Therapy for High Functioning Anxiety in Pennsylvania

The Internal Hum

To the world, you are a rock. You execute, deliver, and stay calm under fire. But internally, you manage a constant, high speed hum of worry, perfectionism, and worst case scenarios. This high functioning anxiety built your success. It drives your attention to detail and your work ethic. But it is also burning you out from the inside. You are running on adrenaline, and your nervous system is paying the price in sleep disruption, physical tension, and emotional fatigue.

The Anxious Reality

You are trapped in a cycle of over preparation. You feel that if you stop worrying, you will make a mistake. You are exhausted by the effort it takes to maintain your appearance of calm while your mind is racing with hypothetical problems that have not happened yet. You struggle to delegate because you do not trust that others will maintain your standards. You are essentially throttling your own performance.

A stressed man working late at night

You Do Not Need to Have It All Figured Out

When you live with high functioning anxiety, you often feel like you need to solve every possible problem before it occurs. You feel like you must have every detail of your business and your life mapped out to feel safe. We help you move away from this need for absolute certainty. You do not need to know the answer to every question right now. We work on building your capacity to handle the unknown so that you can lead with confidence rather than fear.

The Strategic Shift

We do not seek to eliminate your ambition. We seek to regulate the engine driving it. We provide a space to deconstruct the anxious patterns costing you your peace of mind. Together, we build a mental framework that allows you to be excellent without the constant state of alarm. You will regain the ability to enjoy your life and maintain your edge with a quiet, clear mind.

A man smiling while working.

I specialize in providing evidence-based, practical strategies for Pennsylvanians looking to manage high-functioning anxiety so you can continue to excel in your career and life without sacrificing your well-being.

About Peter Fornetti, MA, LPC

Dad | Husband | Business Owner

Pennsylvania License # PC017348

Trade the noise for focus.

Book a Free Consultation Today

Frequently Asked Questions

Still have questions? Take a look at the FAQ or reach out anytime.

  • No, we aren’t here to dismantle your ambition or lower your standards. Instead, we help you shift from operating in a "state of emergency" to acting with intentional, focused clarity. You will keep your edge, but you’ll stop paying for it with exhaustion and burnout.

  • Many clients begin to notice shifts in their nervous system, such as improved sleep and less reactivity, within the first few sessions. Because we focus on practical, actionable strategies, you will start moving from a reactive state to an intentional one quite quickly. My goal is to give you immediate, sustainable tools to help you manage your stress starting today.

  • Instead of focusing solely on the past, my approach is a strategic, results-driven partnership designed to optimize your mental performance in real-time. We move beyond venting to implement immediate, evidence-based tools that help you manage stress while maintaining your professional edge.

  • My rate is $200 per 50-minute session. This reflects the specialized, private, and results-oriented approach I provide to help you manage high-functioning anxiety and reach your specific goals.

  • I do not accept insurance, which allows me to prioritize your privacy by keeping your clinical records free from third-party oversight and mandatory diagnoses. However, I can provide you with a monthly "superbill" that you may submit to your insurance provider for potential out-of-network reimbursement.

Looking for a different kind of support? Therapy is personal, and your needs may span across different areas of your life. I provide specialized support for: