricted chest, are not just side effects of anxious thinking; they are part of how anxiety maintains itself. Somatic approaches work with the body directly, building the capacity to regulate the nervous system rather than just manage anxious thoughts.
Cognitive Approaches
Understanding and challenging the thought patterns that feed anxiety remains a useful tool, particularly for helping clients recognize when their thinking is catastrophizing, overestimating threat, or underestimating their own capacity to cope. I use cognitive techniques as part of a broader approach rather than as a standalone method.
Anxiety and QPRX™: A Note on Lasting Relief
Many of my clients come to me having tried therapy for anxiety before. They've learned breathing techniques. They've identified their triggers. They understand their anxiety intellectually. And yet it's still there.
Understanding anxiety is not the same as resolving it. You can't think your way out of a nervous system response.
The nervous system doesn't respond to insight alone; it responds to experience. EMDR and QPRX™ work at that experiential, neurological level. They change how the body and mind respond to anxiety triggers, not just how the client thinks about them. For clients who feel like they've already tried everything, this distinction matters.
Is Medication Part of Treatment?
Medication can be part of anxiety treatment, and for some clients it helps. I often consult with and refer to medical doctors, including psychiatrists, doctors who specialize in mental health, so my clients have access to comprehensive treatment if they need it. Some medications are prescribed as needed, for fast-acting relief of severe anxiety. Others are taken daily, relieving symptoms in a more controlled way. Antidepressants can also help with anxiety, and many of my clients find medication calms persistent heightened nerves in a way that’s difficult to do on their own.
Note: some anxiety medications can be habit-forming if overused. Doctors prescribe these with caution and will monitor how much and how often you are using them.
Frequently Asked Questions About Anxiety Therapy
Q: What is the best therapy for anxiety?
Short answer: Several therapies have strong evidence for treating anxiety, including CBT, EMDR, and somatic approaches. The most effective choice depends on the type and roots of the anxiety, particularly whether trauma is involved.
More detail: Cognitive Behavioral Therapy (CBT) is the most widely researched approach for anxiety and works well for many people. EMDR is highly effective when anxiety has roots in specific past experiences or trauma as it addresses the source rather than just the symptoms. Somatic approaches help regulate the physical component of anxiety. For anxiety driven by deeply embedded belief patterns, QPRX™ can produce lasting shifts that cognitive approaches alone do not achieve. I use a combination of these methods, tailored to each client.
Q: Can you get lasting relief from anxiety?
Short answer: For many people, anxiety can be significantly reduced and not just managed. With the right approach, it's possible to reach a point where anxiety no longer controls your decisions or limits your life.
More detail: The language of 'management' is common in anxiety treatment, and for some people it's realistic. But for many clients, particularly those whose anxiety has specific roots in past experiences, treatment that addresses those roots can produce genuine resolution rather than ongoing management. EMDR and QPRX™ often achieve this by working at the neurological and belief level where anxiety is maintained, rather than simply teaching coping strategies for when it arises.
Q: Can EMDR help with anxiety?
Short answer: Yes. EMDR is highly effective for anxiety, particularly when the anxiety is connected to past experiences or trauma, even experiences the client does not consciously identify as traumatic.
More detail: EMDR was developed as a trauma treatment, but research and clinical experience consistently show it effective for anxiety disorders including panic disorder, social anxiety, specific phobias, and generalized anxiety with identifiable roots. It works by helping the brain reprocess the memories and experiences that are feeding the anxious response, reducing their emotional charge. For many clients with anxiety, this produces a more fundamental and lasting shift than cognitive or talk therapy-based approaches alone.
Q: What's the difference between anxiety and an anxiety disorder?
Short answer: Anxiety is a normal human emotion. An anxiety disorder is when that anxiety becomes persistent, disproportionate, or begins to significantly interfere with daily life, relationships, or work.
More detail: Everyone experiences anxiety, before a difficult conversation, a medical appointment, or a high-stakes situation. That's normal and often functional. An anxiety disorder involves anxiety that doesn't switch off when the situation passes, that shows up in response to everyday situations, or that causes significant avoidance or disruption. If anxiety is affecting your sleep, your relationships, your work, or your quality of life, it's worth talking to someone, regardless of whether it meets the clinical criteria for a formal diagnosis.
Q: Do panic attacks mean I have an anxiety disorder?
Short answer: Not necessarily. A single panic attack doesn't mean you have panic disorder. But recurring panic attacks, or significant anxiety about having more attacks, are worth addressing with a therapist.
More detail: Panic attacks can occur in isolation triggered by a specific stressor or period of high pressure without indicating an ongoing anxiety disorder. However, when panic attacks recur, or when fear of future attacks begins to drive avoidance and limit your life, that pattern is worth working on. I work with clients on both the physiological experience of panic and the anticipatory anxiety that often builds around it. EMDR and QPRX™ can be particularly effective when panic attacks have roots in past traumatic experiences.
Start Anxiety Therapy in San Diego
I understand the challenges of being trapped in the grip of anxiety. I have achieved tremendous success with numerous clients who leave my office feeling a weight lifted off their shoulders. Panic attacks cease, allowing them to move forward with their lives. Let me help you alleviate some of this pain and guide you through this challenging journey.
Anxiety is highly responsive to treatment.
I can help you.
I've been helping clients work through anxiety for over 20 years.
Jill Silverman, LCSW

Free Telephone Consultation
Carmel Valley & Del Mar
12625 High Bluff Dr Ste 215
San Diego, CA 92130