Liza Prochnow, LCSW


Specializing in anxiety, ocd & perfectionism


Liza Prochnow, LCSW, anxiety and OCD therapist at It Begins Within Therapy in Sarasota, Florida
  • Licensed Clinical Social Worker, Anxiety & OCD Specialist

  • 10+ years of clinical experience across school, community and private practice settings.

About Liza

Liza Prochnow is a Licensed Clinical Social Worker who helps adults and young adults quiet the anxiety that has been running their lives. She works with the people everyone else leans on  moms, teachers, healthcare professionals, military spouses, and college students  who are managing perfectionism, people-pleasing, OCD, and the pressure to hold everything together.


Credentials & Education

  • Licensed Clinical Social Worker (LCSW)  Florida | License #SW26567

  • Master of Social Work (MSW) from the University of North Carolina Wilmington

  • Training in Cognitive Behavioral Therapy (CBT) for anxiety and OCD

  • Training in Dialectical Behavior Therapy (DBT) for emotion regulation and distress tolerance


Who Liza Supports

Liza works with:

  • Individuals navigating perfectionism, anxiety,  people-pleasers, and high achievers who look like they have it together and are quietly exhausted by the effort of maintaining it

  • Adults living with OCD addressing intrusive thoughts, reassurance-seeking, and compulsive patterns that shrink daily life, and building tolerance for uncertainty

  • Clients moving through major life transitions new roles, new cities, new seasons of parenting, career changes, and the identity shifts that come with them

  • Military spouses and military-connected families frequent moves, parenting without a village, living far from support systems, career interruptions, and the particular strain of a service member's demands on family life

  • Adults navigating difficult relationships including romantic partnerships, friendships, and adult parent-child dynamics where old patterns keep repeating

  • Moms, teachers, healthcare professionals, and college students  helpers and high performers who rarely ask for help themselves

Clients value Liza's warmth, her willingness to say the honest thing, and her ability to make hard conversations feel survivable  even funny.


Liza’s Approach to Therapy

Liza is a relational therapist. She believes the relationship between therapist and client is where much of the change actually happens, and she brings her full, unfiltered self into the room. She will not just nod quietly, she will show up, challenge gently, and use humor when it helps.

She focuses on:

  • Identifying the underlying causes of anxiety attachment wounds, early parenting dynamics, and painful formative experiences that shape how clients respond to stress today

  • Understanding the function of stuck behaviors examining reassurance-seeking, avoidance, and protective patterns that once kept clients safe and now keep them small

  • Building practical strategies for managing uncertainty concrete, usable tools for tolerating the unknown rather than trying to control it

  • Applying Cognitive Behavioral Therapy through restructuring the thought patterns that fuel perfectionism, self-criticism, and anxious prediction

  • Drawing from Dialectical Behavior Therapy (DBT), strengthening emotion regulation, distress tolerance, and interpersonal effectiveness

  • Approaching military-connected clients with cultural fluency understanding military lifestyle, expectations around mental health care, and the barriers that come with frequent relocation

What Liza Helps Clients With

Liza supports Sarasota-area adults and young adults experiencing:

  • Anxiety, worry, and chronic overthinking

  • Obsessive-compulsive disorder (OCD) and intrusive thoughts

  • Perfectionism and people-pleasing

  • Life transitions and identity shifts

  • Military spouse and military family stress

  • Difficult family and romantic relationships

  • Adult parent-child dynamics and boundary setting

  • Burnout in caregiving and high-responsibility roles

Liza’s Background & Training

Liza brings over a decade of clinical experience and a broad range of practice settings to her work with adults and young adults. Her professional experience includes:

  • Providing therapy across home, school, community, and private practice settings

  • Working with individuals, parents, families, and groups across a wide span of ages and presenting concerns

  • Supporting military-connected families as both a clinician and a military spouse

  • Serving high-responsibility populations including educators, healthcare professionals, and college students

Her clinical training includes:

  • Master of Social Work from the University of North Carolina Wilmington

  • Cognitive Behavioral Therapy (CBT) for anxiety, perfectionism, and OCD

  • Dialectical Behavior Therapy (DBT) for emotion regulation and distress tolerance

  • Relational, culturally responsive care for military-connected clients

A Message From Liza

"You're the reliable one. The one everyone leans on. And you're exhausted. You don't need to try harder  you're already doing that. My job isn't to hand you another thing to manage. It's to help you understand why you're stuck, and to sit with you while we figure out what actually helps. Let's help you breathe again."

Ready to work with Liza?

We invite you to schedule a FREE CONSULTATION with us to begin your healing journey.

Frequently Asked Questions

What kind of anxiety does Liza work with?

Liza works with adults whose anxiety shows up as perfectionism, people-pleasing, overachievement, and chronic overthinking  the kind of anxiety that is easy to hide because it often looks like competence from the outside. She also works with more visible forms: panic, health anxiety, social anxiety, and the persistent worry that accompanies major life change. Rather than only managing symptoms, Liza helps clients trace anxiety back to its sources, including attachment wounds and early life experiences, so the relief lasts beyond the current stressor.

How is therapy for OCD different from therapy for general anxiety?

OCD involves a specific cycle: an intrusive thought creates distress, and a compulsion  checking, reassurance-seeking, mental reviewing, or avoidance  temporarily relieves it, which strengthens the cycle. Effective OCD treatment focuses on interrupting that loop rather than answering the thought. Liza helps clients recognize the function their compulsions serve, build tolerance for uncertainty, and reduce the reassurance-seeking that keeps the cycle running. This work is collaborative and paced, and clients are never pushed faster than they are ready to go.

What does it mean that Liza works with military spouses?

Liza is a military spouse herself. That means military-connected clients do not have to explain the context first  frequent moves, deployments, parenting without a village, living far from family, the strain a service member's career places on a household, or the barriers to building your own career alongside it. She also understands the complicated relationship many military families have with mental health care, including concerns about how treatment is perceived for both service members and spouses. That shared understanding lets the work start faster and go deeper.

What ages does Liza work with?

Liza's primary focus is adults and young adults, roughly ages 19 to 45. Within that range she works especially well with college students navigating independence and academic pressure, young professionals, new and established parents, and adults reexamining their relationships with their own parents. Her broader background includes more than ten years working with a wide span of ages and family configurations, which informs how she understands the family systems her adult clients come from.

What is Liza's style in session?

Relaxed, collaborative, and human. Liza will not sit silently and nod. She engages directly, asks real questions, challenges gently when something needs challenging, and uses humor when humor helps. Clients frequently say they feel comfortable, seen, and understood in ways they had not managed to reach in previous therapy relationships. If you have tried therapy before and found it too formal or too passive, her approach tends to feel different.

What should I expect in the first session?

The first session is about understanding your story and what brought you in now. Liza will ask about your current challenges, your history, the patterns you have noticed, and what you want to be different. You will not be asked to relive anything you are not ready to talk about. By the end of the session you should have a clearer sense of what is driving the difficulty and what the work together could look like. It is also your chance to decide whether the fit feels right  that matters more than most people realize.

Locations Served

Liza offers in-person counseling in Sarasota and surrounding areas.