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High-functioning anxiety: when you're "fine" but can't exhale

Therapy for women who are always on, always doing, and secretly drained

You look calm on the outside. No one would ever guess what's happening beneath the surface.

You're the one people admire-smart, capable, driven. You get things done. You hold it all together.
 

And yet...

You're anxious all the time.
You can't stop overthinking.
You anticipate problems before they happen.
You replay conversations over and over in your mind.
You constantly worry that you've said the wrong thing, made someone uncomfortable, or missed something important.

Your body is tense even when you're resting. You feel like you're running a marathon no one else can see.

This isn't "regular" anxiety. This is high-functioning anxiety-and it's silently exhausting.

What is high-functioning anxiety?

High-functioning anxiety isn't a formal diagnosis-but it's very real. And very common among high-achieving women.

It shows up like this:

  • You always seem put together-but inside, you're buzzing with worry

  • -You always seem put together, but inside you're buzzing with worry

  • -You stay busy to outrun your anxiety and racing thoughts

  • -You say "yes" to everything because saying "no" feels unsafe

  • -You people please to avoid disapproval, even at your own expense

  • -You struggle to relax because your mind never stops scanning

  • -You don't know how to slow down because slowing down feels like failure


The world sees your competence.
But it doesn't see the pressure you put on yourself just to stay afloat.













 

You Don't Have to Push Through Anymore

High-functioning anxiety can be hard to recognize, especially when you've been praised for your productivity, perfectionism, and "can-do" attitude your whole life. But at some point, the cost of keeping it all together becomes too high. You're tired of spiraling at night. You're tired of second-guessing everything. You're tired of holding your breath through your own life. You don't have to keep pushing. You don't have to keep pretending.

How therapy can help:

We'll go beyond surface level coping skills.

In our work together, we'll explored the why behind the pressure. We'll untangle the roots of your anxious patterns. We'll help your nervous system finally feel safe enough to rest.

We'll create space for:
  • Releasing guilt about rest and slowness

  • Healing the fear that something bad will happen if you’re not perfect

  • Quieting the inner critic that never shuts up

  • Grieving the years you’ve spent performing wellness while silently suffering

  • Reconnecting to what you actually want—not what you think you should want

 

 

This is deep work. And it’s sacred work. And you don’t have to do it alone.

What working with me feels like:

I specialize in therapy for high-achieving women with anxious attachment patterns, who feel depleted, and hold deeply embedded perfectionism.

 

Here, you don't have to perform. Here you'll feel:

 

  • Emotionally safe enough to fall apart, even if you’ve never done that before

  • Deep, soulful, grounded - not clinical or cold

  • A warm, compassionate, judgment free space to slow down, explore, and rebuild from a place of self-trust

  • A relationship that supports your growth beyond insight and awareness, we'll ensure you dive into action, integration, and sustained transformation

 

You don’t need to “fix” your anxiety before you come to therapy.

You don’t need to have the right words.

You just need to show up.

We’ll take it from there, together.

What you might be telling yourself:

“I don’t have it that bad.”

“Other people have real problems.”

“I should be grateful.”

“I just need to push through.”

“If I stop, everything will fall apart.”

 

These are the messages that keep high-functioning anxiety hidden—and untreated.

 

But here’s the truth:

You deserve care even if no one else sees your suffering.

You deserve support even if you’re successful.

You deserve peace—even if you’re not used to it.

Ready to begin?

If you’re ready to stop spiraling silently…

If you’re tired of doing everything alone…

If you’re curious what it might feel like to finally exhale…

 

Let’s talk.

 

I offer boutique therapy for women in Michigan (online or in-person in Marquette) who are ready to break free from the invisible burden of high-functioning anxiety.

 

You’ve held everyone else for so long.

Let me hold space for you.

What to Expect in Our Sessions

I'm Sarah: Therapist. Human. Space Holder.

I show up as my full, grounded self so that you can slowly start showing up as yours.

 

I take therapy seriously, but I believe it doesn't have to feel heavy all the time. In our sessions, you'll experience both deep, soul honest moments and the kind of laughter that comes from being seen without judgment. This is your place to exhale, unravel, and reconnect with who you are beneath the weight of all that you're carrying.

Therapy isn't just what I do, it's what I believe in. It's one of the greatest honors of my life to walk with women who are strong, smart, and secretly struggling, and to offer them a space that says:

You don't have to fake fine here.

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Woman owned and operated small business in Michigan

Rooted in Michigan. Committed to Your Healing.

As a proud woman-owned, therapist-run practice based in Michigan, I'm honored to serve the very communities that shaped me. Born and raised here, I carry a deep love for our state, from the healing beauty of our lakes to the warmth and resilience of Michiganders.

 

My virtual practice allows me to support women across the entire state: from college towns like Ann Arbor and East Lansing, to creative hubs like Grand Rapids and Traverse City, to the quiet strength of the Upper Peninsula. Whether you're navigating anxiety in a dorm room or burnout from your 9-to-5, you're not alone.

Wherever you are in Michigan, this is a space for you here to pause, be seen, and begin again.

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