Anthony Koch Psy.D.

Low self-esteem rarely develops in isolation. It often reflects longstanding experiences of criticism, shame, unmet emotional needs, or feeling valued only for achievement. Rather than simply building confidence, I help clients understand how these beliefs took shape so they can develop a more compassionate, stable, and authentic sense of self that isn't dependent on external validation.

I provide LGBTQ+-affirming therapy that recognizes identity as only one part of your story. Together, we explore the unique ways relationships, family experiences, culture, minority stress, and life transitions shape your emotional world. My goal is to create a space where every part of you is welcomed while helping you develop greater authenticity, resilience, and fulfilling connections with others.

Anxiety is often more than excessive worry—it's a signal that something deeper may be asking for attention. Rather than focusing only on symptom reduction, I help clients understand the emotional conflicts, relationship patterns, perfectionism, attachment experiences, and unconscious fears that contribute to anxiety. As these patterns become clearer, many people find their anxiety naturally becomes more manageable and less controlling.

Psychoanalysis is a deeper, more intensive form of psychotherapy, typically involving three or more sessions each week. The increased frequency creates a unique opportunity to understand longstanding emotional patterns, relationships, dreams, and aspects of yourself that often remain outside awareness. This depth of exploration can foster profound and lasting psychological change. Dr. Koch, Psy.D. is a candidate through a local training institute in Washington, D.C.

Psychodynamic psychotherapy helps you understand the deeper emotional patterns that influence your thoughts, feelings, relationships, and decisions. Rather than focusing only on symptom relief, we explore how past experiences, attachment, and unconscious processes shape your present life. As these patterns become clearer, you can respond with greater freedom, authenticity, and emotional flexibility. I see patients 1-2x per week.