mind by design counseling online therapy in new jersey for anxiety, grief, women teens and adults NJ online therapist near me

Online Therapy in New Jersey

Mind by Design Counseling

Top Anxiety Therapy In New Jersey
Specialists in Anxiety & Panic Attacks

Anxiety therapy is one of the most common reasons individuals come to therapy, and our expert therapists are ready to help you overcome anxiety and reclaim your joy!

Therapy for anxiety is available in New Jersey for all NJ residents, and our expert therapists are ready to help you overcome anxiety, panic, fears, phobias stress & worry with our proven and effective therapy techniques. Call us to speak with a therapist for anxiety today!

It may feel like anxiety & stress have taken over, but our therapy for anxiety and stress helps clients overcome even the the toughest symptoms. Our Certified Clinical Anxiety Treatment Providers can help you overcome the challenges you’re facing, reclaim your mental health & get back your inner badass.

Therapy for Anxiety in Adulthood

Symptoms of Anxiety in Adults

  • Feelings of dissociation or being disconnected

  • Feelings of apprehension or heightened alert state 

  • Agoraphobia (fear of leaving your home, being in a crowded place, or being in situations where escape or outside assistance would not be available if things take a turn)

  • Becoming unable to handle work, school or personal responsibilities

  • Feeling irritable often

  • Using drugs or alcohol to self-medicate or cope with anxiety symptoms

  • Feeling stressed, on edge or overwhelmed

  • Difficulty focusing on one task at a time

  • “Blanking out” or losing focus mid-thought

  • Mood swings, being more withdrawn or irritable

  • Feeling unable to change negative life circumstances

  • Feelings of worthlessness or lack of fulfillment in self or accomplishments

  • Anticipation bad things

  • Irrational fears, phobias, leading to avoidance or worry

  • Excessive and irrational fear or worry
  • Feeling hypervigilant or “always in readiness”

  • Difficulty relaxing or being present

  • Self-Doubt

Specialized Anxiety Therapy In New Jersey Treats...

generalized Anxiety Disorder (GAD)

  • Feeling restless, wound-up, or on-edge.
  • Being easily fatigued.
  • Having difficulty concentrating.
  • Being irritable.
  • Having headaches, muscle aches, stomachaches, or unexplained pains.
  • Difficulty controlling feelings of worry.
  • Having sleep problems, such as difficulty falling or staying asleep.

Phobias (Emetophobia, Agoraphobia)

Symptoms ONLY occur when exposed to the stress-stimulus (i.e., the feared object/situation)

  • Sweating/Hot Flashes/Chills
  • Trembling/Shaking
  • Breathing Difficulties
  • Choking Sensation
  • Rapid Heartbeat
  • Stomach Sensations
  • Dizziness/Feeling Faint
  • Numbness/Pins & Needles
  • Ears Ringing
  • Blurred Vision
    confusion or disorientation

Panic Disorder, OCD & Pervasive Anxiety Disorders

Symptoms of Panic attacks related to phobias and generalized anxiety disorder typically  occur randomly, often without a specific or obvious trigger.

  • Fear of losing control
  • Fear of fainting
  • Feelings of dread
  • Fear of dying
  • Sweating/Hot Flashes/Chills
  • Trembling/Shaking
  • Breathing Difficulties
  • Choking Sensation
  • Rapid Heartbeat
  • Stomach Sensations
  • Dizziness/Feeling Faint
  • Numbness/Pins & Needles
  • Ears Ringing
  • Blurred Vision
  • Confusion or disorientation

Anxiety Therapy based on your unique needs

  • Cognitive Behavioral Therapy (CBT)
  • Acceptance and Commitment Therapy (ACT)
  • Expressive Art Therapy
  • Mindfulness-based CBT
  • Dialectical Behavioral Therapy
  • Mindfulness Skills & Formal Meditation
  • Solution Focused Therapy
  • Ketamine Assisted Therapy
    Virtual Reality Therapy

It’s important to recognize that these anxiety disorders are less common and require different therapy approaches. OCD, panic disorder and phobias may be best treated with Exposure Therapy, CBT and ACT. Our Exposure Therapist specializes specifically in treatment for OCD, Phobias and Panic Attacks. Learn more here 

Anxiety Therapy for Teens

Symptoms of Anxiety in Teens

  • Eating difficulties
  • Complaints of stomach aches
  • Using the bathroom frequently
  • Difficulty with sleep patterns
  • Not eating properly
  • Avoidance of school or other social activities 
  • Difficulty concentrating and focusing
  • Your mind “going blank” or losing track of thoughts
  • Feelings of helplessness or lack of ability to control stress and anxiety
  • Low self esteem
  • Irrational fears, worries and possible development of phobias
  • Excessive and irrational fear or worry
  • Restlessness or difficulty relaxing 
  • Indecisiveness and self-doubt 
  • Intrusive and uncontrollable thoughts
  • Feeling stressed, on edge
  • Spending excessive time on performance based tasks to get it “just right”
  • Being quick to anger or difficulty controlling anger outbursts

Anxiety Therapy Approaches for
Teens & Pre-Teens with Anxiety

Cognitive Behavioral Therapy for School Anxiety

CBT helps students manage stress by encouraging teens to challenge negative thoughts associated with school such as “catastrophic thinking” or “anxious thinking traps”.

Mindfulness Based Therapy for Social Anxiety

Mindfulness-Based CBT helps individuals with social anxiety by incorporating cognitive restructuring along with coping skills, grounding work and sensory based calming skills for moments of heightened anxiety.

DBT for Relationship Anxiety

DBT focuses on helping  individuals increase interpersonal effectiveness, distress tolerance, & emotion regulation, fostering healthier relationships and limiting negative emotions.

Alternative Anxiety Therapy in NJ

Although the symptoms of anxiety and stress vary in intensity and duration, there are many instances in which individuals with mild or moderate symptoms  benefit from traditional and well known treatment options. For clarity, Below is a list of  common treatment options for mild or moderate stress & anxiety and examples of how the same technique may be applied in different situations. It is important to note that chronic stress & anxiety may be treated with different approaches to meet individual needs. 

Ketamine Therapy for Anxiety Treatment

Another, more recently popular option for stress and anxiety therapy is Ketamine Assisted Psychotherapy (aka, KAP or k-therapy). Our structured approach is designed for transformational results guided by the therapists here at Mind by Design and the medical providers we’ve partnered with at Journey Clinical. We like to keep things simple, therefore, we’ve laid out a step by step process for “what to expect during KAP.

Virtual Reality Therapy for Anxiety Treatment

Lastly, we mention the option of Virtual Reality Exposure Therapy (VRET, VRT). VRT is a form of psychological treatment that uses virtual reality technology to create simulated environments for patients to engage in therapeutic exercises. The purpose of VRET is to help patients overcome phobias, anxiety disorders, and other mental health conditions by exposing them to their fears in a controlled, safe environment.

The difference Between Anxiety & Stress

Therapy for ANxiety

Anxiety is a common mental health condition that can significantly impact an individual’s daily life. It can manifest in various forms, including generalized anxiety disorder, panic disorder, and phobias, among others. Anxiety treatment is essential for those who experience frequent, intense, and/or prolonged episodes of anxiety that interfere with their ability to function in daily life.

Therapy for Stress

It is true that everyone experiences stress to some degree. However, the way we respond to stress makes a big difference to our mental health and well-being. Stress is defined as “a state of worry or mental tension caused by a difficult situation”. Though stress is a normal, natural human response to challenges, it is important that our mind and body are able to return to calmness one the stress is gone.

What Does An Anxious Person Look Like?

Anxiety comes in all shapes and sizes, and sometimes it’s easy to miss the signs of anxiety when we find ways to ‘mask’ or create adaptive strategies to mitigate anxiety symptoms. Here are some common presentations of anxiety. If any of these describe you, it may be helpful to call us or email us for a quick and free therapy consultation to see if therapy is right for you!

The 'Highly Ambitious Self-Critic'

Our clients are fierce, intelligent & ambitious individuals whose drive brings about success and, unfortunately, it’s *ugly* counterparts:

      • Anger
      • Irritability
      • Exhaustion
      • Panic Attacks
      • Sense Of Dread
      • Rigidity & Tension
      • Lowered Confidence
      • Relationship Troubles

The 'Explosive People-Pleaser'

In theme with most anxiety traits, these traits can be pervasive, disruptive and difficult to manage. Too often, we feel guilty if we don’t “say yes”, even when we’re overwhelmed. We’ll stretch ourselves thin & feel like we “should” do it all.  It can sound something like:

      • I shouldn’t get frustrated with my partner
      • I shouldn’t be so emotional
      • I shouldn’t ask for so much
      • I should make more time for my partner
      • I should be making more effort at work
      • I should push myself more
      • I should lose weight

….. you get it. 

The 'Insatiable Perfectionist'

How is it that we start out as being motivated and eager, but then all of the sudden, are struggling to find any sort of pride or joy in our accomplishments? Our anxiety and stress experts will help you find the work-life-mind-body balance you are looking for. The goal of therapy is to bring you back to a place where you can reflect & say “this is plenty, I am enough”.

The 'Socially anxious extrovert'

It may sound like a contradiction to be a ‘socially anxious extrovert”, but it may be more common than you think. So many people are labeled as “shy” or labeled as “wallflowers”, when truly, they would be much more open and engaging if they could just get past that social anxiety. I’ve heard this countless times:

“People think I’m shy/quiet/a pushover, but I’m not! I’m just anxious! And I actually wish I could be myself!”

The Role of a Certified Anxiety Specialist in Therapy for Anxiety

Seeing a certified anxiety specialist is important when seeking therapy for anxiety and stress. These professionals have received specialized training in the assessment and treatment of anxiety and related conditions. They are skilled in using a range of modalities and approaches to help clients overcome their anxiety and improve their overall quality of life. 
When working with an anxiety specialist, you can expect to receive a personalized treatment plan that is tailored to your specific needs

Asking for help is hard.

