For the Capable and Exhausted
Anxiety and Perfectionism in High Achievers
People count on you. You deliver. The part they do not see is how much energy it takes to keep everything from feeling wrong.
The Cost of Keeping Up
Competence Can Hide Exhaustion
A finished project gets one more review. You rewrite an email long after it says what it needs to say, rehearse a conversation before it happens, or stay late because leaving something imperfect feels unbearable. Praise may arrive, but it does not settle the private worry that you missed something important.
Perfectionism can look like commitment from the outside while feeling like constant surveillance from the inside. You may be capable and still be tired of negotiating with every decision. Therapy can examine the difference between care for your work and the rules that make rest feel risky.
What Is Under the Pressure
Anxiety and OCD Can Overlap
Andrea can help you notice whether you are solving a specific problem or repeatedly checking for relief. Re-reading, seeking reassurance, and mentally replaying mistakes may be part of anxiety, an OCD cycle, or another pattern that needs its own careful assessment. A label is not the first thing you have to get right.
Sessions can focus on a recent moment: what you feared would happen, what you did to prevent it, and how long the relief lasted. When OCD is part of the picture, Andrea's certification in ERP (Exposure and Response Prevention) informs a plan to practice uncertainty without repeating the same safety behavior. The method follows the assessment, not the other way around.
An Appointment That Fits
Give the Pattern Real Attention
Individual Therapy is $225 for 50 minutes. Regular sessions can help you examine the situations that keep asking for another hour of effort, then return to them over time. You do not need to arrive having already figured out whether the problem is anxiety, perfectionism, or OCD.
An Extended Specialty Session is $395 for 90 minutes. The additional time can fit a more detailed look at a particular pattern or a period when there is more to discuss. A $100 consultation can help determine which option is appropriate. The $100 is credited in full toward your first paid session or intensive.
Between Sessions
Make Room for an Honest Account
If you are the person who stays organized for everyone else, asking for care can feel like another task to do well. You can tell Andrea that you look fine on paper and feel spent inside. You do not have to bring a crisis to justify taking that strain seriously. The discussion can start with one ordinary week and what it asks of you.
Care is available by secure telehealth while you are located in Texas, Colorado, or Idaho. The consultation is an opportunity to discuss what you want to address and whether individual or extended sessions suit your current circumstances.
Questions
Frequently Asked Questions
Do I need an OCD diagnosis to begin?
No. The consultation can help clarify whether OCD, anxiety, perfectionism, or a combination describes what you are experiencing.
Is wanting to do good work the problem?
No. In session, you examine the cost of repeated checking and the rules that make ordinary uncertainty hard to tolerate.
When is a 90-minute session useful?
An Extended Specialty Session offers more uninterrupted time for a specific concern. The consultation can help determine whether that format fits.
Keep Exploring
Related Paths
You do not have to earn a place to pause.
Start with a $100 consultation. The $100 is credited in full toward your first paid session or intensive.