CBT Therapist NY

Learn to step out of cycles where anxiety or discomfort drives avoidance, checking, or compulsive behaviors. Online Therapy Across New York State.

When Avoidance Feels Automatic

You may not intend to avoid things, but your body and mind often react before you even realize it. Tasks, decisions, or conversations that feel stressful can trigger automatic behaviors such as putting things off, changing plans, seeking reassurance, or withdrawing.

These strategies might give temporary relief, but over time they can keep you stuck in the same emotional loops. You might feel frustrated, trapped, or ashamed, even though these responses are understandable given how intense anxiety or strong feelings can be.

Why Avoidance Persists

Avoidance and emotion-driven behaviors often form patterns over time:

  • avoiding tasks or decisions because they feel overwhelming

  • checking, reassurance-seeking, or over-preparing

  • withdrawing when feelings become intense

  • distractions, numbing, or compulsive actions to control emotions

These behaviors are your mind and body’s way of trying to protect you, but they can unintentionally strengthen anxiety, worry, and self-criticism.

Amanda Grannum, LCSW |Online Therapist in NY

How I help

I’m a licensed therapist in New York State and the founder of Teletherapy AG, a virtual therapy practice serving adults throughout New York.

I offer active, skills-based therapy focused on changing how you respond to internal experiences, not just talking about them. Therapy with me is about learning new ways to relate to anxiety, panic, worry, and discomfort so they no longer dictate your choices or limit your life.

Therapy often focuses on patterns like avoidance, reassurance-seeking, over-preparing, or compulsive behaviors that are driven by attempts to manage discomfort in the short term.

My work is grounded in the Unified Protocol, an evidence-based approach that focuses on the common patterns underneath many emotional experiences. Rather than treating concerns as separate problems or relying heavily on labels, we look at the shared processes that keep difficult emotional experiences going, such as avoidance, overthinking, emotional reactivity, and harsh self-judgment.

This is not a spiritual approach, not a somatic-only therapy, and not a space for venting without direction. Therapy involves learning new ways to interpret what’s happening inside you and practicing different responses, even when emotions feel intense or uncomfortable.

You don’t have to be perfect.
You just have to be willing to learn.

Sessions are collaborative, grounded, and practical. We slow things down, look at your patterns with clarity, and build skills you can actually use in your everyday life.

I’m also a first-generation, West Indian New-Yorker 🇹🇹🇧🇧🗽. That lived experience shapes how I show up in the therapy space. There’s no pressure to code-switch here or fit into a version of therapy that doesn’t feel authentic to you.

Clients often tell me, “I’ve never thought about my emotions this way before.”


That shift, from feeling overwhelmed by internal experiences to understanding how they work, is often where meaningful change begins.

Therapy Outcomes

Clients who work on reducing avoidance and managing emotion-driven behaviors often notice:

  • Feeling more willing to face difficult tasks, conversations, or situations

  • Needing less reassurance or engaging in fewer compulsive behaviors

  • Handling stressful moments with greater emotional tolerance

  • Making choices that align with their values rather than reacting automatically

  • Being kinder to themselves around how they cope

  • Gaining confidence in navigating discomfort

Next Steps

If you’re feeling stuck in cycles of anxiety, worry, or self-criticism and want to learn new ways to respond, I’d be glad to connect.

Schedule a free 15-minute consultation
to see if this approach feels like a good fit.
➡️ [Link to Contact Page]

 I provide virtual therapy to clients across New York State, including New York City, Buffalo, Rochester, Albany, Syracuse, and surrounding areas. Online sessions allow for consistent, focused work without the stress of commuting.

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Frequently Asked Questions About Online Therapy In State

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