Issues I Work With
Every issue has a structure. These pages explain how each one works, what drives it, what keeps it in place, and what it takes to change it.
These aren't diagnostic categories. They're the actual problems people arrive with — the specific pattern, the specific stuckness, the specific self-description they use when they first reach out. Perfectionism. Impostor syndrome. Self-sabotage. People-pleasing. Overthinking. High-functioning depression. Each page describes one pattern the way clients actually experience it, traces it back to what's holding it in place, and explains what the work looks like.
Most people don't fit neatly into a single category. The anxious overachiever is usually also the perfectionist, the impostor, the people-pleaser, the person who can't rest. These aren't separate conditions — they're surfaces of the same underlying structure, and that structure is what the therapy actually works on. If you're not sure which page fits, pick the description that feels most accurate right now. The rest will come up.
The page is split into Individual issues (things happening inside you) and Relationship issues (things happening between you and someone else). Most people have both — individual therapy and couples therapy are distinct formats, but the same kinds of patterns show up across them. If you're deciding which makes sense, the FAQ covers the common cases, and Start Here walks through what the work is actually like before you commit to anything.