Anxiety Therapy in St. Louis – Telehealth with Dr. Larry Shapiro, PhD

Do you feel constantly on edge, overwhelmed by racing thoughts, or stuck in a cycle of worry you cannot shut off? Anxiety can take over your mind, disrupt sleep, strain relationships, and make even everyday decisions feel exhausting. The good news is that anxiety is highly treatable.

I’m Dr. Larry Shapiro, a licensed clinical psychologist offering telehealth anxiety therapy for adults in St. Louis and across Missouri. With more than 30 years of experience, I help individuals reduce anxiety at its core so they can regain a sense of calm, clarity, and control.

Get In Touch

Signs You May Be Experiencing Anxiety

Anxiety does not always look the same from person to person. You may recognize some of the following experiences:

  • Persistent worry or fear that feels hard to control

  • Racing thoughts or overthinking worst-case scenarios

  • Restlessness or feeling constantly on edge

  • Muscle tension, headaches, or gastrointestinal discomfort

  • Trouble sleeping or difficulty staying asleep

  • Difficulty concentrating or making decisions

  • Avoidance of situations, people, or responsibilities

  • Irritability or feeling mentally exhausted

Whether your anxiety is situational or long-standing, you do not have to manage it on your own.

How Anxiety Therapy Can Help

Anxiety therapy is not about learning to live with constant fear or simply managing symptoms. My approach focuses on identifying what is driving the anxiety and working directly to reduce its intensity and impact.

In therapy, we may explore:

  • Thought patterns that reinforce worry and fear

  • How past experiences or trauma influence current anxiety

  • Physical responses to stress and chronic hypervigilance

  • Strategies to reduce avoidance and regain confidence

  • Ways to calm the nervous system and restore balance

Sessions are tailored to your specific concerns and goals. Whether this is your first time in therapy or you have tried other approaches without success, our work is focused on meaningful and lasting change.

Book a Call

Why Work With Me

I specialize in treating anxiety that has not responded well to traditional therapy or medication alone. Many clients come to me after years of feeling stuck in cycles of worry, panic, or overwhelm. My work blends cognitive behavioral therapy, trauma-informed care, and a direct, goal-oriented approach to help people move forward.

Clients choose to work with me because I offer:

  • More than 30 years of clinical experience

  • A direct and focused therapeutic style

  • Expertise in complex and treatment-resistant anxiety

  • Telehealth services throughout St. Louis and Missouri

My goal is not just to help you cope with anxiety, but to reduce its hold on your life.

What to Expect from Telehealth Anxiety Therapy

All sessions are conducted through secure, HIPAA-compliant video platforms. Telehealth allows you to attend therapy from your home or office, reducing barriers like travel time and scheduling stress.

Many clients find teletherapy especially helpful for anxiety because it allows them to work through challenges in a familiar, comfortable environment. You will receive a personalized treatment plan designed around your needs, with ongoing guidance and support.

Frequently Asked Questions About Anxiety Therapy

  • Yes. While I’m based in St. Louis, I’m licensed to provide telehealth therapy in 43 states. If you’re an adult living anywhere in Missouri—or in most other states—I can offer secure, virtual care from the comfort of your home or office.

  • Yes. In fact, many clients find virtual sessions to be just as effective as in-person therapy for managing anxiety. Being in a familiar environment often helps people feel safer, more open, and more at ease—especially when discussing sensitive topics like panic, worry, or fear.

  • Many of the people I work with come to me feeling discouraged after past therapy or medication trials. My approach is different. I specialize in treatment-resistant anxiety and use a direct, customized method that focuses on root causes—not just symptom management. If you’ve been stuck, I’ll help you figure out why and guide you toward real progress.

  • I take a focused, goal-oriented approach that blends cognitive-behavioral therapy (CBT) with trauma-informed care, somatic awareness, and practical coaching. My clients appreciate that I’m straightforward, honest, and committed to actual change—not just talking in circles or offering surface-level strategies.

  • You can start by scheduling a consultation call. We’ll talk about what you’re struggling with, what you’re hoping for, and whether we’re a good fit to work together. There’s no pressure—just a chance to get clarity on next steps.