 Getting In Touch with us is easy.

FAQ's about
Anxiety Therapy & More in New Jersey

How do I get started as a new client?

New Clients can reach out to us directly via call, text or email here:






What is your cancellation policy?

We ask that clients provide at least 24 hours notice in the event that they need to cancel to avoid the 50% cancellation fee. we understand that life happens and do our best to be flexible & reschedule.

Does my insurance cover my visits?

We provide”Courtesy Billing” for clients who are using the Out-of-network insurance benefits.

Our Insurance Page shares a small blurb about Why We Left Insurance Panels

Do you offer traditional talk therapy?

of course! though we have some unconventional therapy approaches, we are rooted in evidenced based practices. Talk therapy is a major player in the therapy room! See What we Treat and Integrative Services for more information

Is Online Therapy As Effective As In-Person Therapy?

Online therapy is essentially face-to-face counseling, just conducted remotely. Studies show that teletherapy is as effective as traditional counseling. Professional organizations and state governments recognize its benefits and have set regulations for it. However, like any therapy, its success in achieving your goals isn’t guaranteed. It’s important to discuss with your therapist whether teletherapy is working for you.

Can I Change Therapists If I'm Not Happy?

Yes, you can switch therapists to another provider within the practice, or we can provide you a referral if preferred. We want to ensure that your time and effort are well spent, and that you are getting the relief you need, that’s why we work collaboratively with each other in the practice, as well as outside therapists who we know and trust.

How Do I Know If Therapy Is Helping?

You should feel like you’re making progress. Signs it’s working include:

Feeling comfortable talking to your therapist
Your therapist respects boundaries
You’re moving towards your goals
You feel listened to
You’re doing better in life
Your self-esteem is getting better

Is Online Therapy Easy to Use for Non-Tech-Savvy People?

Yes, it’s pretty simple to access sessions. You’ll need basic internet skills, such as opening and visiting the patient link sent to you via email. It’s similar to video chatting like Facetime or Zoom. We can also walk you through it on the phone the first time to ensure a strong connection

What Questions Should I Ask My New Therapist?

Feel free to ask anything. Some good questions are:

  • How often will we meet?
  • What do you specialize in?
  • What experience do you have with my issue?
  • What outcomes can I expect?
  • How will I know I’m progressing?
  • How long do you usually work with clients?
  • How will we set my treatment goals?

How Should I Prepare for My First Session?

Showing up is all that you need to do! But if you really want to get the most out of session, it could help to take some time to think about what you want from therapy. It helps to write down your goals, questions you have or things that you feel are important to share. 

What is the difference between associate therapists & fully licensed therapists?

Our Qualifications:

Our founder, Rebecca Sidoti, is a highly qualified, state-licensed therapist and supervisor with extensive training in anxiety related disorders and innovative treatment such as Ketamine Therapy. Mind by Design Counseling adheres to standards set by the our governing counseling boards.

To see each providers credentials, training and licenses, visit our “Meet the Therapists” Page to learn more.


  • LAC/LSW are therapists who may practice clinical work under the supervision of a fully licensed therapist.
  • LPC/LCSW are therapists who have completed the necessary clinical hours post-graduation under supervision and can practice clinical work independently.

What Geographic Areas Are Served?

Currently, we serve clients in New Jersey and are expanding to other states as telehealth laws evolve. While telehealth offers the convenience of attending sessions from anywhere, state laws require clients to be in-state during their session.

Is Virtual Counseling Suitable for Everyone?

Online therapy might not be as effective for individuals with chronic suicidal thoughts, severe trauma, significant mental health history, or those recently in intensive care. Such cases often benefit more from traditional, in-person counseling. We’ll help you decide if our online services are right for you during your intake and evaluation.

What Equipment is Needed for Online Therapy?

To join a session, log in using the credentials we provide. No downloads are needed. Our platform, compatible with both individual and group sessions, requires:
A computer or mobile device with a webcam and internet access.
We’ll help you test your setup before your first appointment to ensure a reliable connection. iOS users should use the Safari browser for mobile and tablet sessions.

What Questions Will Therapists Ask Me?

It depends on your goals. Expect questions about your thoughts, feelings, relationships, work, school, and health. They’ll ask to understand your therapy goals.

How Do You Keep Client Information Secure?

Security and Confidentiality of Sessions:
Your privacy is crucial to us. We use TherapyNotes, a HIPAA-compliant platform, ensuring secure and confidential teletherapy sessions. This platform’s security features include encrypted video connections, secure data transfers, and encrypted databases, ensuring your information is safe at all times.

What is VRT used for?

we use VRT to support Exposure Therapy, a long standing traditional therapy modality to treat phobias, anxiety and stress. we send a headset directly to your home so you can access VRT from anywhere.

VRT not only helps with exposure therapy for phobias, but is great for ADHD, mindfulness, PTSD and social anxiety.