A counselor with warm window light falling from the left, shoulders relaxed, hands open and visible, eyes meeting the camera with calm presence
Specialized caregiver support

You’re carrying
their anxiety.
Who’s carrying yours?

For the daughters managing a parent’s panic. The partners who hear sirens in their sleep. The parents whose dinner tables went quiet.

Scroll to understand
Recognition

This isn’t your first time
looking for help.

Here’s what’s different about coming here.

Traditional therapyTend
Asks you to describe your childhoodStarts with what happened at 3am last Tuesday
Focuses on the anxious person's diagnosisFocuses on what it costs you to love them
Uses clinical language you have to decodeSays things like "that sounds exhausting" and means it
Treats your stress as secondary to theirsTreats your exhaustion as the whole point
Suggests you "set better boundaries"Understands why that advice made you laugh — or cry
Ends at 50 minutes whether you're ready or notLeaves space for the thing you almost said

Our counselors have all lived inside anxiety-adjacent households. They recognize the particular fatigue of loving someone whose nervous system won’t rest.

I'd spent three years managing her panic attacks. I didn't realize I had my own until someone finally asked.
— Renata, 44, daughter of a mother with late-life anxiety
Your first session

Know exactly what
you’re walking into.

No surprises. No performance. Just a conversation.

What it coversWhat it doesn’t
The story you've been afraid to say out loudYour childhood (unless you want to go there)
What a typical bad day looks like for youA formal diagnosis or intake assessment
You'll probably cry. That's fine.Pressure to commit to a treatment plan
What you actually need right now — not what you think you should needInsurance paperwork or billing questions
Whether Tend is the right fit — we'll be honest if it isn'tA homework list or coping worksheet
What relief might look like for someone in your specific situationCrisis intervention (we'll refer you if you need it)

Sessions are 55 minutes. They happen over video, so you can be in your car, your closet, or anywhere that’s yours.

Your open door

Reserve Your First
Conversation

Three questions. That’s all. We’ll reach out within one business day to confirm a time that works.

No intake form. No insurance questions. Just a conversation.

Not ready to talk yet? That’s completely okay.

Get our free Caregiver Field Guide — practical language for the hardest conversations.

She didn't ask me to explain the context. She already understood the context. That was the whole thing.
— Marcus, 38, partner of a firefighter
The people behind Tend

Counselors who know this territory
because they’ve walked it.

Dr. Miriam Okafor, a counselor with warm expression and relaxed shoulders, window light from the left side

Dr. Miriam Okafor

Partners of first responders

11 years experience
James Callahan, counselor in a calm office setting, open and approachable posture

James Callahan, LCSW

Adult children of anxious parents

9 years experience
Sofia Reyes, smiling counselor with natural window light, hands visible and open

Sofia Reyes, LPC

Parents of anxious teenagers

7 years experience
Evidence

What actually shifts
between week one and week eight.

These aren’t promises. They’re patterns we’ve seen. Your version will look different — and that’s fine.

Week one — how it usually feelsWeek eight — what we hear
You rehearse what you'll say before every session — worried about sounding dramaticYou start mid-sentence. She already knows the context.
You apologize for crying. Twice.You notice you haven't apologized for your feelings in three weeks.
You're not sure this will help — you've tried things beforeYou can name, in one sentence, what you actually need from your partner
You leave the first session exhausted, like you just moved furnitureYou leave sessions lighter. You don't know when that changed.
Their anxiety still runs the household. You're just managing it better.Their anxiety is still real. Your life has more room in it now.
You feel guilty for being here — like you're complaining about someone who suffers moreYou understand that caring for yourself is how you keep showing up for them.
Reserve Your First Conversation

No commitment. No intake form. Just a conversation.

I used to say I was fine. Now I say what I actually mean. That's not a small thing.
— Delia, 51, mother of a teenager with anxiety