Alex Rebmann

Therapy for People Struggling with Anxiety, Overthinking, and Emotional Overwhelm

A woman with long, dark, wavy hair, smiling, wearing a sleeveless maroon blouse with a bow, standing against a neutral background.

I am a licensed therapist in Virginia who helps people who feel stuck in cycles of anxiety, overthinking, and emotional overwhelm, especially when they’re navigating transitions that feel bigger than they’re prepared for. Many of my clients are high-functioning on the outside but internally feel exhausted, uncertain, or disconnected from themselves.

I also work with people who experience intrusive thoughts, including the confusion and distress that can come from trying to “think their way out” of anxiety. Together, we focus on understanding what’s happening in the mind and body so that symptoms feel less frightening and more manageable.

My approach is grounded in evidence-based practices, including Cognitive Behavioral Therapy (CBT), Exposure and Response Prevention (ERP), Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), and Internal Family Systems (IFS). I tailor treatment to each person's unique needs, goals, and experiences.

A lot of the people I support are in periods of change, including starting or ending relationships, shifting careers, moving through identity changes, or trying to figure out what comes next. Even when these changes are positive, they can bring up anxiety, self-doubt, and a sense of instability.

In my work, I slow things down enough to understand what you’re experiencing, build practical skills for regulation and coping, and reconnect you with your own sense of agency. I see therapy as a collaborative process—you are the expert on your life, and my role is to help you make sense of what you’re carrying and support you in responding to it in a way that feels grounded and aligned with who you are.

In sessions, I combine a supportive therapeutic relationship with psychoeducation, DBT-informed skills, and nervous system awareness to help you better understand and work with what you’re experiencing. I look at patterns like anxiety, intrusive thoughts, or overwhelm with curiosity rather than judgment, and focus on building practical ways to feel more regulated. I move at a pace that respects your autonomy, readiness, and lived experience.

A meeting scene with two people working at a table, one using a laptop and the other taking notes, with decorative vases and flowers on the background.
A meeting scene with two people working at a table, one using a laptop and the other taking notes, with decorative vases and flowers on the background.

My Modalities

  • A modern house with a gray roof, surrounded by a landscaped yard with trees, purple shrubs, a pool, lounge chairs, and outdoor furniture, set in a hilly, desert-like landscape under a clear sky.

    Acceptance and Commitment Therapy (ACT)

    ACT helps clients build psychological flexibility by learning to relate differently to difficult thoughts and emotions. Rather than trying to eliminate unwanted experiences, ACT emphasizes acceptance, mindfulness, and taking meaningful action guided by personal values. This approach is often helpful for anxiety, perfectionism, life transitions, and emotional avoidance.

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  • Close-up of shallow water with sunlit ripples and small rocks on the sandy bottom.

    Cognitive Behavior Therapy (CBT)

    CBT is an evidence-based therapy that focuses on the relationship between thoughts, emotions, and behaviors. It helps clients identify unhelpful thinking patterns, challenge distorted beliefs, and develop practical coping skills that support healthier emotions and actions. CBT is commonly used for anxiety, depression, stress, and many other mental health concerns.

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  • Modern backyard with swimming pool, lounge chairs, patio furniture, trees, and desert landscaping with shrubs and rocks, in front of a house with beige walls and large glass doors.

    Dialectical Behavioral Therapy (DBT)

    DBT is a skills-based therapy that combines acceptance and change strategies. It teaches practical tools for emotional regulation, distress tolerance, interpersonal effectiveness, and mindfulness. DBT-informed work can be especially helpful for individuals who experience intense emotions, relationship difficulties, impulsive behaviors, or chronic stress.

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  • A field of white daisies with yellow centers, some in bloom and some budding, bathed in warm sunlight.

    Psychodynamic Therapy

    Psychodynamic therapy explores how past experiences, relationships, and unconscious patterns influence present-day emotions and behavior. By increasing insight into these recurring patterns, clients can better understand themselves and develop more flexible, satisfying ways of relating to others and navigating life. This approach is often useful for long-standing relationship concerns, identity issues, and recurring emotional difficulties.

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  • Two smooth stones, one pink and one gray with white veins, placed on sand with concentric circle patterns.

    Exposure Response Prevention (ERP)

    ERP is an evidence-based treatment that helps individuals reduce anxiety by gradually facing feared situations, thoughts, or sensations while resisting the urge to engage in compulsions, avoidance, or other safety behaviors. Over time, ERP helps the brain learn that anxiety can be tolerated and naturally decreases without relying on rituals or avoidance. ERP is considered the gold-standard treatment for obsessive-compulsive disorder (OCD) and can also be effective for anxiety disorders, phobias, and other fear-based concerns.

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