You're still getting the job done, but the pace is starting to catch up with you. This is common among high-achieving professionals who've built their careers on being reliable under pressure. Decisions that used to come naturally now feel harder to trust. You replay conversations after they're over, walk into meetings less prepared than you'd like, and wonder how long you can sustain this level of output. People count on you to have the answers, stay composed through constant change, and keep moving when the pressure doesn't let up. What looks like high performance from the outside often feels like burnout and perfectionism from the inside. Therapy can help you find your footing again. My approach is reassuring but direct. I work with high-functioning professionals who are used to handling everything on their own, and we focus on the specific situations where that stops working: what makes a decision feel risky, why you keep circling back to things long after they're finished, and what happens in your body when the pressure builds. From there, we apply what we learn to the moments that matter most to you, whether that's a hard conversation, a big decision, or the pattern of pushing through until something gives. If you're getting the job done but the pace is starting to cost you, if perfectionism and second-guessing follow you out of the office, if walking into a meeting feels harder than it used to, this is where we'd start. I'm licensed in Tennessee and Virginia and see clients by telehealth only. Reach out for a free consultation.