Anxiety & trauma therapy · Beaverton, OR & telehealth

Therapy for Adults with Anxiety

Successful on the Outside. Struggling on the Inside?

You’re capable, accomplished, and often the one others rely on. But anxiety, the effects of past experiences, or both may be shaping more of your life than anyone can see.

I offer in-person counseling in Beaverton, Oregon, and virtual therapy for adults throughout Oregon, Washington and Idaho.

Kelly Sestero, anxiety and trauma therapist at Mindfulness Counseling in Beaverton, Oregon

From the outside, you appear successful, capable, and in control…

Inside, it may feel very different.

You may be second-guessing yourself, worrying about things you once handled with confidence, or feeling constantly on edge. Your mind may race through everything that could go wrong. You might experience episodes of panic, or find yourself avoiding situations that feel uncomfortable or uncertain.

Or the hardest part may be harder to name. You find it difficult to relax, even when things are going well. You stay on alert for what might go wrong. Some situations or people hit you harder than they seem to hit others, and afterward you’re left wondering why. Experiences you thought were behind you still seem to shape how safe, how worthy, or how in control you feel.

You’ve probably tried to manage it. Staying busy. Distracting yourself. Preparing for every possibility. Working harder. Trying to keep things under control.

These strategies may help for a while. But the anxiety keeps coming back. And maintaining the appearance that everything is fine can be exhausting.

Therapy can help you step out of that cycle.

Rather than focusing only on making uncomfortable thoughts and feelings disappear, we can work toward understanding what keeps you stuck, changing patterns that reinforce anxiety, and developing the ability to move toward what matters to you—even when uncertainty or discomfort is present.

When Trauma Hides Behind Success

Many people who have lived through trauma, loss, or chronically stressful environments become very good at coping. They learn to stay alert, anticipate problems, rely on themselves, and keep going no matter what. Those skills often lead to real success.

They can also come at a cost: a nervous system that rarely feels at ease, difficulty trusting or letting others in, a harsh inner critic, or a sense of being disconnected from yourself. Because you’re still functioning well, it can be easy to dismiss how much you’re carrying.

For PTSD, I offer Prolonged Exposure (PE) and Cognitive Processing Therapy (CPT), two of the most thoroughly researched treatments for trauma and both recommended as first-line treatments for PTSD. These structured, time-limited approaches help you process what happened, loosen the hold of trauma-related memories and beliefs, and reclaim the parts of life that trauma has narrowed.

Experienced Therapy for Anxiety and Trauma

For more than 20 years, I have helped people navigate anxiety, trauma, periods of significant stress, and times when the ways they have always coped no longer seem to work.

I particularly enjoy working with high-achieving professionals. The qualities that contribute to success—responsibility, persistence, high standards, careful planning, and anticipating problems—can be tremendous strengths. Under stress, or shaped by past experiences, those same qualities can become intertwined with perfectionism, self-doubt, avoidance, hypervigilance, and a need for control.

You may not need to try harder. You may need a different way of relating to what is happening inside you.

People often come to me when they are dealing with

  • Constant worry, overthinking, or panic
  • Perfectionism, self-doubt, or fear of being “found out”
  • Feeling on edge or unable to switch off, even at rest
  • Past trauma or difficult experiences that still affect work, relationships, or how they see themselves
  • Exhaustion from holding everything together

More about my approach →

You Can Be Successful and Still Be Struggling

You may still be getting things done. Other people may even tell you how well you are doing. But you know how much effort it is taking.

If you are exhausted from managing anxiety, carrying the weight of what you’ve been through, or trying to maintain control so that nothing falls apart, I can help you find a different path.

The goal is not to create a life in which you never feel anxious or never think about the past. It is to help these experiences occupy less space in your decisions, your relationships, and your sense of who you are.

You can begin to feel more grounded, flexible, and connected to yourself again.

In person in Beaverton3rd floor of the Beaverton Building in the Round, steps from the MAX.
Telehealth in OR, WA & IDSecure video sessions for adults anywhere in Oregon, Washington and Idaho.
Insurance acceptedIn Network with United, Aetna, Regence and more. See the list.

Ready to take the first step?

Start with a free phone consultation to see if we’re a good fit. There’s no pressure and no need to have the right words yet.