A method and an anchor for supporting items on a substrate such as drywall. The anchor comprises a structure configured to carry the anchoring element in a minimal cross section configuration through an insertion hole and to effect a first expansion. The anchor further comprises an adjustable cap member configured to be moved to fixedly position the anchoring element to the non-accessible side of the substrate. The anchoring element comprises a base channel member, a top channel member, and a connector-pivoting element configured to pivotally connect the top channel member to the base channel member. The top channel member is configured to be nested with the base channel member in the minimal cross section configuration and to be pivotally rotatable via the connector pivoting element in the plane parallel to the non-accessible side of the wall, with the pivotal rotation of the top channel member providing the second expansion.