For women who take care of everyone, hold it all together, and feel alone in the middle of it.
Therapy for High-Functioning Anxiety in Spokane, Washington
Specialized Online Therapy in Spokane and Eastern Washington
For Women Whose Anxiety Doesn’t Look Like ANxiety
You’ve always been the competent one. The friend who has a plan when everyone else is struggling, the coworker who can defuse a meeting that’s about to go sideways, and the family member who handles the logistics, manages the holiday hosting, and keeps the peace between the people who aren’t speaking to each other.
What nobody sees is what it takes to stay in that role. You triple-check the calendar invite for next week’s meeting because you don’t trust your first reading of the time. You proofread your text messages to your sister before sending them, so they don’t come across as terse. You agree to host Thanksgiving by August because the alternative is months of low-grade worry about who else might do it wrong.
By the time you’ve finished the workday, your jaw is sore and you’re listing tomorrow’s appointments out loud to yourself in the car, so you don’t forget anything.
Friday night arrives, and instead of meeting your friends for the show downtown that everyone’s been talking about, you text them at 2pm that you’ve got a headache and head straight home from work. You’re in pajamas by 6pm with the lights off and the TV on. Your partner asks if you want anything, and you say no, because explaining what you want would take more energy than you have to spend.
You don’t talk about how you’re feeling because you don’t have language for what’s happening. You’re not sad, you’re not depressed, and nothing is going wrong.
What you are is tired in a way that sleep doesn’t fix and tense in a way you can’t quite explain.
Why self-awareness Hasn’t made you less anxious
You learned to handle things in childhood because handling things was the way to keep things from getting worse.
By third grade you were doing your own homework without help, organizing your own backpack, and tracking which sibling needed what.
The adults around you praised you for being mature and responsible, and the praise was the closest thing you got to attention. By the time you got to college, asking for help felt like admitting failure.
It hasn’t stopped. Your boss assigns you something that should take an hour, and you spend three hours on it because you couldn’t stand turning in something average. A friend asks how you’re doing, and you give her the curated version because you know she’s dealing with her own stuff. Your sister calls upset, and you stay on the phone for forty-five minutes even though you’ve got your own deadline at 8am.
If you’ve been to therapy before, you likely talked at length about your reactions. You came out of your therapy sessions understanding yourself better than ever. Then a text you sent to a family member gets read but not responded to, and you’re back to a knot in your stomach and your jaw set hard.
Understanding the reactions doesn’t change them. That’s why we work directly with your body.
Learn more about how I treat high-functioning anxiety.
How specialized therapy for high-functioning anxiety Can Help
You stop being mad at yourself for being tired.
The voice that’s been calling you weak, neurotic, and unreliable stops sounding like the truth. You give yourself credit for what you’ve been managing without help: the constant readiness, the cycling thoughts, and the body that wouldn’t stop bracing. You stop punishing yourself for not handling it more gracefully. You let yourself take a sick day for being tired. You ask for help without first having to prove you couldn’t do it alone.
You finish the workday with energy left for your own life.
The monitoring of your tone, the scanning of the room, and the talking yourself down from a spike used to take as much out of you as the job itself. Now you can be in a meeting and not run a parallel commentary on how you sound the whole time. You leave work at 5 with the energy you had at 9. The hours that used to go into managing yourself go into the people in your house, the friends you’ve been canceling on, and the book that’s been on your nightstand for four months.
You can take a day off without needing to be sick first.
You stop needing an emergency to take a break. You take Wednesday off and you don’t text your boss a paragraph explaining why. You go to bed at 8 and you don’t list to your partner the reasons it’s a reasonable choice. The fantasy of getting sick enough to be allowed to stop comes less often. You start using your sick days for being tired, not just for being contagious.
How I work with high-functioning anxiety
I use somatic therapy and art therapy with my clients because your mind doesn’t calm through more thinking.
The way your shoulders draw up when your phone vibrates after hours, the way your stomach turns when you see your manager’s name in your calendar, and the headache that arrives by 3pm whether you’ve eaten lunch or not are reactions your body is making before you have a chance to think about them.
We work with your body and nervous system because that’s where the anxious reactions come from.
Serving Spokane and Eastern Washington
I work with women across Spokane County and the Inland Northwest, including Spokane, Spokane Valley, Cheney, Liberty Lake, Mead, Airway Heights, Deer Park, Medical Lake, Otis Orchards, and Newman Lake.
All sessions are online by secure video, so wherever you are in Washington, you can meet with me from home.
Online therapy for high-functioning anxiety in Spokane, Washington
Sessions are online via secure video. You’ll need a private space and a device with a camera. Most of my clients do sessions from their home office, bedroom, or car.
We meet weekly to start. The kind of anxiety you’re experiencing has been there for years, and it needs consistent work to change. Weekly sessions give us momentum. Most clients move to biweekly after a few months as they start feeling better.
Sessions are $250 for 55 minutes. I also offer 90-minute sessions ($375) and longer therapy intensives for deeper, more concentrated work. I don’t bill insurance directly, but I provide Superbills you can submit for potential out-of-network reimbursement. (Many PPO plans reimburse 50–80% of out-of-network therapy costs. I recommending checking your specific plan to verify.)
Jeniffer Duncan, LPC, LMHC, LAT, ATR
I’ve been a therapist for 18 years. I’m a Licensed Mental Health Counselor in Washington and a Licensed and Registered Art Therapist.
Working with art and with your body skips past the part of you that’s been managing every interaction. It works directly with your body’s and nervous system’s reactions, and that’s where long-term change and healing happen.
Jeniffer Duncan, Washington LMHC (License #MHC.LH.61685622)
You’ve been holding it together for everyone else long enough.
If you’re ready to start, you can book your first session through the scheduling link below. Clicking the link will take you to my HIPAA-compliant calendar where you can request a date and time for your intake session. Once I approve the intake session, I will send you your new client forms via email for you to review and digitally sign.
If you have questions first, please contact me using the contact form below, and I’ll be in touch within 1-2 business days.
Let’s Get Started
Contact Me
Complete this form and I’ll be back in touch via email, text, or phone within 1-2 business days.
Call or Text
503-974-4140
jduncanlpc@gmail.com
MAILING ADDRESS (Services are conducted 100% online)
4207 SE Woodstock Blvd. #398 Portland, OR 97206
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You need to be physically located in Oregon or Washington at the time of our session. I’m licensed in both states, so if you travel between them for work, we can still meet.
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For the kind of work I do, yes. Research consistently shows that online therapy produces comparable outcomes to in-person sessions for anxiety treatment. And there’s an advantage specific to somatic and art therapy: you’re in your own space, which means we’re working with your body in the environment where your anxiety actually shows up, not in a clinical office where you might unconsciously shift into “therapy mode.”
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I’m not in-network with any insurance company, but I provide Superbills that you can submit for out-of-network reimbursement. Many Oregon plans offer meaningful reimbursement for out-of-network mental health services. It’s worth a five-minute call to your insurance company to ask about your out-of-network mental health benefits.
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I use somatic therapy and art therapy with my clients.
If your previous therapy was primarily talk-based, you probably did what you do in every other room: explained the problem clearly, analyzed it thoroughly, and left understanding yourself better without the physical experience of anxiety changing at all. I work differently. We go deeper than the understanding.