Anxiety Therapy in Las Vegas, NV with Dr. Quinnett Swank, EdD, LMFT
Therapy for adults who look calm on the outside and feel overwhelmed inside. ACT-based help for overthinking, persistent worry, perfectionism, and panic sensations, in person in Northwest Las Vegas and online anywhere in Nevada.

Common Experiences
What does anxiety look like in adults?
Anxiety doesn't always look like fear, and you don't need panic attacks for it to deserve attention. Many high-functioning adults recognize themselves in these patterns.
Overthinking and rumination
Your mind replays conversations, rehearses worst-case scenarios, and has trouble finding the off switch.
Perfectionism and self-pressure
You feel you must always be prepared, productive, and doing enough, and rest feels unearned.
Feeling on edge
Tension, restlessness, a racing heart, or a body that stays alert even when nothing is wrong.
Worry about relationships
Reassurance-seeking, fear of conflict, and energy spent predicting how others will react.
Trouble resting or sleeping
Your mind or body doesn't settle after a busy day, so recovery never quite happens.
Avoidance and uncertainty
Decisions and opportunities get delayed because the what-ifs feel hard to tolerate.
My Approach
How does anxiety therapy work?
I primarily use Acceptance and Commitment Therapy (ACT), which builds more room around anxiety instead of more rules for yourself. The aim isn't to never feel anxious. It's to respond with flexibility when anxiety shows up.
When it helps, we add grounding and nervous-system tools, an attachment-informed look at relationship patterns, and attention to sleep, stress, and daily routines.
Name the anxiety pattern
We map your triggers, body sensations, thoughts, and the things you do to feel safe or certain.
Step back from difficult thoughts
You practice noticing anxious stories without having to argue with, solve, or obey each one.
Choose values-based action
You take small, concrete steps toward the relationships, decisions, and life you want, with anxiety along for the ride instead of in the driver's seat.
Individual Anxiety Therapy
Who is anxiety therapy for?
Adults in Las Vegas and across Nevada who are tired of managing anxiety alone, whether it shows up at work, in relationships, or in a body that won't power down. Sessions move at a pace that respects your experience, and there is no pressure to get everything right. Common topics include:
- Overthinking and chronic worry
- Perfectionism and self-criticism
- Panic sensations and nervous-system awareness
- Uncertainty and avoidance
- Boundaries and relationship anxiety
- Stress, sleep, and burnout
Sessions and Fees
How much does anxiety therapy cost?
Individual Therapy
$200
Per 50-minute session, in person or online
Anxiety therapy is offered as individual therapy. If anxiety is showing up mostly between you and your partner, couples therapy is $250 per 50-minute session.
Private pay
Swank Counseling does not bill insurance directly, so no insurer sets your length of care or what you work on. A Good Faith Estimate is available under the No Surprises Act.
How often we meet
Most clients meet every other week or monthly. We set the cadence together and adjust as you go.
Cancellations
Please give at least 24 hours' notice. Late cancellations and missed appointments may be charged the scheduled session fee.
Where We Meet
Where do you offer anxiety therapy?
In person at the Northwest Las Vegas office on Azure Drive, convenient to Summerlin, Centennial Hills, Skye Canyon, and Aliante. Secure video sessions for adults physically located in Nevada at the time of the appointment.
Swank Counseling7495 West Azure Drive, Suite 204
Las Vegas, NV 89130
Swank Counseling
7495 West Azure Drive, Suite 204
Las Vegas, NV 89130
Office visits are by appointment. Online sessions are available throughout Nevada.
Common Questions
Frequently Asked Questions About Anxiety Therapy
Do I need to be having panic attacks to start anxiety therapy?
No. Persistent worry, overthinking, perfectionism, feeling on edge, and trouble relaxing are all good reasons to start. If anxiety is taking up more room in your life than you'd like, that's enough.
What is ACT and how does it help with anxiety?
Acceptance and Commitment Therapy (ACT) teaches you to notice anxious thoughts and sensations without treating them as facts or commands, and to act on your values even when anxiety is present. The goal is flexibility in how you respond to anxiety, not the absence of anxiety.
How much does anxiety therapy cost in Las Vegas at Swank Counseling?
Individual anxiety therapy is $200 per 50-minute session. Swank Counseling does not bill insurance directly. A Good Faith Estimate of expected charges is available under the No Surprises Act.
How long does anxiety therapy take?
It varies. Many clients notice a shift in how they relate to anxious thoughts within the first several sessions, and most meet every other week or monthly. Length of care is decided together, not by an insurer.
Can I do anxiety therapy online in Nevada?
Yes. Secure video sessions are available to adults physically located in Nevada at the time of the appointment. In-person sessions are held at 7495 West Azure Drive, Suite 204, in Northwest Las Vegas.
Can anxiety affect my relationships?
Yes. Anxiety often shows up as reassurance-seeking, avoiding conflict, over-apologizing, or trouble setting boundaries. We can work on those patterns in individual therapy, or in couples therapy if you want to work on them with your partner.
You can start even if you feel nervous about therapy.
A free 15‑minute call to talk about what anxiety has been like for you, and whether working together is a good fit.