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McGuire Therapeutic Services

Anxiety Therapy · Lanham & Wheaton

Anxiety Therapist in Lanham & Wheaton, MD

When worry runs the show, everyday life starts to shrink. Our anxiety therapists in Lanham and Wheaton, MD help with panic attacks, constant worry, social anxiety and perfectionism, in person or by telehealth.

In person in Lanham & Wheaton · Telehealth across Maryland

Helps with
Panic, worry, social anxiety, perfectionism
Approaches
CBT, mindfulness, strength-based therapy
Where
Lanham, Wheaton or telehealth
First step
Call or request an appointment online
Woman talking with an anxiety therapist during a counseling session
  • CARF accredited
  • Medicaid & Medicare
  • Telehealth available
  • Se habla español

What anxiety actually feels like

Anxiety is rarely just “feeling nervous.” It’s lying awake running through tomorrow’s worst cases. It’s a racing heart in the grocery store line, a tight jaw by noon, a stomach that won’t settle before a meeting. It’s rereading an email five times before you send it, or canceling plans because the thought of small talk is exhausting. Many people live this way for years and assume it’s simply their personality.

Anxiety is one of the top specialties at McGuire Therapeutic Services. Our anxiety therapists in Lanham and Wheaton, MD work with clients from Seabrook, Landover, Hyattsville, College Park and Silver Spring who look high-functioning on the outside and feel worn out on the inside, as well as people whose worry has made work, school or leaving home hard. Both deserve real help, and both can feel better with the right support.

The kinds of anxiety we treat

Anxiety often travels with something else. If panic started after a frightening event, we may weave in trauma-focused therapy. If worry sits on top of low mood, we address both together rather than treating them as separate problems that happen to share a calendar. And if your anxiety is tied to a relationship, job or family situation, that context becomes part of the work too.

  • Panic attacks: sudden surges of fear with a pounding heart, dizziness or shortness of breath
  • Generalized anxiety: worry that jumps from topic to topic and won’t turn off
  • Social anxiety: dread of being judged, embarrassed or watched
  • Perfectionism: impossible standards, procrastination and harsh self-criticism
  • Health anxiety: constant symptom-checking or fear of illness
  • Stress and burnout: anxiety tied to work, caregiving or money
  • Anxiety alongside other struggles: depression, grief, trauma or conflict

How anxiety therapy works here

We often start with cognitive behavioral therapy (CBT), one of the most researched treatments for anxiety. CBT helps you catch the thoughts that fuel worry, such as “if I don’t prepare for every possibility, something terrible will happen,” and test them against reality. It also involves gradual, supported practice facing what you’ve been avoiding, at a pace you choose. Avoidance brings quick relief but teaches your brain the danger was real, so gently reversing it matters.

Alongside CBT, your therapist may teach body-based skills to calm your nervous system, like slow breathing, grounding and muscle relaxation, and draw on mindfulness-based therapy to help you tolerate uncertainty instead of fighting it. For perfectionism, we often explore where the standards came from and what they protect you from. Throughout, the approach is strength-based: you already have ways of coping, and we build on them.

Your first anxiety therapy session

If you live with social or panic-related anxiety, even the first appointment can feel like a hurdle, so we try to make it predictable. You’ll fill out intake forms ahead of time. In the session, your therapist will ask when the anxiety started, what a typical day looks like, what you’ve already tried, and what you’d do more of if worry weren’t in the way. You’ll leave with a plan and often one small skill to try that week.

If you’re too anxious to come in, start by telehealth from home and move to in-person sessions later. If anxiety is severe or comes with sleeplessness or depression, we can also talk about a psychiatric assessment and medication management through our clinic. And if anxiety ever comes with thoughts of ending your life, call or text 988 at any hour.

Anxiety across different stages of life

Anxiety shows up differently depending on age and circumstance. Teens may complain of stomachaches, avoid school or melt down over homework that looks manageable from the outside. New parents may feel flooded by worst-case scenarios about their baby’s health. People in demanding jobs often hide anxiety behind long hours and overpreparation. Older adults may worry intensely about health, money or falling, and sometimes describe the anxiety as physical symptoms first.

Whatever your stage, the core of treatment is similar: understand what keeps the anxiety going, practice new responses, and build confidence that you can handle discomfort. We tailor the details to your life, whether that means involving a parent in a teen’s sessions, working around a shift schedule, or including your faith if that’s important to you. Spanish-speaking clinicians are also available; call to be matched.

Cost and convenient locations

We accept Maryland Medicaid, Medicare, CareFirst BlueCross BlueShield, Aetna, Cigna/Evernorth, UnitedHealthcare/Optum, Johns Hopkins EHP and others, and we confirm your coverage and copay before your first session. Self-pay sessions are $150, and a sliding scale is available by application. Our Lanham office is on Annapolis Road near the Beltway, and our Wheaton office serves clients from Silver Spring, Kensington and Aspen Hill.

Before your first visit, you’re welcome to call with questions, hear how we work and see whether it feels like a fit. Many anxious clients tell us that simply knowing what to expect lowers the dread of the first appointment. Please give 24 hours’ notice if you need to cancel, and let us know if there’s anything that would make your visit easier, like a quieter waiting time.

Anxiety tends to overestimate danger and underestimate your ability to cope. Therapy helps you gather better evidence on both.

How it works

  1. 1

    Reach out

    Call, email or request an appointment online.

  2. 2

    Map your anxiety

    In your first session, we look at triggers, physical symptoms and what anxiety has cost you.

  3. 3

    Build skills

    Learn to calm your body, question worried thoughts and step back into avoided situations.

  4. 4

    Practice in real life

    Use your skills between sessions and adjust the plan as your confidence grows.

Frequently asked questions

Anxiety Therapy: your questions, answered

McGuire Therapeutic Services

Still wondering about something? Talk to a real person. 301-731-1222

How do I find an anxiety therapist in Lanham or Wheaton, MD?

Look for a licensed clinician who uses evidence-based approaches like CBT and who accepts your insurance. At McGuire Therapeutic Services, anxiety is a core specialty, and our Lanham office on Annapolis Road is easy to reach from New Carrollton, Greenbelt and Bowie. We also offer anxiety therapy in Wheaton and by telehealth.

What’s the difference between a panic attack and an anxiety attack?

A panic attack is a sudden wave of intense fear that peaks within minutes, often with a pounding heart, shaking, chest tightness or a feeling of losing control. “Anxiety attack” is an informal term people use for building worry and tension that can last longer. Both are treatable, and therapy teaches you how to ride out symptoms rather than fear them.

How long does anxiety therapy take?

It depends on what you’re working on. CBT for anxiety is often structured and relatively short-term, and many people begin noticing changes within a few months of regular sessions. Longstanding anxiety, perfectionism or anxiety mixed with trauma may take longer. Your therapist will check progress with you regularly so the plan stays focused on your goals.

Can therapy help with perfectionism?

Yes. Perfectionism is often driven by fear of failure, criticism or not being enough. Therapy helps you notice the rules you hold yourself to, test what actually happens when you loosen them, and build self-respect that doesn’t depend on flawless performance. Many high achievers find they get more done once fear stops running the schedule.

Do I need medication for anxiety?

Not necessarily. Many people improve with therapy alone. Medication can be helpful when anxiety is severe, constant or paired with depression. Through our outpatient clinic, you can have a psychiatric assessment to explore the option, and any medication is coordinated with your therapy. The decision is always yours, made with full information.

What if I’m too anxious to come to the office?

That’s common, and it’s okay. You can start with secure telehealth sessions from home, then work toward in-person visits if that becomes a goal. Some clients use the trip to the office itself as part of their practice. Your therapist will move at a pace that feels challenging but manageable, never overwhelming.

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