Does this sound familiar?
- You’ve built a life that looks good on paper, and you’re exhausted maintaining it.
- Your mind won’t switch off at night; it rehearses tomorrow and replays today.
- You say yes when you mean no, then resent it.
- Small mistakes feel like evidence of something bigger.
- You’ve thought about therapy for years and never had time.
How I work with this
High-achieving people are often very good at coping, which is exactly why they wait so long. We’ll look at the patterns that keep repeating: the perfectionism that was once useful, the boundaries that never got set, the way your past shows up in how you react now. I use cognitive behavioral therapy (CBT) for the thinking traps, dialectical behavior therapy (DBT) skills for the overwhelming moments, and mindfulness so you can notice what’s happening before it runs you. This is practical work with a reflective core: we change what you do, and we understand why you’ve been doing it.
I also work with obsessive-compulsive disorder (OCD). For OCD I use exposure and response prevention (ERP), the best-supported treatment, together with acceptance and commitment therapy (ACT), so that you learn to let intrusive thoughts be there without obeying them.
What a first session is like
A conversation, not a questionnaire. We map where the anxiety shows up, what it costs you, and what you want to be different. Sessions are online, which tends to suit people who can’t lose two hours to a commute.
What progress looks like
Most people notice two things first: they sleep better, and they stop treating every email as an emergency. Longer-term, the work is about living from your values rather than from fear of falling short.