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Dr. Cynthia MangubaFlourish Psychology Services
Areas of Expertise · Anxiety

If your mind never quite lets you rest, you are not doing life wrong. You're doing it exhausted.

You look calm on the outside. Inside, there's a part of you that never fully sits down, always scanning, always three steps ahead, already rehearsing the conversation that hasn't happened yet.

Maybe it shows up as a tightness in your chest before you open your inbox. Maybe it's the 3 a.m. replay of something you said six years ago. Maybe you've gotten so good at managing it that no one around you would ever guess how much energy it quietly takes.

Anxiety isn't a character flaw, and it isn't a sign you're weak. It's usually a very smart system doing an old job a little too well. The goal of our work together isn't to switch that system off, it's to help it finally trust that you're safe.

What anxiety actually looks like

Anxiety rarely announces itself. More often it hides inside things that look like strengths, the perfectionism, the over-preparation, the inability to delegate, the sense that if you just think hard enough you can prevent every bad outcome.

It can look like a racing mind and a body that won't settle. It can also look like avoidance: the emails you don't open, the calls you don't return, the plans you cancel at the last minute because the anticipation became too much. Some people feel it as irritability. Some feel it as a fog. Some feel it mostly in the body, the jaw, the shoulders, the shallow breath.

However it shows up for you, one thing is usually true: it's loud, it's tiring, and it has quietly narrowed your life more than you meant to let it.

How I work with anxiety

I don't believe in handing you a worksheet and calling it care. My approach is personalized, I want to understand where your particular anxiety came from, what it's trying to protect, and how it learned to run the show.

Drawing on psychodynamic, attachment, and client-centered work, we look at the roots, not just the symptoms, while also building practical, in-the-moment skills so you get relief along the way. You'll leave sessions with things that actually help, and over time we'll change the deeper patterns underneath, so the relief lasts.

This is slow, human work, and it happens inside a relationship where you feel genuinely understood. That safety is not a nice extra. For an anxious nervous system, it's the medicine.

What the work looks like together

01

We start by understanding

The first few sessions are about your story, not a checklist. Where anxiety lives in your body, your history, and your relationships, and what it's been trying to keep you safe from.

02

You get relief early

You won't wait months to feel a difference. We build practical tools you can use between sessions, so the volume starts coming down while the deeper work unfolds.

03

We change the pattern

Together we get underneath the anxiety to the beliefs and old experiences driving it, and gently rewrite them, so calm becomes something your system can actually hold.

04

You practice being free

The measure of our work isn't a quieter session. It's a fuller life, the plans you keep, the risks you take, the rest you finally allow yourself.

This may be for you if…

  • You're high-functioning on the outside but running on fumes underneath
  • You've tried to "just manage it" and want something that actually lasts
  • You want to understand why, not only learn to cope
  • You value a therapist who is warm, direct, and genuinely present

A different kind of support may fit better if…

  • ·You're in immediate crisis or danger, please see our crisis resources for right-now support
  • ·You're looking strictly for medication management (a psychiatrist prescribes; as a psychologist I don't, though I'm glad to coordinate care)
Questions people ask

Good things to know

How long does anxiety therapy take?

It depends on you and what's driving the anxiety. Many clients feel meaningful relief within the first several weeks as we build practical tools, while the deeper pattern-level work unfolds over a longer arc. We'll talk openly about pacing and check in on progress together.

Do you prescribe medication for anxiety?

No. As a clinical psychologist I provide therapy, not medication. If medication might be helpful, I'll coordinate with a trusted psychiatrist so your care stays connected.

Is telehealth as effective as in-person for anxiety?

Research consistently shows telehealth therapy is as effective as in-person for anxiety, and many clients find the comfort of their own space actually helps them open up. All sessions are held over a secure, confidential platform.

Can we work together if I'm outside Los Angeles?

Yes, I see clients via secure telehealth across California. You don't need to be in LA, only in the state.

You’ve read this far for a reason.

When you’re ready, a brief consultation is a gentle first step, no pressure, no obligation.

or call (626) 539-7290