Offering in-person appointments in Marin County and telehealth throughout California. Call (415) 326-3850
Anxiety Treatment · Marin County, CA

Anxiety Therapists in Marin County
Specializing in CBT

Reframe CBT provides evidence-based Cognitive Behavioral Therapy (CBT) , the gold-standard treatment for anxiety, for children, teens, and adults in San Rafael and throughout California via telehealth.

All Anxiety TypesChildren Ages 6+Teens & AdultsIn-Person & Telehealth
Julie Hingsbergen, LMFT, CBT & ERP therapist at Reframe CBT
Julie Hingsbergen, LMFT
Nicole Springer, Registered AMFT, Associate Therapist at Reframe CBT
Nicole Springer, Registered AMFT
Understanding Anxiety

What Is Anxiety, And Why Can't You Just "Stop Worrying"?

Anxiety is your brain's built-in alarm system, designed to protect you from danger. But when that alarm becomes oversensitive, it fires in situations that aren't truly threatening, creating a cycle of worry, avoidance, and relief that reinforces itself over time.

Telling yourself to "just relax" doesn't work because anxiety isn't a choice, it's a learned response. The good news is that learned responses can be unlearned with the right approach.

Anxiety disorders affect approximately 40 million adults in the United States, making them the most common mental health concern. They are also among the most treatable with evidence-based CBT.

The Anxiety Cycle
1

Trigger

A situation, thought, or sensation activates the alarm.

2

Anxious Thought

The brain interprets the trigger as dangerous or threatening.

3

Physical Response

Heart races, muscles tense, breathing quickens, fight or flight.

4

Avoidance

The situation is avoided or escaped to reduce discomfort.

5

Short-Term Relief

Relief is temporary, and avoidance strengthens the anxiety long-term.

CBT breaks this cycle by changing both the thoughts and the avoidance behaviors that maintain anxiety.

Anxiety Presentations

Anxiety Presentations We Treat

Anxiety presents differently in every person. Our therapists are trained to treat all types and presentations of anxiety using evidence-based CBT.

Generalized Anxiety (GAD)

Persistent, uncontrollable worry about everyday topics, health, finances, relationships, or the future.

Social Anxiety Disorder

Intense fear of social situations, judgment, or embarrassment that leads to avoidance of interactions.

Panic Disorder

Recurrent, unexpected panic attacks accompanied by fear of future attacks or their consequences.

Health Anxiety

Excessive worry about having or developing a serious illness despite reassurance from doctors.

Separation Anxiety

Intense fear of separation from attachment figures, common in children but also seen in adults.

Performance Anxiety

Fear of being evaluated or performing in front of others, including academic, athletic, or professional settings.

Anxiety in Children & Teens

Age-appropriate CBT with parent coaching for younger clients experiencing anxiety at school or home.

Anxiety with OCD or BFRBs

Anxiety that co-occurs with OCD, phobias, or body-focused repetitive behaviors, treated with integrated CBT and ERP.

The Treatment

How CBT Therapy Works for Anxiety

CBT is a structured, collaborative process. Here's what to expect when working with Reframe CBT in San Rafael, CA.

01

Assessment & Goal Setting

We conduct a thorough assessment to understand your anxiety patterns, triggers, and avoidance behaviors. Together you'll set clear, measurable goals for treatment.

02

Psychoeducation

You'll learn exactly how anxiety works, the fight-or-flight response, the role of avoidance, and why your brain has learned to see certain situations as threatening. Understanding the mechanism is the first step to changing it.

03

Cognitive Restructuring

You'll learn to identify anxious thought patterns (catastrophizing, mind-reading, overestimating danger) and replace them with more balanced, realistic perspectives.

04

Behavioral Experiments & Exposure

Gradually and collaboratively, you'll face feared situations rather than avoiding them. Each successful exposure teaches your brain that the feared outcome is unlikely, and that you can handle discomfort.

05

Relapse Prevention

As treatment concludes, You'll be equipped with tools to maintain your gains, recognize early warning signs, and handle future anxiety flare-ups with confidence and skill.

Why Reframe CBT

Anxiety Therapy in Marin County

Evidence-Based CBT

Our approach to anxiety is grounded in Cognitive Behavioral Therapy, one of the most extensively researched and effective treatments for anxiety disorders, recommended by the APA.

All Anxiety Types & Presentations

From GAD to social anxiety to panic disorder to health anxiety, Our therapists have experience treating the full spectrum of anxiety presentations in clients of all ages.

Children, Teens & Adults

Reframe CBT treats anxiety across all life stages, with child-adapted CBT and parent coaching for younger clients, and adult-focused CBT for teens and adults.

Integrated OCD & BFRB Expertise

When anxiety co-occurs with OCD, phobias, or BFRBs, Our therapists integrate ERP and other evidence-based techniques for a comprehensive, tailored treatment plan.

Julie Hingsbergen, LMFT, Reframe CBT

Julie H., LMFT

Nicole Springer, Registered AMFT, Reframe CBT

Nicole S., Registered AMFT

Reframe CBT · San Rafael, CA

Licensed Marriage & Family Therapist (LMFT)
Specialized training in CBT for anxiety disorders
Treats anxiety in children (ages 6+), teens & adults
Volunteer therapist, Fear of Flying Clinic at SFO
CAMFT · IOCDF · NorCal CBT Network · Marin CAMFT
In-person in San Rafael · Telehealth statewide
FAQ

Anxiety Therapy Questions Answered

Have more questions about anxiety treatment or CBT therapy in Marin County? Reach out directly.

Ready to Break Free from Anxiety?

Reframe CBT offers a consultation to discuss your concerns and answer any questions about CBT therapy for anxiety. In-person in San Rafael, Marin County, or telehealth anywhere in California.

Serving San Rafael, Novato, Mill Valley, Tiburon, Sausalito, Fairfax, Corte Madera & all of Marin County.
Telehealth available throughout California.