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WHAT WORKING WITH ME ACTUALLY LOOKS LIKE

Clear expectations, transparent fees, and therapy designed for

thoughtful adults who want real depth and change!

Who I Work With

My clients are thoughtful, high-functioning adults who appear capable on the outside but feel internally stuck in patterns of anxiety, overthinking, perfectionism, or shame. Many of my clients are deeply self-aware and have tried therapy before, yet still feel like something underneath never fully shifted.

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I specialize in working with:

• Adults navigating chronic anxiety and overthinking
• Perfectionism and harsh self-criticism
• Shame and persistent feelings of “not enough”
• Trauma and long-standing relational wounds
• Neurodivergent adults
• Members of the LGBTQ+ community
• Clients who have previously been in therapy but want deeper, experiential work

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If you’ve often felt like you’re the capable one who keeps everything together while privately feeling exhausted, you’re exactly the kind of person I work with!

Owner of Burden Counseling, Emily Burden. Anxiety Therapist in Las Vegas and VIrtual Across Nevada.

How We Actually Do the Work & Create Change

I integrate evidence-based and depth-oriented approaches so that therapy feels grounded and transformative rather than surface-level!

MY MODALITIES & APPROACH:

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Acceptance and Commitment Therapy (ACT)

ACT focuses on building psychological flexibility so that anxiety and difficult thoughts no longer control your behavior. Instead of fighting your internal experience, we work on relating to it differently while moving toward your values.

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Internal Family Systems (IFS)

IFS explores the different “parts” of you that developed to protect you, such as the inner critic, the overachiever, or the avoidant part. Rather than judging those parts, we work toward understanding and unburdening them so you can access more steadiness and clarity.

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​Dialectical Behavior Therapy (DBT)

DBT helps you build emotional regulation, distress tolerance, and interpersonal effectiveness skills so you can handle stress in a more grounded, intentional way. You’ll gain practical tools to manage intense emotions, navigate conflict, and communicate with clarity and confidence.

WHAT THERAPY WITH ME FEELS LIKE

Most of the people who reach out to me are tired of managing everything internally on their own. They’re often successful and insightful, yet privately overwhelmed by anxiety or self-criticism that won’t quiet down.

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Our first session focuses on understanding what’s bringing you in and what you want to feel different in your life. From there, we move into work that is intentional and collaborative. I bring warmth and steadiness into the room, and I also bring honesty. I won’t judge you, and I won’t stay silent if something important needs attention.

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Therapy with me is about sustainable change, not quick fixes, and about building a relationship with yourself that feels more compassionate and flexible over time.

Cost of Therapy

Investing in therapy is an investment in clarity, stability, and long-term change. I operate as a private-pay practice so that our work can focus on depth, flexibility, and your goals rather than insurance limitations. Below you’ll find clear, transparent information about session fees and payment structure so you can make an informed decision.

Individual

Psychotherapy

Private Pay

Model

Out-of-Network Reimbursement

53-minute session: $175

 

These sessions are structured, collaborative, and tailored to your goals. Most clients begin meeting weekly to build momentum, and we adjust frequency over time based on what feels aligned and sustainable for you.

I do not accept insurance directly because it allows us to work without diagnostic restrictions or session limits imposed by third parties. Private pay creates space for depth-oriented therapy that focuses on meaningful transformation rather than short-term symptom management.

If you have out-of-network benefits, I can provide a superbill for you to submit to your insurance for possible reimbursement. If you’re unsure what that means, we can discuss it during your consultation so you feel clear and confident about your options.

If This Feels Aligned, Let’s Talk!

Scheduling a free 15-minute consultation allows us to discuss what’s bringing you in and determine whether working together feels like the perfect fit for you.

OwOffice of Burden Counseling I Anxiety Therapist in Las Vegas and VIrtual Across Nevada.
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