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Attunigrate
  • Anxiety & Overthinking Therapy in Michigan

    Attunigrate offers virtual therapy for adults across Michigan whose minds will not stop running. Anxiety that shows up as planning, checking, rehearsing conversations, and lying awake rewriting the day. Our therapists work with the nervous system underneath it, not just the thoughts on top. Sessions are online, most major insurance is accepted.


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Does this sound like you?

You've rehearsed a two-minute conversation for an hour and still got it wrong

Everyone thinks you're on top of it, which is exactly the problem

You cannot tell whether you're worried about something real or just worried

Falling asleep is fine until the moment you put the phone down

You've been told to "just stop overthinking it," which is like being told to

 stop hearing

You've read enough about anxiety to explain it to someone else and it has never once helped

What's actually happening

Anxiety is not a thinking problem with a thinking solution. Your nervoussystem has decided something is unsafe and has started running checks in the background. The thoughts are the part you can hear. They are downstream.

That is why insight does not fix it. You can know your fear is disproportionate and stay exactly as afraid, because the part of you generating the alarm does not read. It responds to evidence of safety accumulated slowly, in a body, over time.

It is also why high-functioning anxiety is so hard to treat late. When thevigilance is producing good work and reliable performance, the system gets rewarded for the thing that is exhausting you. Nothing forces the issue until something breaks, and by then it has been running for years.

How we treat it

Somatic Therapy

Anxiety lives in the body before it reaches language. Somatic work builds the capacity to notice it and settle it without arguing with it first.

Internal Family Systems (IFS)

The part of you that performs and the part that resents performing are both trying to protect you. IFS gets them talking instead of fighting.

CBT

Structured work on the loops themselves: what triggers them, what they predict, and what actually happens.a

Is it anxiety, ADHD, or both?

This is one of the most common questions we get, and the honest answer is that they overlap enough to be genuinely hard to tell apart from the inside. Both produce trouble concentrating, restlessness, and a sense of never quite keeping up. They come from different places.


Anxiety-driven distraction is usually about threat. Your attention is going somewhere, just not where you wanted, because something feels unresolved. ADHD-driven distraction is usually about interest and activation, and it happens even when nothing is wrong.


Plenty of people have both, and treating one while missing the other is why some people feel like therapy half-worked. Your therapist will ask about this directly in the first two sessions.

What the first six sessions look like

Before you start

A free consult with the therapist you have been matched to. You are matched on what you are bringing, not on who has an opening, and you still have to feel safe with the person in front of you. We verify your insurance and tell  you your exact cost before session one.

Sessions 1 and 2

 History and what brought you here: the primary concern, and the life events that led to it. There is paperwork at this stage, and it can feel like a lot. No one is asking you to relive anything yet. By the end of session 2, you and your therapist set goals together, on a three- to six-month horizon.

Sessions 3 and 4

 You are both still getting acclimated, and you are deciding together how to approach the thing you came in for. Your therapist is mostly listening here rather than teaching. This is your time to talk and put things down.

Sessions 5 and 6

 If EMDR was part of the plan at intake, this is usually where it starts. If it was not, this is often where your therapist starts handing you language: words for patterns you have lived a long time without being able to name. By this point, the early doubts have been said out loud and dealt with, and it feels safe to work.

How long does this actually take?

Most clients notice something has shifted somewhere between three and six months in. Real, but not dramatic. The larger changes tend to arrive in year one and year two.


We would rather tell you that now than have you decide at month two that therapy does not work. Nishani, Shelby, and Desiree work psychodynamically, which starts from the position that people do not change quickly and there is no point pretending otherwise. Many of their clients stay for years because they want to. If you want something more contained, Dr. Leija works short-term, usually six to eight months.

Who you'd work with

Desiree Messina

LCSW

Eating disorders, body image, athletes, and performance pressure

What clients say

"Desiree gave me exactly what I needed to work on. My relationship with food has been changing for the better because of her. She gets it."  (J.P.)

Dr. Silvia Leija

PhD, LMFT

Bilingual Spanish. Couples, chronic pain, complex trauma, immigration evaluations

What clients say

"I love love love Silvia. She helps me alot. I can see different points of views when I'm stuck. And I love that we align on so much."  (A.T.)

Shelby McCliggott

LPC, ACS, EMDR-T

Sexual assault and domestic violence recovery, PTSD, veterans, Black women's mental health

What clients say

"Shelby has been incredible to work with. I am getting to process so much. She is direct but effective. So glad I found her."  (K.D.)

Insurance & Payment Options for Therapy in Michigan

We accept most major insurance plans. Attunigrate is in-network with Blue Cross Blue Shield of Michigan, Blue Care Network, Aetna, Priority Health, and UnitedHealthcare.

Most clients using insurance pay a copay between $25 and $75 per session, depending on their plan. We verify your exact cost before your first session so there are no surprises.


Private pay is $150 per session with most of our therapists, $175 with Dr. Leija.
We do not accept Medicare or Medicaid.

You don't have to think your way out of this

Book a first session and tell us what's going on. We'll take it from there.

FAQ's

Stress has an object and an end. Anxiety keeps running after the deadline passes, attaches to the next thing, and shows up in your sleep and your body. If you cannot point at what would need to change for it to stop, that is worth a conversation.

They overlap more than most people expect, and having both is common. Anxiety-driven distraction is usually about something feeling unresolved. ADHD distraction happens even when nothing is wrong. Your therapist will ask about this directly in your first two sessions rather than guessing.

It is anxiety in someone whose life looks fine from outside. The work gets done, often early, and the cost is invisible to everyone but you. It is not a formal diagnosis, and it is one of the most common presentations we see.

Not through us. Attunigrate provides therapy, not prescriptions. If medication comes up as something worth exploring, your therapist will talk it through with you and coordinate with a prescriber if you want that.

Most clients notice something has shifted between three and six months in. A typical course here runs six months to a year. We would rather tell you that now than have you decide at month two that therapy does not work.

Not necessarily, and not before you want to. Some anxiety traces back and some does not. Your therapist follows what is actually driving it rather than working through a required sequence.

 Yes.

Usually. We are in network with Blue Cross Blue Shield of Michigan, Blue Care Network, Aetna, Priority Health, and UnitedHealthcare. Most clients using insurance pay a copay between $25 and $75 per session. Private pay is $150, or $175 with Dr. Leija. We do not accept Medicare or Medicaid.