Anxiety Disorders and Perfectionism Therapy

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Specialized, Compassionate Treatment – Available in MN, WI, ND & FL (Virtual)

When Worry and the Pressure to Get Everything Right Take Over

When anxiety begins controlling decisions, relationships, school, activities, or daily routines, it can become difficult for a young person to feel confident and fully present.

Some children and teens express anxiety openly. Others appear responsible, driven, quiet, or highly successful while privately feeling overwhelmed by worry, self-doubt, physical tension, and the fear of making mistakes.

At Ezer Psychotherapy, we provide specialized therapy for children, adolescents, and young adults experiencing anxiety disorders, health anxiety, school anxiety, panic, and perfectionism.

Our goal is not to eliminate every uncomfortable feeling. We help clients understand anxiety, face challenges gradually, become more flexible, and build confidence in their ability to manage uncertainty.

What Does Anxiety Look Like in Young People?

Anxiety may involve more than visible nervousness. It can also appear as:

  • Frequent worry or repeated “what if” questions

  • Avoiding school, activities, people, or unfamiliar situations

  • Stomachaches, headaches, nausea, dizziness, or a racing heart

  • Irritability, tearfulness, anger, or emotional shutdown

  • Difficulty sleeping or needing repeated reassurance at night

  • Fear of mistakes, criticism, embarrassment, or disappointing others

  • Procrastination because a task feels overwhelming

  • Repeated reassurance seeking

  • Difficulty making decisions

  • Refusing to participate unless success feels guaranteed

  • Becoming distressed when plans change

  • Overpreparing, rewriting, rechecking, or restarting work

Anxiety becomes clinically concerning when it is persistent, difficult to control, or begins interfering with school, relationships, health care, activities, independence, or family life.


Anxiety Disorders We Treat:

Generalized Anxiety Disorder

Generalized anxiety involves persistent and difficult-to-control worry across multiple areas of life.

A young person may worry about:

  • Grades or performance

  • Health and safety

  • Family members

  • Friendships or relationships

  • The future

  • World events

  • Making the wrong choice

  • Whether they have forgotten something

  • Whether something bad might happen

They may repeatedly ask “what if” questions, seek reassurance, overprepare, avoid decisions, or become overwhelmed by situations that do not have a clear answer.

Specific Phobias

Specific phobias involve intense fear of a particular object or situation, such as:

  • Vomiting

  • Needles or medical procedures

  • Blood or injuries

  • Animals or insects

  • Storms or severe weather

  • Driving

  • Flying

  • Elevators

  • Heights

  • Enclosed spaces

Avoidance may reduce anxiety temporarily, but it often strengthens the fear over time. Therapy uses gradual, carefully planned exposure to help clients build confidence and increase flexibility.

Social Anxiety Disorder

Social anxiety is more than shyness. It involves an intense fear of embarrassment, rejection, criticism, or being negatively evaluated by others.

Social anxiety may interfere with:

  • Attending school

  • Speaking in class

  • Meeting new people

  • Joining activities

  • Ordering food

  • Eating in front of others

  • Performing or competing

  • Making phone calls

  • Participating in interviews

  • Attending parties or social events

  • Developing friendships or romantic relationships

A socially anxious young person may spend hours replaying conversations, worrying about how they appeared, or avoiding situations where they might make a mistake.

Therapy helps clients gradually enter feared social situations while reducing avoidance, self-criticism, and unhelpful safety behaviors.

School Anxiety and School Avoidance

Anxiety may cause:

  • Frequent absences

  • Late arrivals

  • Physical complaints before school

  • Repeated visits to the school nurse

  • Difficulty completing assignments

  • Distress during transitions

  • Refusal to enter or remain at school

  • Avoidance of tests, presentations, or group work

School avoidance may be connected to social anxiety, separation anxiety, panic, perfectionism, bullying, academic pressure, learning difficulties, OCD, or fear of becoming sick.

Treatment focuses on understanding what is driving the avoidance and developing a realistic plan for restoring participation.

Separation Anxiety

Children and teenagers with separation anxiety experience intense distress when away from a parent, caregiver, home, or another attachment figure.

This may lead to:

  • School refusal

  • Difficulty sleeping independently

  • Repeated calls or messages

  • Fear that something terrible will happen

  • Difficulty participating in activities without a caregiver nearby

  • Avoidance of sleepovers, camps, travel, or extracurricular activities

Health Anxiety

Health anxiety involves persistent fear of having, developing, or overlooking a serious medical condition.

Children, teens, and young adults may become highly focused on normal body sensations and struggle to trust reassuring information.

Health anxiety may involve:

  • Repeatedly checking the body for symptoms

  • Searching illnesses online

  • Seeking frequent reassurance

  • Worrying that ordinary sensations mean something serious

  • Repeatedly reviewing test results

  • Avoiding medical information or appointments

  • Difficulty believing that a medical evaluation was reassuring

  • Avoiding exercise or activities because of feared physical symptoms

Treatment does not dismiss physical concerns or discourage appropriate medical care. Instead, clients learn to respond more effectively to uncertainty, reduce anxiety-driven checking, and distinguish appropriate follow-up from compulsive reassurance seeking.

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What Makes Ezer Psychotherapy Different?

✔ Specialized focus on anxiety and depression in youth and young adults
✔ Evidence-based, results-driven therapy
✔ Warm, compassionate, and individualized care
✔ Parent collaboration to accelerate progress
✔ Optional faith-based (Christian) therapy integration
✔ Convenient virtual sessions

We help clients move beyond fear and avoidance—and toward confidence, independence, and resilience.

Get in Touch

Beginning therapy can feel overwhelming. My goal is to provide a supportive, nonjudgmental environment where you feel empowered throughout your therapeutic journey.

I'd welcome the chance to schedule a complimentary 15-minute phone consultation to see if we're a good fit and to answer any questions you have about the work we can do together.

Christian Eating Disorder Therapy adolescents, teens, young adults, and families across Minnesota, Wisconsin, Florida, and North Dakota. Ezer Psychotherapy, Hallie Orton, MSW, LICSW. Eating disorder therapist, Minneapolis/St. Paul therapist. Trauma

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