In my practice, I meet a particular kind of client again and again: high-achieving, insightful, often already in therapy for anxiety or burnout, who says some version of “something’s off, but I can’t point to why.” She’s not imagining it. And more often than she’s been told, the answer isn’t purely psychological—it’s endocrine. Hormonal mood … Read more
New motherhood is supposed to feel like joy. For a significant number of women, it also feels like drowning quietly while everyone around them assumes they’re fine. In my practice, I meet women who are exhausted, capable, and used to succeeding at everything they set their minds to—and who are stunned to find themselves unable … Read more
There’s a phrase clients bring into my office often: “I just want to leave this behind me.” It’s an understandable wish. It’s also, clinically speaking, a bit of a misnomer. The goal of trauma work isn’t erasure. Nothing in the research supports the idea that a difficult history simply disappears with enough therapy, enough time, … Read more
If you’re a high-achieving woman in therapy—or have ever been in therapy—you know the feeling. The session where something clicks. You finally see the pattern: why you over-function at work, why rest feels like danger, why you can name the exact origin of your perfectionism down to a specific moment in childhood. And then… nothing … Read more
There’s a particular kind of dread that lives in the body of a high-achieving woman. It’s not the fear of trying something hard. It’s the fear of what it will mean about her if it doesn’t work. In my private practice, I sit with smart, capable, driven women every week who are quietly terrified of … Read more
When the darkness starts creeping in — the flatness, the exhaustion, the grey that settles over everything — a high-achieving woman’s first instinct is almost always the same. Do more. Restructure the schedule. Download a new planning app. Set better goals. Get up earlier. Exercise harder. Optimize the morning routine. Build a better system. The … Read more