Tobias Larkin, LCSW, CASAC
he/him
Therapy for OCD, anxiety, and the patterns that get loud when you're trying to live your life.
Therapy for
The cumulative load that erodes sleep, attention, mood, and connection.
Stress is so common it's easy to dismiss as not really a mental-health issue. It's just life, you tell yourself — the workload, the parenting, the household, the news, the relationships, the body. But chronic stress isn't a personality trait or a minor complaint. Sustained activation of the stress response over months and years reshapes sleep, mood, cognition, immune function, and physical health. The clinical literature is clear that chronic stress is a meaningful contributor to depression, anxiety, cardiovascular disease, and a long list of other conditions.
Most people who arrive in therapy with "I'm stressed" as the chief complaint discover within a few sessions that what they're describing is more specific than that. Sometimes it's the early stages of burnout that haven't been named yet. Sometimes it's generalized anxiety that's been low-grade for so long it feels like baseline. Sometimes it's depression presenting as exhaustion. Sometimes it's the entirely accurate response to a life situation that needs to change. A skilled therapist will help you figure out which it is — because the right treatment depends on the answer.
Therapy for stress works on three layers. There's the immediate work of stress reduction in the body — practices that down-regulate the nervous system, including mindfulness-based approaches, breathwork that actually works (not just the version on Instagram), and the unglamorous fundamentals of sleep, exercise, and nutrition that get more dismissive treatment than they should. There's the cognitive layer — examining what's actually loading you and which loads can be redistributed, set down, or pushed back on. And there's the deeper layer — the patterns and beliefs that make it hard to say no, to ask for help, or to recognize when you've taken on too much.
Common approaches include Mindfulness-Based Stress Reduction (MBSR) and Mindfulness-Based Cognitive Therapy (MBCT) with strong evidence bases, CBT for the cognitive work, ACT for values clarification when stress comes from a misalignment with what you actually want, and somatic approaches when stress is heavily embodied.
For work-specific stress, see the page on work and career stress. For caregivers — including healthcare workers, parents of children with high needs, and adult children caring for aging parents — several therapists in this directory have specific experience with caregiver stress and the particular guilt that comes with naming it.
To find a therapist for stress, browse the profiles below or submit the matching form. We follow up within one business day.
he/him
Therapy for OCD, anxiety, and the patterns that get loud when you're trying to live your life.