What brings people in.

Racing thoughts, constant low-level dread, trouble relaxing even when nothing is technically wrong. Often accompanied by a sense that you should just be able to handle things better.

Anxiety is often the surface presentation of something older underneath. We work toward understanding the root, not just managing the symptoms.

Flatness, exhaustion, and loss of motivation, especially when it doesn't match how "fine" your life looks from the outside. The version that doesn't have an obvious cause, or the one that's been there so long it just feels like your personality.

Running on empty after years of achievement, where rest doesn't feel like rest. You hit the goal, and the relief you expected didn't arrive, or arrived and left fast. The achievement-as-coping strategy finally stopped working.

Including trauma that isn't one dramatic event: chronic patterns from childhood, inconsistent caregivers, having to be capable before you were ready. The kind that doesn't have a clean story but shaped how your nervous system learned to operate.

A job change, a move, a relationship ending, a milestone that surfaces more than expected. Transitions are often when what was already there finally becomes visible. That's usually when there's real work to do.