You get good grades. Or you used to. You show up. You participate. You manage your schedule, your social life, your extracurriculars. From the outside, you look like a student who has it together. From the inside, something else is going on.
Maybe it is a flatness that settled in and will not lift. Maybe it is an anxiety that sits in your chest before every assignment, every class, every interaction, an anxiety that has nothing to do with whether you are prepared and everything to do with a fear you cannot quite name. Maybe it is the sense that you are constantly performing a version of yourself for other people, and you have lost track of who you are when the performance stops.
This is not a stress problem. Stress is what happens when you have too much to do. What you are experiencing is what happens when you have built your sense of self around outcomes, and the outcomes have stopped working as a substitute for something you never learned how to feel.
What is actually happening
You arrived at college with a system already in place. A system for earning approval, managing other people's expectations, and converting performance into a feeling of safety. This system was built in childhood, in a family where certain things got you recognized and other things got you ignored or criticized. The system worked well enough to get you here. And now it is breaking down, not because you are weak, but because the demands of adult life are exposing its limits.
The perfectionist student does not simply want an A. They need the A because without it, they have no evidence that they are acceptable. The student who procrastinates is not lazy. They are terrified of producing something that will be judged, because judgment has always felt like a referendum on their worth. The student who cannot get out of bed is not depressed in the way that word usually gets used. They are exhausted from maintaining a performance that requires them to suppress most of what they actually feel.
The counseling center will give you coping strategies. Breathing exercises, time management, cognitive reframes. These can help with the surface. But they will not touch the thing underneath, which is that you have been organizing your identity around external validation for as long as you can remember, and you do not know who you are without it.
The social performance
College is also the first time many people realize they have been performing socially for their entire lives. The student who is funny in groups and empty alone. The student who takes care of everyone else and has no idea what they need. The student who cannot say no because they learned in childhood that their value was measured by their availability to others.
Social media makes this worse, but it did not create it. You were comparing yourself to an idealized version of other people long before Instagram. The comparison started in your family, where you learned that who you are was less important than how you appeared, and it has been running ever since.
What your parents may not understand
Your parents may be paying for this therapy. They may be worried about you, or confused by you, or frustrated with you. They may think you are not trying hard enough, or that you need to toughen up, or that college is just stressful and you will get through it. They are probably not wrong that college is stressful. But the stress is not the problem. The problem is the particular way you are organized to respond to stress, a way that was shaped, in part, by them, without anyone being at fault.
The child who learned that love was contingent on achievement will experience every academic setback as a withdrawal of love. The child who learned that their feelings were inconvenient will suppress their feelings until the suppression produces symptoms. The child who learned to read the room and become what was needed will arrive at college with no sense of who they actually are. None of this is anyone's fault. It is the predictable result of how families work.
How I work with this
I do not teach coping skills. I do not assign homework. I do not tell you to practice self-compassion or challenge your negative thoughts. What I do is pay attention to the way you organize yourself in the room with me, because the patterns that are causing you trouble in your life will show up in our conversation, and that is where we can actually see them and work with them.
When you apologize for taking up my time, I notice. When you present your problems as if you are being unreasonable for having them, I notice. When you intellectualize your feelings so efficiently that you never actually feel them, I notice. These are the patterns. Not the anxiety. Not the depression. The patterns underneath them.
Sessions are 60 minutes over secure video. Before your first session, we have a brief 15-minute call to see if this feels like the right fit for you.
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