Many of the people I work with describe themselves as careful, prepared, high-achieving — and also exhausted. The worry doesn't stop when things go well. The mental work is constant, and the relief is always temporary. Sometimes it's been there for years; sometimes it surfaces in the middle of a life transition — a career shift, a relationship changing, a moment of looking up and wondering how you got here and where you actually want to go.

Some of the ways it shows up — and what people come to work on:

Over-control and perfectionism
Self-doubt and impostor feelings
Intrusive thoughts or the urge to check, redo, or seek reassurance
Hopelessness, guilt, and depression
Irritability, resentment, and overwhelm, and withdrawing when things get hard
Chronic worry and rumination
Relationships that feel distant or that they no longer quite fit
Difficulty trusting yourself, making decisions, and knowing what you actually want
Giving more than you have—saying yes when you mean no, and feeling depleted by it
A life that looks fine from the outside but doesn't feel that way on the inside