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Specialization

Anxiety &
Depression

Persistent worry, low mood, and the exhaustion of keeping it together. You don’t have to manage this alone.

What It Is

Understanding
anxiety & depression

Anxiety and depression are among the most common mental health experiences, yet they feel profoundly isolating. Anxiety shows up as constant worry, physical tension, avoidance, and a nervous system that never fully powers down. Depression can look like persistent sadness, numbness, withdrawal, or the quiet loss of things that once brought you joy.

Sometimes they arrive together, each feeding the other. Both are treatable with the right approach — and neither means something is permanently wrong with you.

June’s Approach

Cognitive behavioral
therapy that works

June uses Cognitive Behavioral Therapy (CBT) as the foundation for treating anxiety and depression. CBT is one of the most rigorously researched approaches in mental health, with decades of evidence behind it. The work focuses on identifying the thought patterns and behaviors that maintain anxiety and depression, and replacing them with strategies that actually shift how you feel.

Sessions are structured, goal-directed, and practical. You leave with tools you can use between appointments.

A gentle frame

Why this work is also about yutori

In Japanese, yutori means spaciousness — the mental and emotional margin that a nervous system stuck on alert has often lost. Alongside the CBT tools, we practice small, deliberate pauses: leaving twenty minutes unclaimed, tolerating a silence, letting a decision take until tomorrow. The goal isn’t just fewer symptoms. It’s room to breathe inside your own life again.

Common Experiences

Signs this might
be right for you

Difficulty controlling worry or racing thoughts

Low motivation or persistent feelings of emptiness

Physical symptoms like tension, fatigue, or disrupted sleep

Avoiding situations that trigger anxiety

Feeling disconnected from yourself or others

Struggling to experience pleasure in things you used to enjoy

Irritability, restlessness, or difficulty concentrating

A sense that things won’t improve no matter what you do

Procrastination driven by fear rather than laziness

What to Expect

How June works with
anxiety & depression

01

Assessment and goal setting

The first session establishes a clear picture of your specific symptoms, history, and what you want to change. Therapy is never one-size-fits-all.

02

Identifying patterns

Together you map the thoughts, triggers, and behaviors keeping you stuck. Awareness is the first lever of change.

03

Building practical skills

CBT tools like thought records, behavioral activation, and nervous system regulation techniques are introduced and practiced in and between sessions.

04

Sustained progress

As skills become habits, sessions shift toward consolidation and relapse prevention so you stay well after therapy ends.

Ready to begin?

The free 15-minute consultation is the right place to start. Learn about June’s background → No forms, no commitment — just a conversation.

Book Free Consult

Common questions

Anxiety & depression
questions I hear most

How do I know if what I am feeling is anxiety and not just stress?

While I view stress as a temporary reaction to an external pressure (like a deadline), I look at anxiety as something persistent that continues even after the trigger is gone. In my practice, I help clients recognize when excessive worry and physical symptoms, like a racing heart, have crossed over into anxiety.

What is CBT and how does it help with anxiety?

Cognitive Behavioral Therapy (CBT) is a practical, goal-oriented talk therapy that I use to help you identify unhelpful thought patterns and behaviors. By working together to change how you think about stressful situations, I can help you change how you feel and react to them, naturally reducing your anxiety.

Can therapy really help depression, or do I need medication?

I find that therapy is highly effective for depression and can provide long-term coping strategies that medication alone cannot offer. For mild to moderate depression, I often recommend therapy as an excellent standalone treatment, though I frequently collaborate with medical providers when a combination of therapy and medication is needed for severe cases.

How long does it usually take to see a difference in anxiety symptoms?

In my practice, many clients begin noticing positive shifts or a sense of relief within 4 to 8 weekly sessions. However, everyone's timeline is different, and I find that meaningful, lasting change depends on your specific symptoms and how consistently you practice our tools outside of sessions.

What does a first session for anxiety or depression actually look like?

My first session is essentially a structured, collaborative conversation where we get to know each other and discuss what brought you to therapy. I will invite you to share your current symptoms, your history, and your goals so we can build a safe, non-judgmental plan together. Book a free 15-minute consultation to get started.

Ready to feel
like yourself again?

Start with a free 15-minute consultation. No pressure, just a conversation about where you are and where you want to be.

Book Free Consult (561) 223-8239

Start your self-study today.

June Pittman
MS, LMHC

June Pittman
Accepting
New Clients
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