Specialties · Plano office and Texas telehealth

Anxiety Disorder Therapy & Treatment in Plano, TX

For children, teens, and adults stuck in worry, panic, or social anxiety, with practical tools that make a real difference.

In person or online

Plano office, Texas telehealth

Evidence-based

research-backed approaches

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Overview

Anxiety can make everyday things feel much harder than they should. Maybe your mind won’t stop running through what-ifs, your body sounds the alarm out of nowhere, or you’ve started skipping things you used to enjoy. If that sounds familiar, we can help.

At Layers Counseling Specialists in Plano, we help children, teens, and adults with anxiety using approaches that research shows work. We see clients at our Plano office and online anywhere in Texas.

Anxiety concerns we treat

  • Generalized anxiety: constant worry that is hard to switch off
  • Panic attacks and panic disorder: sudden waves of fear, often with a racing heart or trouble breathing
  • Social anxiety: intense worry about being judged, embarrassed, or put on the spot
  • Phobias: strong fears of things like vomiting, driving, flying, dogs, or needles
  • Health anxiety: worry about illness that reassurance never quite settles
  • Separation anxiety and school avoidance in children and teens
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Understanding anxiety disorders

Everyone feels anxious sometimes. Anxiety becomes a disorder when it’s bigger than the situation calls for, sticks around, and starts shaping your choices. You might notice stomachaches before school or work, trouble sleeping, a mind that won’t slow down, or a growing list of things you avoid.

Avoidance is the part that keeps anxiety going. Every time we skip the thing we fear, we feel relief, and our brain learns the danger was real. Treatment gently reverses that, so you can do the things that matter to you again.

Anxiety disorders are among the most treatable mental health conditions. With the right approach, many people feel meaningfully better.

Our approach

We match the approach to you and to the kind of anxiety you’re dealing with.

  • Cognitive behavioral therapy (CBT): helps you notice anxious thinking patterns and test them against what actually happens.
  • Exposure therapy: step by step, you practice facing what you’ve been avoiding, at a pace you choose, until it loses its hold. For OCD we use exposure and response prevention (ERP).
  • Acceptance and commitment therapy (ACT): teaches you to make room for anxious feelings instead of fighting them, and to act on what matters to you.
  • Dialectical behavior therapy (DBT) skills: practical tools for calming your body and riding out intense moments.

For children, parents are part of the plan. You’ll learn what to say and do when anxiety shows up, so progress in session carries over at home.

Who it's for

Who we help

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Children and teens

We help kids understand their worries, face them in small steps, and build confidence at school and with friends, without shame.

Adults

From constant worry to panic attacks to social anxiety at work, we help you break the cycle and get back to a fuller life.

Parents

If your child is too anxious to start therapy or refuses it, SPACE is a parent-based treatment that works entirely through you.

Why Layers

Why choose our Plano practice

Therapists who focus on anxiety

Anxiety and OCD are central to our practice. You’ll work with a therapist who treats them every week.

Something to practice each week

You’ll leave sessions with something to practice, and we’ll check in often on what’s helping.

In person or online

See us at our Plano office or by secure video from anywhere in Texas, whichever fits your life.

Who you'll work with

Our anxiety therapists

Read about each therapist’s experience and approach to care.

Karla Pineda, LPC – Founder, Layers Counseling | Plano, TX
Karla Pineda, LPC

Specialist

Adults

Karla recovered from OCD through exposure and response prevention (ERP) herself, and now helps adults stuck in what-if loops. She also offers Accelerated Resolution Therapy (ART) for trauma.

karla-pineda

https://layerscounselingspecialists.clientsecure.me/request/date?clinicianId=1388690&currentTimeZone=America%2FChicago&preselected=true

Waitlist

Book a free consult
Rachel Tipsword, LCSW in Plano, TX | OCD & ARFID Specialist
Rachel Tipsword, LCSW

Specialist

Adults, young adults, parents, children, and teens

Rachel treats OCD in kids and adults and specializes in ARFID, when eating narrows to a few safe foods. Through SPACE, she coaches parents to help an anxious child, even one not ready for therapy.

rachel-tipsword

https://layerscounselingspecialists.clientsecure.me/request/date?clinicianId=1532211&currentTimeZone=America%2FChicago&preselected=true

Accepting new clients

Book a free consult
Isaac Rosas, LMSW | OCD & Anxiety Therapy | Plano, TX
Isaac Rosas, LMSW

Focused clinician, supervised by Rechelle Brown, LCSW-S

Children, teens, and adults

Isaac offers ERP for OCD and anxiety in English or Spanish, plus trauma-informed care, for children, teens, and adults. His warm, structured style comes from 13 years in public schools.

isaac-rosas-lmsw

https://layerscounselingspecialists.clientsecure.me/request/date?clinicianId=2008557&currentTimeZone=America%2FChicago&preselected=true

Waitlist

Book a free consult
Alesha Mizeur, LPC-Associate | Play Therapy for Neurodivergent Kids | Plano, TX
Alesha Mizeur, LPC-Associate

Focused clinician, supervised by Deisy Ybarra, LPC-S, RPT-S

Children, teens, young adults, and parents

Alesha uses play therapy, AutPlay, and sandtray to help neurodivergent kids and teens handle big feelings, with sensory friendly sessions and parents as partners.

alesha-mizeur

https://layerscounselingspecialists.clientsecure.me/request/date?clinicianId=2158053&currentTimeZone=America%2FChicago&preselected=true

Accepting new clients

Book a free consult

Next step

Ready when you are

A free 15-minute video call with the clinician you want to work with. Ask anything about their approach, scheduling, or fees before you commit.

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