Somatic Therapy in Los Angeles
You've built the career. Your nervous system hasn't got the memo.
Why High-Achievers in LA Stay Anxious
Los Angeles has a specific relationship with hustle. Here, productivity is not just what you do — it is who you are. The work is always on. The next project, the next pitch, the next version of yourself that will finally feel like enough.
For high-achieving professionals and people working in creative and entertainment industries, this is not just cultural pressure. It is the water you swim in. And it produces a very particular kind of anxiety: one that looks like drive from the outside, and feels like relentless activation from the inside.
You are not burnt out because you are weak or doing it wrong. You are burnt out because your nervous system has been running an emergency response for so long it has forgotten there is another mode.
Talk therapy can help you understand this. It cannot, on its own, change it.
Why Insight Is Not Enough
If you have done therapy before, you probably already know what your anxiety is about. You can trace it. You can explain it to someone else. You might even be able to predict exactly when it will show up.
And it still shows up.
This is not a failure of self-awareness. It is a biology problem.
Stephen Porges' polyvagal theory shows us that the nervous system has its own logic, entirely separate from thought. Peter Levine's work on Somatic Experiencing shows us that unresolved stress is held in the body — in muscle tension, breathing patterns, the chronic readiness to brace — not in the story you tell about it.
Cognitive approaches work at the level of meaning. Somatic therapy works at the level of physiology. For anxiety that has not responded to insight-based work, that distinction matters.
To learn further: Anxiety Therapy in Los Angeles
“The body keeps score. Somatic therapy is how you change the score.”
Who This Work Is For
The professional who cannot stop performing
You are exceptional at your job. You are also exhausted in a way that a vacation does not fix. The competence is real. So is the chronic activation underneath it. You have built the career. Your nervous system has not caught up.
The high-achiever who has tried therapy before
You have done the work. You understand your patterns. You can explain your anxiety to someone else and still feel it arrive on schedule. You want a therapist who will meet you past the insight stage and work at the level where the anxiety actually lives.
The creative and entertainment professional
The audition cycle, the pitch cycle, the identity that lives and dies on other people's yes. The financial instability underneath an exterior that reads as successful is part of the creative burnout for Silver Lake clients. The performance anxiety that follows you off set and out of the writers room. Your nervous system has adapted to that environment in ways that no longer serve you. This work is built for the specific stress patterns that come with a career in the entertainment industry.
The person who looks fine
High-functioning anxiety is invisible from the outside. You show up fully, you deliver, you hold it together. Inside, the noise is constant. The body is bracing even when nothing is wrong. You deserve support that matches the complexity of what you are actually carrying.
LGBTQ+ and BIPOC clients
Identity-based stress is a nervous system experience. The chronic vigilance of navigating spaces that are not fully safe, the gap between external acceptance and internal exhaustion, the performance of being okay in environments that require it. Minority stress, as Stephen Porges' polyvagal research makes clear, is not just a social experience. It is a physiological load. This practice is explicitly LGBTQ+ and BIPOC affirming. You do not need to explain your identity or educate your therapist. For LA clients specifically, the LGBTQ+ affirming therapy Los Angeles page covers the full scope of what this practice offers.
The person who has been told their anxiety is manageable
Manageable is not the same as resolved. If you have learned to cope, to push through, to perform your way past the activation, that is a skill. It is also exhausting to maintain indefinitely. This work is not about management. It is about changing the underlying pattern.
What Somatic Sessions Look Like
Sessions are 60 minutes, fully virtual on a HIPAA-compliant platform. If you need additional time to ground at the end of a session, we continue for up to 15 minutes at no extra charge.
That is not a compromise. For this work, it is an advantage.
Somatic therapy requires a degree of safety and privacy that is difficult to find in a waiting room or an office building. When you work from a space that is already yours, your home, your studio, wherever you feel most at ease, the nervous system work has a better foundation to build on. The regulation you practice in session transfers directly to the environment where you actually live.
In a session, we slow down. We pay attention to what is happening in your body as you speak. Not as an abstract concept, but as real-time information. Where do you feel the tension? Where does your breath shorten? What happens in your chest when you say that out loud? Over time, you develop a different relationship with your own physiology. The activation becomes readable. Readable becomes workable. Workable becomes different.
This is not a fast process. It is a thorough one.
About Katie
Hello!Katie Hargreaves has 12 years of experience in the mental health field and over 4,000 sessions working with clients on issues like anxiety, trauma, and nervous system dysregulation. Her training draws from Somatic Experiencing (Peter Levine), polyvagal theory (Stephen Porges), and somatic modalities through Alchemy Somatics and the Embody Lab.
She has resolved clinical anxiety herself. It is the reason this work is precise rather than theoretical. She knows what the inside of it feels like, and she knows what changes it.
She works with a small number of clients at a time. That is intentional. Depth over volume.
A Note on Private Pay
This practice is private pay only. Sessions are not billed to insurance.
That is a deliberate choice. Insurance billing requires a diagnosis on your permanent record, limits session length to 50 minutes, and gives a third party access to your clinical file, including in some cases your employer's insurance company. Private pay means your records stay between you and your therapist. Sessions are 60 minutes, with up to 15 additional minutes for grounding if needed, because that is what the work requires. Some clients seek partial reimbursement through out-of-network benefits. A superbill is available on request if your plan includes out-of-network coverage. See the FAQ page for more detail on insurance options including Thrizer.
The rate for California clients is $250 per session.
Ready to do Therapy Differently?
If talk therapy has gotten you to understanding but not to change, somatic therapy is the next step. With any therapy it’s important to find the right fit in a somatic therapist.
Common Questions about Somatic Therapy
-
Somatic therapy is a body-based approach to treating anxiety, trauma, and chronic stress. Rather than working primarily through thought and analysis, it works through the nervous system, using physical awareness, breath, and sensation to shift how your body responds to stress. The word somatic means "of the body." The approach is grounded in the clinical research of Peter Levine (Somatic Experiencing) and Stephen Porges (polyvagal theory).
-
Sessions focus on real-time body awareness: noticing physical sensations, breathing patterns, and tension as you speak. Over time, this builds your capacity to recognize and shift nervous system states rather than being run by them. The work is slow by design. Sustainable regulation requires repetition, not a single insight.
-
Yes. Somatic Experiencing, developed by Peter Levine, has a substantial research base for trauma and anxiety. Stephen Porges' polyvagal theory, which underpins much of somatic practice, is widely cited in clinical neuroscience. Body-based approaches are increasingly recognized in peer-reviewed literature as effective for anxiety, PTSD, and stress-related conditions.
-
CBT works at the level of thought, identifying and reframing cognitive patterns. Somatic therapy works at the level of physiology. For people whose anxiety persists despite good insight and strong self-awareness, somatic therapy addresses the layer that cognitive work does not reach.
-
Most talk-based therapy, including psychodynamic and insight-oriented approaches, works through meaning and understanding. That work has genuine value. What it cannot do on its own is change how your nervous system responds at a physiological level. If you can explain your anxiety clearly and it still shows up in your body, the gap between understanding and regulation is exactly what somatic therapy is designed to close.
-
Somatic therapy is effective for anxiety, high-functioning anxiety, burnout, trauma and PTSD, chronic stress, and the physical symptoms of long-term stress such as tension, disrupted sleep, and difficulty regulating emotion. It is particularly well-suited for people who have tried talk therapy without lasting results.
-
Yes, and it is often the most effective approach for this presentation. High-functioning anxiety is characterized by strong external performance alongside significant internal activation. People who have it are typically self-aware, have often done therapy before, and understand their patterns intellectually. What somatic therapy addresses is the physiological layer that insight cannot reach: the chronic readiness to brace, the body that cannot settle even when the mind knows it is safe. That is a nervous system pattern, not a thinking problem.
-
Yes, and for this work, virtual sessions are often more effective than in-person. Somatic therapy requires a degree of safety and privacy that is difficult to replicate in a clinical waiting room or office building. When you work from a space your nervous system already recognizes as safe, the regulation work has a stronger foundation. The physical awareness and body-based techniques that make somatic therapy effective do not require the therapist to be in the room. Sessions are conducted on a HIPAA-compliant platform. California clients can work from anywhere in the state.
-
Look for a licensed therapist with specific training in a somatic modality such as Somatic Experiencing, Sensorimotor Psychotherapy, or a polyvagal-informed approach. Training certificates alone are not sufficient. Look for clinical licensure plus somatic-specific post-graduate training in a somatic therapist in Hollywood. Virtual sessions mean you are not limited to your immediate neighborhood.
-
This varies depending on the presenting issue, history, and how long patterns have been established. For anxiety and chronic stress without significant trauma history, meaningful change typically becomes noticeable within 8 to 12 sessions. For trauma or long-standing nervous system dysregulation, the work runs longer, often 6 to 12 months. Somatic therapy is not a quick fix. It is a thorough one. The nervous system changes through accumulated experience, and that takes time.
-
Somatic therapy is not a repeat of what you have already done. Most talk-based approaches work at the level of insight and meaning, and insight is genuinely useful. What it cannot do is change how your nervous system responds at a physiological level. If you understand your patterns clearly but still feel the anxiety in your body, that is the gap somatic therapy is designed to close.
-
This practice is private pay only, which means sessions are not billed to insurance. There are specific reasons for that. Insurance billing requires a diagnosis, limits session length, and gives a third party access to your clinical record, including your employer's insurance company. Private pay means your records stay between you and your therapist. Sessions are 60 minutes rather than the 50-minute hour insurance typically funds, with additional grounding time included as needed. Some clients use out-of-network benefits to seek partial reimbursement. A superbill can be provided on request if your plan includes out-of-network coverage.
-
High-achieving professionals tend to be exceptionally good at cognitive work, analyzing, reframing, understanding. That same strength can become a ceiling in traditional therapy, because the anxiety is not living in your thoughts. It is living in your body's baseline activation level. Somatic therapy works with the part of your nervous system that your intelligence cannot think its way out of.
-
Yes. Entertainment professionals face a specific combination of chronic uncertainty, identity tied to external validation, and performance pressure that the nervous system absorbs over years. Anxiety therapy in Hollywood is well-suited to that experience. Sessions are private pay, which means no insurance record and no documentation that follows you professionally.